000133386 001__ 133386
000133386 005__ 20240412150654.0
000133386 0247_ $$2doi$$a10.1186/s13690-024-01276-7
000133386 0248_ $$2sideral$$a138068
000133386 037__ $$aART-2024-138068
000133386 041__ $$aeng
000133386 100__ $$0(orcid)0000-0001-7293-701X$$aAguilar-Palacio, Isabel$$uUniversidad de Zaragoza
000133386 245__ $$aGender health care inequalities in health crisis: when uncertainty can lead to inequality
000133386 260__ $$c2024
000133386 5060_ $$aAccess copy available to the general public$$fUnrestricted
000133386 5203_ $$aBackground
In health crisis, inequalities in access to and use of health care services become more evident. The objective of this study is to analyse the existence and evolution of gender inequalities in access to and use of healthcare services in the context of the COVID-19 health crisis.
Methods
Retrospective cohort study using data from all individuals with a confirmed COVID-19 infection from March 2020 to March 2022 in Aragón (Spain) (390,099 cases). Health care access and use was analysed by gender for the different pandemic waves. Univariate and multivariate analyses were conducted to evaluate the effect of sex in health care. Blinder-Oaxaca decomposition methods were performed to explain gender gaps observed.
Results
The health care received throughout the COVID-19 pandemic differed between men and women. Women were admitted to hospital and intensive care units less frequently than men and their stays were shorter. Differences observed between men and women narrowed throughout the pandemic, but persisted even after adjusting for age, socioeconomic status, morbidity burden or the patient's place of residence. Differences in sociodemographic characteristics and morbidity burden could explain partially the gender inequalities found, mainly in the later phases of the pandemic, but not in the earlier waves.
Conclusions
There were gender inequalities in access to and use of health services during the COVID-19 pandemic. Inequalities were greater in the first waves of the pandemic, but did not disappear. Analysis of health crises must take into account an intersectional gender perspective to ensure equitable health care.
000133386 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/
000133386 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000133386 700__ $$aObón-Azuara, Blanca
000133386 700__ $$0(orcid)0000-0002-5064-3763$$aCastel-Feced, Sara
000133386 700__ $$0(orcid)0000-0002-7194-8275$$aMalo, Sara$$uUniversidad de Zaragoza
000133386 700__ $$aTeresa, Julia
000133386 700__ $$0(orcid)0000-0002-6671-5661$$aRabanaque, María José$$uUniversidad de Zaragoza
000133386 7102_ $$11011$$2615$$aUniversidad de Zaragoza$$bDpto. Microb.Ped.Radio.Sal.Pú.$$cÁrea Medic.Prevent.Salud Públ.
000133386 773__ $$g82 (2024), 46 [10 pp.]$$pArch. public health$$tArchives of public health$$x0778-7367
000133386 8564_ $$s902737$$uhttps://zaguan.unizar.es/record/133386/files/texto_completo.pdf$$yVersión publicada
000133386 8564_ $$s2018152$$uhttps://zaguan.unizar.es/record/133386/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000133386 909CO $$ooai:zaguan.unizar.es:133386$$particulos$$pdriver
000133386 951__ $$a2024-04-12-13:59:19
000133386 980__ $$aARTICLE