RESUMEN
OBJECTIVE: Our aim was to investigate gender-related differences in consulting behaviour among family doctors in Belgium. METHODS: The study was conducted among 32 family physicians and 303 patients. The family physician consulting behaviour was studied during consultations which included either an anal or a vaginal examination on three dimensions: a cure dimension, a care dimension and a dimension of consulting behaviour specific for consultations which included an internal examination. RESULTS: It was found that female family physicians were perceived by both male and female patients as showing more cure behaviour during consultations which included an anal examination. Female family doctors were also perceived as showing significantly more cure behaviour, more care behaviour and more consulting behaviour specific for an internal examination during consultations which included a vaginal examination. Furthermore, it was found that less-well-educated patients perceived more care behaviour during consultations which included an anal examination than did better-educated patients. Finally, less-well-educated patients perceived more cure behaviour and more behaviour specific for an internal examination in their doctor's consulting behaviour during consultations which included a vaginal examination.
Asunto(s)
Examen Físico , Relaciones Médico-Paciente , Médicos de Familia/psicología , Factores Sexuales , Canal Anal , Análisis de Varianza , Conducta , Femenino , Humanos , Masculino , VaginaRESUMEN
From January 1995 to December 1995, 991 muskrats were examined for the occurrence and the regional prevalence of nematodes and trematodes. The muskrats were trapped in all parts of Lower Saxony. 77.2% of the studied population were less than one year old, 22.8% were older. The male to female ratio was 54.5% to 45.5%. One genus of nematodes, Trichuris spp., was found in the colon in 1.9% of the animals in the south of the investigated area. A species differentiation was not possible, as exclusively female parasites had been found. Additionally, two genera of trematodes (Echinostoma spp. and Quinqueserialis quinqueserialis) belonging to two different families were detected in 2.5% of the muskrats. In the north of the investigated area the prevalence was significantly higher than in the south. As to the echinostomatides, no species-differentiation was made because, according to KANEV (1985), many echinostomatides have not been described correctly in the past. Some echinostomatides cannot be differentiated until today. There was no statistically significant correlation between parasite infections and sex of the animals. Concerning Echinostoma spp. and Quinqueserialis quinqueserialis, a highly significant correlation was found between the age of the muskrats and the trematode-infections. Young animals were infected more often than older animals, none of the younger animals was infected with Trichuris spp.