title: Gender influence in the quantity of drugs used in primary care.
abstract: OBJECTIVE
  To analyze whether for an equal health problem there are gender differences in the drugs used in an adult population attended in the Health Care Centers of the Valencian Community (Spain).
  
  
  METHODS
  A cross-sectional analytical study was carried out between February-August 1997. The independent variables were: socio-economic parameters, frequency of visits, and self-perceived or diagnosed health problems, and the dependent one the number of drugs consumed.
  
  
  RESULTS
  Of the 812 patients considered, 801 consumed medication. Eighty percent of the health problems for which drugs were used involved 5 apparatuses and systems (mean: 3.3 health problems/patient). The 5 most consumed therapeutic groups accounted for 81% of the total (mean: 4.5 drugs/patient). Significant differences were recorded, with greater female consumption in the central nervous system and genitourinary tract therapeutic groups, and with greater male consumption in relation to the respiratory system and systemic anti-infectious therapy. Drug use increased with age, lowest educational level, lowest professional categories, and with the highest frequency of visits to the physician. Significant differences were also recorded in drug use by occupational status, marital status and family structure. The multivariate analysis showed the number of health problems and the frequency of visits accounted for 82.2% of the variability of the variable <<number of drugs consumed>>. The variability accounted for by gender was explained by the variable health problems, the main factor underlying drug consumption among women and men.
  
  
  CONCLUSIONS
  The main finding is probably that women do not use larger numbers of drugs than men if health problems and frequency of visits are controlled.
authors.affiliation: Centro de Salud Nazaret, Conselleria de Sanitat, Valencia, Spain.
authors.forename: José
authors.initials: J
authors.lastname: Sanfélix
authors.forename: Vicente
authors.initials: V
authors.lastname: Palop
authors.forename: Inmaculada
authors.initials: I
authors.lastname: Pereiró
authors.forename: Elena
authors.initials: E
authors.lastname: Rubio
authors.forename: Victoria
authors.initials: V
authors.lastname: Gosalbes
authors.forename: Inocencia
authors.initials: I
authors.lastname: Martínez-Mir
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D003430:Cross-Sectional Studies; D004363:Drug Utilization / Q000706:statistics & numerical data*; D004493:Education; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D011320:Primary Health Care / Q000706:statistics & numerical data*; D017678:Sex Distribution; D012737:Sex Factors; D012959:Socioeconomic Factors; D013030:Spain; D011795:Surveys and Questionnaires