Gender differences in the prioritisation of health outcomes in diabetes: Informing gender-sensitive diabetes care
Creators: name: Porth, Ann-Kristin
name: Seidler, Yuki
name: Huberts, Anouk S.
name: Hurtado Del Pozo, Carmen
name: Bénard, Angèle H.M.
name: Hopkins, David
name: Nathanson, David
name: Sijbrands, Eric
name: Eeg-Olofsson, Katarina
name: Hamilton, Kathryn
name: Hasler, Yvonne
name: Stamm, Tanja
name: Kautzky-Willer, Alexandra
Publisher: name: Zenodo
Year: 2022
Subjects: Gender medicine, Diabetes, Health outcomes, Patient-reported outcomes, Person-centred care

description: Sex and gender can affect diabetes outcomes. Evidence suggests this is mediated by biological and sociocultural factors. However, little is known about associations between gender and patient-reported outcomes which reflect subjective perceptions of disease. We sought to explore gender-related difference in health outcome priorities among men and women living with diabetes. For this we analysed voting results from a previously conducted Delphi study, undertaken to reach consensus on a person-centred outcome set for diabetes, stratified according to the self-reported gender of participating patients. Our results suggest that men and women prioritise different diabetes outcomes: e.g., while feeling in control was a concern for men, women highlighted being mindful of side effects. Measuring outcomes in a personalised, gender-conscious way to provide gender-specific diabetes care may support the achievement of personal treatment goals.
description: {"references": ["Guidance for Industry - Patient-Reported Outcome Measures: Use in Medical Product Development to Support Labeling Claims. (2009). https://www.fda.gov/media/77832/download", "Himmelstein, M. S., &amp; Puhl, R. M. (2021). At multiple fronts: Diabetes stigma and weight stigma in adults with type 2 diabetes. Diabet Med, 38(1), e14387. https://doi.org/10.1111/dme.14387", "Kautzky-Willer, A., Harreiter, J., &amp; Pacini, G. (2016). Sex and Gender Differences in Risk, Pathophysiology and Complications of Type 2 Diabetes Mellitus. Endocr Rev, 37(3), 278-316. https://doi.org/10.1210/er.2015-1137", "Luy, M., &amp; Gast, K. (2014). Do women live longer or do men die earlier? Reflections on the causes of sex differences in life expectancy. Gerontology, 60(2), 143-153. https://doi.org/10.1159/000355310", "Markey, C. N., Markey, P. M., Schneider, C., &amp; Brownlee, S. (2005). Marital Status and Health Beliefs: Different Relations for Men and Women. Sex Roles, 53(5), 443-451. https://doi.org/10.1007/s11199-005-6767-y", "Mauvais-Jarvis, F., Berthold, H. K., Campesi, I., Carrero, J. J., Dakal, S., Franconi, F., Gouni-Berthold, I., Heiman, M. L., Kautzky-Willer, A., Klein, S. L., Murphy, A., Regitz-Zagrosek, V., Reue, K., &amp; Rubin, J. B. (2021). Sex- and Gender-Based Pharmacological Response to Drugs. Pharmacol Rev, 73(2), 730-762. https://doi.org/10.1124/pharmrev.120.000206", "Person-centred care made simple. (2016). Health Foundation. https://doi.org/https://www.health.org.uk/sites/default/files/PersonCentredCareMadeSimple_0.pdf", "Risman, B. J. (2004). Gender As a Social Structure:Theory Wrestling with Activism. Gender &amp; Society, 18(4), 429-450. https://doi.org/10.1177/0891243204265349", "Samulowitz, A., Gremyr, I., Eriksson, E., &amp; Hensing, G. (2018). \"Brave Men\" and \"Emotional Women\": A Theory-Guided Literature Review on Gender Bias in Health Care and Gendered Norms towards Patients with Chronic Pain. Pain Res Manag, 2018, 6358624. https://doi.org/10.1155/2018/6358624", "Stamm, T., Bott, N., Thwaites, R., Mosor, E., Andrews, M., Borgdorff, J., Cossio-Gil, Y., Portu, S., Ferrante, M., Fischer, F., Hameed, F., Hazelzet, J., Hopkins, D., Kalra, D., Metcalfe, T., Molero, E., Newson, R., Patalano, F., Prasser, F., &amp; Styliadou, M. (2021). Building a Value-Based Care Infrastructure in Europe: The Health Outcomes Observatory. NEJM Catalyst, 2. https://doi.org/10.1056/CAT.21.0146"]}