Gender differences in health and health care utilisation in various ethnic groups in the Netherlands: a cross-sectional study

Gerritsen, Annette A. M.; Devillé, Walter L.
January 2009
BMC Public Health;2009, Vol. 9, p1
Academic Journal
Background: To determine gender differences in health and health care utilisation within and between various ethnic groups in the Netherlands. Methods: Data from the second Dutch National Survey of General Practice (2000-2002) were used. A total of 7,789 persons from the indigenous population and 1,512 persons from the four largest migrant groups in the Netherlands - Morocco, Netherlands Antilles, Turkey and Surinam - aged 18 years and older were interviewed. Self-reported health outcomes studied were general health status and the presence of acute (past 14 days) and chronic conditions (past 12 months). And self-reported utilisation of the following health care services was analysed: having contacted a general practitioner (past 2 months), a medical specialist, physiotherapist or ambulatory mental health service (past 12 months), hospitalisation (past 12 months) and use of medication (past 14 days). Gender differences in these outcomes were examined within and between the ethnic groups, using logistic regression analyses. Results: In general, women showed poorer health than men; the largest differences were found for the Turkish respondents, followed by Moroccans, and Surinamese. Furthermore, women from Morocco and the Netherlands Antilles more often contacted a general practitioner than men from these countries. Women from Turkey were more hospitalised than Turkish men. Women from Morocco more often contacted ambulatory mental health care than men from this country, and women with an indigenous background more often used over the counter medication than men with an indigenous background. Conclusion: In general the self-reported health of women is worse compared to that of men, although the size of the gender differences may vary according to the particular health outcome and among the ethnic groups. This information might be helpful to develop policy to improve the health status of specific groups according to gender and ethnicity. In addition, in some ethnic groups, and for some types of health care services, the use by women is higher compared to that by men. More research is needed to explain these differences.


Related Articles

  • Gender gap in medical care.  // Consumer Reports on Health;Jun2000, Vol. 12 Issue 6, p2 

    Informs on the Commonwealth Fund 1998 survey of men's and women's health and its findings about gender gap in medical care.

  • Gender differences in adult health: An international comparison. Rahman, Omar; Strauss, John // Gerontologist;Aug94, Vol. 34 Issue 4, p463 

    Explores gender differences in adult health services. Analysis of data from the United States, Jamaica, Bangladesh and Malaysia; Assertion that women's health fare worse than men.

  • Sex, access, and excess. Franks, Peter; Clancy, Carolyn M. // Annals of Internal Medicine;10/1/95, Vol. 123 Issue 7, p548 

    Editorial. Argues that the debate on sex bias in medical care has obscured the importance of differences between men and women regarding their decisions to seek health care, their involvement in and subsequent use of that care, and health outcomes. Underuse by men of primary care; Greater...

  • OCCIPITO FRONTAL CIRCUMFERENCE IN THREE WEST AFRICAN POPULATIONS. Odokuma, E. I // Continental Journal of Medical Research;2012, Vol. 6 Issue 1, p3 

    The usefulness of Occipito frontal circumference in facilitating proper identification of skeletal remains and in emphasizing a common origin of studied populations is far reaching. This study involved 699 (male 361; female 338) volunteers whose age ranged 18 years and over. Respondents were...

  • Comparative Analysis of Dermatoglyphic Traits in Albanian and Turkish Population Living in Kosovo. Temaj, Gazmend; Miličić, Jasna; Jurić, Tatjana Škarić; Behluli, Ibrahim; Narančić, Nina Smolej; Hadžiselimoviž, Rifat; Nefić, Hilada // Collegium Antropologicum;Dec2009, Vol. 33 Issue 4, p1001 

    The aim of the study was to compare quantitative dermatoglyphic traits of two ethnic groups with different origin and customs, living on the same territory. The dermatoglyphic prints were collected from 800 inhabitants of the Dukagjin valley in southwest Kosovo, of Albanian (400) and Turkish...

  • Gendered health resources and coping – A study from general practice. Malterud, Kirsti; Hollnagel, Hanne; Witt, Klaus // Scandinavian Journal of Public Health;Sep2001, Vol. 29 Issue 3, p183 

    Aim: The aim of this study was to explore gender and coping in primary health care patients, by comparing self-assessed health resources in men and women. Methods: Female and male patients' self-assessed health resources were identified by mean of key questions, developed separately for men and...

  • Do women with acute myocardial infarction receive the same treatment as men? Clarke, Karen W.; Gray, David; Keating, Nicola A.; Hampton, John R. // BMJ: British Medical Journal (International Edition);9/3/94, Vol. 309 Issue 6954, p563 

    Presents a study to determine whether women with acute myocardial infarction in the Nottingham, England, health district receive the same therapeutic interventions as their male counterparts. INSET: Clinical implications.

  • Agism as explanation for sexism in provision of thrombolysis. Hannaford, Philip C.; Kay, Clifford R.; Ferry, Susan // BMJ: British Medical Journal (International Edition);9/3/94, Vol. 309 Issue 6954, p573 

    Presents a study that assesses whether thrombolysis is provided on a different basis in men and women. Methods; Results; Conclusions.

  • Men, heal thyselves. Dolliver, Mark // Adweek Western Edition;10/05/98, Vol. 48 Issue 40, p32 

    Details findings of a Hearst Magazines' survey on men and healthcare. Percentage of men who scheduled their own doctor appointments; Survey results' debunked of the perception that men are passive when it comes to their own healthcare; Percentage of respondents who prefer to research ailments...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics