Abstract:
BACKGROUND:Aspirin reduces mortality for men and women with coronary heart disease (CHD). Previous research suggests women with acute coronary syndromes receive less aggressive care, including less frequent early administration of aspirin. The presence of gender differences in aspirin use for secondary prevention is less clear. OBJECTIVE:To determine if a gender difference exists in the use of aspirin for secondary prevention among individuals with CHD. DESIGN:We analyzed data from the nationally representative 2000-2002 Medical Expenditure Panel Surveys to determine the prevalence of regular aspirin use among men and women with CHD. PARTICIPANTS:Participants, 1,869, 40 years and older who reported CHD or prior myocardial infarction. RESULTS:Women were less likely than men to use aspirin regularly (62.4% vs 75.6%, p < .001) even after adjusting for demographic, socioeconomic and clinical characteristics (adjusted OR = 0.62, 95% CI, 0.48-0.79). This difference narrowed but remained significant when the analysis was limited to those without self-reported contraindications to aspirin (79.8% vs 86.4%, P = .002, adjusted OR = 0.68, 95% CI, 0.48-0.97). Women were more likely than men to report contraindications (20.5% vs 12.5%, P < .001). Differences in aspirin use were greater between women and men with private health insurance (61.8% vs 79.0%, P < .001, adjusted OR = 0.48, 95% CI, 0.35-0.67) than among those with public coverage (62.5% vs 70.7%, P = .04, adjusted OR = 0.74, 95% CI, 0.50-1.11) (P < .001 for gender-insurance interaction). CONCLUSION:We found a gender difference in aspirin use among patients with CHD not fully explained by differences in patient characteristics or reported contraindications. These findings suggest a need for improved secondary prevention of cardiovascular events for women with CHD.
journal_name
J Gen Intern Medjournal_title
Journal of general internal medicineauthors
Opotowsky AR,McWilliams JM,Cannon CPdoi
10.1007/s11606-007-0116-5subject
Has Abstractpub_date
2007-01-01 00:00:00pages
55-61issue
1eissn
0884-8734issn
1525-1497journal_volume
22pub_type
杂志文章abstract:OBJECTIVE:1) To determine whether the frequencies of panic disorder (PD) and depression (DEP) in an emergency department (ED) population were comparable to those in other primary care groups; 2) to evaluate whether patients without the clinical diagnosis of acute cardiac ischemia (ACI) had higher frequencies of these d...
journal_title:Journal of general internal medicine
pub_type: 杂志文章
doi:10.1007/BF02600087
更新日期:1993-05-01 00:00:00
abstract:OBJECTIVE:We examined the clinical utility of supplementing type 2 diabetes mellitus (DM) risk counseling with DM genetic test results and counseling. RESEARCH DESIGN AND METHODS:In this randomized controlled trial, non-diabetic overweight/obese veteran outpatients aged 21 to 65 years received DM risk estimates for li...
journal_title:Journal of general internal medicine
pub_type: 杂志文章,随机对照试验
doi:10.1007/s11606-015-3315-5
更新日期:2015-11-01 00:00:00
abstract:OBJECTIVE:To decrease unnecessary antibiotic use for acute respiratory tract infections in adults in a point-of-service health care setting. DESIGN:Prospective, nonrandomized controlled trial. SETTING:An urban urgent care clinic associated with the major indigent care hospital in Denver, Colorado between October 2000...
journal_title:Journal of general internal medicine
pub_type: 临床试验,杂志文章
doi:10.1046/j.1525-1497.2003.20410.x
更新日期:2003-05-01 00:00:00
abstract:BACKGROUND:For patients with peripheral arterial disease (PAD), depression is associated with worse patency and recurrent symptoms in the treated leg, but its association with death or cardiovascular events in other vascular beds is unknown. OBJECTIVE:To assess the association between depression and mortality or cardi...
journal_title:Journal of general internal medicine
pub_type: 杂志文章
doi:10.1007/s11606-008-0560-x
更新日期:2008-05-01 00:00:00
abstract:OBJECTIVE:To determine the relevance of the initial certifying examination to the practice of internal medicine and the suitability of items used in initial certification for recertification. DESIGN:Using a matrix-sampling approach, items from the 1991 Certifying Examination were assigned to two sets of judges: direct...
journal_title:Journal of general internal medicine
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doi:10.1007/BF02599989
更新日期:1993-02-01 00:00:00
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doi:10.1007/s11606-010-1337-6
更新日期:2010-08-01 00:00:00
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journal_title:Journal of general internal medicine
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doi:10.1007/s11606-008-0713-y
更新日期:2008-10-01 00:00:00
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journal_title:Journal of general internal medicine
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doi:10.1007/s11606-020-06178-2
更新日期:2020-12-01 00:00:00
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journal_title:Journal of general internal medicine
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更新日期:2014-08-01 00:00:00
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更新日期:2010-05-01 00:00:00
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journal_title:Journal of general internal medicine
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更新日期:2008-10-01 00:00:00
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journal_title:Journal of general internal medicine
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更新日期:2015-05-01 00:00:00
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journal_title:Journal of general internal medicine
pub_type: 杂志文章,评审
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更新日期:2012-06-01 00:00:00
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journal_title:Journal of general internal medicine
pub_type: 杂志文章,评审
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更新日期:2009-11-01 00:00:00
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更新日期:1991-07-01 00:00:00
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doi:10.1046/j.1525-1497.2003.20114.x
更新日期:2003-01-01 00:00:00
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journal_title:Journal of general internal medicine
pub_type: 杂志文章
doi:10.1007/BF02599714
更新日期:1993-11-01 00:00:00
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pub_type: 已发布勘误
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更新日期:2020-02-01 00:00:00
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pub_type: 杂志文章,多中心研究
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更新日期:2006-06-01 00:00:00
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更新日期:2008-09-01 00:00:00
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journal_title:Journal of general internal medicine
pub_type: 杂志文章
doi:10.1007/s11606-010-1285-1
更新日期:2010-07-01 00:00:00
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更新日期:2017-03-01 00:00:00
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更新日期:2008-09-01 00:00:00
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更新日期:1999-02-01 00:00:00
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更新日期:2015-10-01 00:00:00
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