000162844 001__ 162844
000162844 005__ 20251017144655.0
000162844 0247_ $$2doi$$a10.3389/fgwh.2025.1605400
000162844 0248_ $$2sideral$$a145309
000162844 037__ $$aART-2025-145309
000162844 041__ $$aeng
000162844 100__ $$aLópez-Ferreruela, Irene
000162844 245__ $$aWhen gender matters: inequalities in health services utilization and risk factors monitoring after acute myocardial infarction
000162844 260__ $$c2025
000162844 5060_ $$aAccess copy available to the general public$$fUnrestricted
000162844 5203_ $$aIntroduction: Secondary prevention after an acute myocardial infarction (AMI) has the objective of improving quality of life, minimizing recurrence, and reducing morbidity and mortality. Despite European guidelines highlighting the importance of cardiovascular risk factor (CVRF) management and optimal healthcare utilization, inequalities persist, particularly between genders. This study aims to identify and analyze gender inequalities in healthcare utilization and CVRF monitoring during the first year after AMI using real-world data (RWD).
Methods: An analytical study was conducted within the CARhES (CArdiovascular Risk factors for Health Services research) cohort in Aragon, Spain. The study population included 3,464 subjects who survived a first AMI and were followed for one full year after the event. Sociodemographic, anthropometric, clinical data, healthcare utilization, CVRF monitoring and pharmacological prescriptions, were extracted from the Aragon Health Service. Statistical analyses included chi-squared tests, Student's t-tests, and logistic regression, with Blinder-Oaxaca decomposition applied to explore possible explanatory factors for gender differences.
Results: Women represented 28.3% of the study population. Compared with men, they were older and had a higher morbidity burden. Primary care utilization was similar between genders; however, women had fewer cardiology visits (p < 0.001) and were less likely to achieve risk factor monitoring goals. Differences were also observed in pharmacological treatment, with women being less likely to receive beta-blockers, lipid modifying agents, and antiplatelet agents (p < 0.001). Several of these inequalities persisted after controlling for age. The Oaxaca decomposition showed that age and morbidity burden were the main contributors to gender disparities. In addition, socioeconomic status and place of residence played a role in health services utilization differences.
Conclusions: Gender inequalities are still present in post-AMI care and CVRF management, with women being more likely to receive less adequate treatment and management. Addressing these inequalities is crucial to ensuring equitable care and improving health outcomes for women.
000162844 536__ $$9info:eu-repo/grantAgreement/ES/DGA-GRISSA/B09-23R$$9info:eu-repo/grantAgreement/ES/ISCIII/PI22-01193
000162844 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttps://creativecommons.org/licenses/by/4.0/deed.es
000162844 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000162844 700__ $$0(orcid)0000-0002-5440-1710$$aGimeno-Miguel, Antonio
000162844 700__ $$aLaguna-Berna, Clara
000162844 700__ $$0(orcid)0000-0002-7194-8275$$aMalo, Sara$$uUniversidad de Zaragoza
000162844 700__ $$0(orcid)0000-0002-5064-3763$$aCastel-Feced, Sara$$uUniversidad de Zaragoza
000162844 700__ $$0(orcid)0000-0002-6671-5661$$aRabanaque, María José$$uUniversidad de Zaragoza
000162844 700__ $$0(orcid)0000-0001-7293-701X$$aAguilar-Palacio, Isabel$$uUniversidad de Zaragoza
000162844 7102_ $$12007$$2265$$aUniversidad de Zaragoza$$bDpto. Métodos Estadísticos$$cÁrea Estadís. Investig. Opera.
000162844 7102_ $$11011$$2615$$aUniversidad de Zaragoza$$bDpto. Microb.Ped.Radio.Sal.Pú.$$cÁrea Medic.Prevent.Salud Públ.
000162844 773__ $$g6 (2025), [14 pp.]$$tFrontiers in global women's health
000162844 8564_ $$s1063080$$uhttps://zaguan.unizar.es/record/162844/files/texto_completo.pdf$$yVersión publicada
000162844 8564_ $$s2490116$$uhttps://zaguan.unizar.es/record/162844/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000162844 909CO $$ooai:zaguan.unizar.es:162844$$particulos$$pdriver
000162844 951__ $$a2025-10-17-14:37:55
000162844 980__ $$aARTICLE