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Preferences for gender of family physician among Canadian European-descent and South-Asian immigrant women.

机译:加拿大欧洲血统和南亚移民妇女对家庭医生性别的偏爱。

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OBJECTIVE: The aim of this study was to investigate expressed preferences for family physician (FP) gender among Canadian European-descent (CED) and Canadian South-Asian (CSA) immigrant women. METHOD: An 'on-site' survey was conducted in community-based institutions in Toronto in order to determine preferences for the gender of FP under various health care scenarios: overall health care; gender-sensitive examinations; emotional problems; general ailments; and life-threatening conditions. RESULTS: Ninety-four women responded to this survey (CED = 50, CSA = 44), response rate 77.3%. For all health care scenarios, CED and CSA women similarly expressed either a preference for a female FP or no preference. More than two-thirds of women preferred a female FP for gynaecological examinations (CED, 72.9%; CSA, 83.7%) or examinations with private body part exposure (CED, 72%; CSA, 81.8%). For 'emotional problems', half of the women preferred a female FP and the other half had no preference. A similar pattern was observed for 'overall health care', with some shift to female physician preference among CSA women (60.5%) compared with CED women (53.2%). For the 'overall health care' scenario, CED and CSA women who preferred a female FP had a higher frequency of seeing female physicians within the last 5 years (CED, P < or = 0.01; CSA, P < or = 0.05), and attributed 'positive' social skills more to female physicians (CED, P < or = 0.01; CSA, P < or = 0.01) compared with women with no preference for the gender of the FP. Yet, CED women with a female FP preference were more likely to have a concurrent female FP (P < or = 0.01), and to rate past experiences with female physicians as high (P < or = 0.01) and with male physicians as low (P < or = 0.05) compared with CED women with no preference. In the CSA group, women with a preference for a female FP were more likely to be unemployed (P < or = 0.01) and have low social support (P < or = 0.01). CONCLUSIONS: Despite similar physician gender preference patterns, factors associated with these preferences show some differences between CED and CSA women.
机译:目的:本研究的目的是调查在加拿大欧洲裔(CED)和加拿大南亚裔(CSA)移民妇女中家庭医生(FP)性别的表达偏好。方法:在多伦多的社区机构中进行了“现场”调查,以确定在各种卫生保健情况下对FP性别的偏爱。性别敏感检查;情绪问题;一般疾病;和威胁生命的条件。结果:94名妇女对此问卷进行了回应(CED = 50,CSA = 44),回应率为77.3%。在所有医疗保健场景中,CED和CSA妇女同样表示偏爱女性FP或不偏爱。超过三分之二的女性更喜欢女性FP进行妇科检查(CED,72.9%; CSA,83.7%)或进行私处暴露检查(CED,72%; CSA,81.8%)。对于“情绪问题”,一半妇女偏爱女性FP,另一半则没有偏爱。在“全面保健”中也观察到了类似的模式,与CED妇女(53.2%)相比,CSA妇女(60.5%)对女性医生的偏爱有所转变。对于“整体医疗保健”方案,在过去的5年中,倾向于女性FP的CED和CSA妇女在女性医师中的看诊频率更高(CED,P <或= 0.01; CSA,P <或= 0.05),并且与不偏爱计划生育性别的女性相比,女性医生更倾向于“积极”的社交技能(CED,P <或= 0.01; CSA,P <或= 0.01)。然而,具有女性FP偏爱的CED女性更有可能同时拥有女性FP(P <或= 0.01),并且对女性医生的以往经验的评价较高(P <或= 0.01),而男性医生的经验则较低(P <或= 0.01)。 P <或= 0.05)与无偏好的CED妇女相比。在CSA组中,偏爱女性FP的女性更有可能失业(P <或= 0.01)并且社会支持率较低(P <或= 0.01)。结论:尽管医师性别偏好模式相似,但与这些偏好相关的因素显示CED和CSA妇女之间存在一些差异。

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