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Sex bias in pain management decisions.
Guzikevits, Mika; Gordon-Hecker, Tom; Rekhtman, David; Salameh, Shaden; Israel, Salomon; Shayo, Moses; Gozal, David; Perry, Anat; Gileles-Hillel, Alex; Choshen-Hillel, Shoham.
Afiliación
  • Guzikevits M; Hebrew University Business School, Hebrew University of Jerusalem, Jerusalem 9190501, Israel.
  • Gordon-Hecker T; Federmann Center for the Study of Rationality, Hebrew University of Jerusalem, Jerusalem 9190401, Israel.
  • Rekhtman D; Department of Business Administration, Ben-Gurion University of the Negev, Be'er-Sheva 8410501, Israel.
  • Salameh S; The Department of Emergency Medicine, Hadassah Medical Center, Jerusalem 9112001, Israel.
  • Israel S; The Department of Emergency Medicine, Hadassah Medical Center, Jerusalem 9112001, Israel.
  • Shayo M; Psychology department, Hebrew University of Jerusalem, Jerusalem 9190501, Israel.
  • Gozal D; Federmann Center for the Study of Rationality, Hebrew University of Jerusalem, Jerusalem 9190401, Israel.
  • Perry A; Economics department, Hebrew University of Jerusalem, Jerusalem 9190501, Israel.
  • Gileles-Hillel A; The University of Missouri School of Medicine, Columbia, MO 65201.
  • Choshen-Hillel S; Joan C. Edwards School of Medicine, Marshall University, Huntington, WV 25701.
Proc Natl Acad Sci U S A ; 121(33): e2401331121, 2024 Aug 13.
Article en En | MEDLINE | ID: mdl-39102546
ABSTRACT
In the pursuit of mental and physical health, effective pain management stands as a cornerstone. Here, we examine a potential sex bias in pain management. Leveraging insights from psychological research showing that females' pain is stereotypically judged as less intense than males' pain, we hypothesize that there may be tangible differences in pain management decisions based on patients' sex. Our investigation spans emergency department (ED) datasets from two countries, including discharge notes of patients arriving with pain complaints (N = 21,851). Across these datasets, a consistent sex disparity emerges. Female patients are less likely to be prescribed pain-relief medications compared to males, and this disparity persists even after adjusting for patients' reported pain scores and numerous patient, physician, and ED variables. This disparity extends across medical practitioners, with both male and female physicians prescribing less pain-relief medications to females than to males. Additional analyses reveal that female patients' pain scores are 10% less likely to be recorded by nurses, and female patients spend an additional 30 min in the ED compared to male patients. A controlled experiment employing clinical vignettes reinforces our hypothesis, showing that nurses (N = 109) judge pain of female patients to be less intense than that of males. We argue that the findings reflect an undertreatment of female patients' pain. We discuss the troubling societal and medical implications of females' pain being overlooked and call for policy interventions to ensure equal pain treatment.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Manejo del Dolor / Sexismo Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Proc Natl Acad Sci U S A Año: 2024 Tipo del documento: Article País de afiliación: Israel Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Manejo del Dolor / Sexismo Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Proc Natl Acad Sci U S A Año: 2024 Tipo del documento: Article País de afiliación: Israel Pais de publicación: Estados Unidos