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The differences between male and female drug users: community samples of heroin and cocaine users compared.

Although gender-related issues are often cited as playing an important part in determining patterns of illicit drug use, little is known about the differences between male and female drug users outside treatment settings. In the present study, 558 heroin and cocaine users recruited from a range of community settings were interviewed by Privileged Access Interviewers. The women were found to be younger than the men. Differences existed in their drug use; women used smaller amounts, for a shorter duration, and were less likely to inject than their male counterparts. No differences existed between treatment contact for the heroin users, but differences were found among the cocaine-using sample, with men being more likely to have contacted a treatment agency. Men were financing themselves through more criminal activities than women. Drug-using sexual partners were found to be an important influence over women's drug use, with most female injectors having been given their first injection by a male sexual partner. Structural differences in patterns of drug use found among female drug users and the influence of male sexual partners are likely to play an important role in determining appropriate treatment options for women drug users.

Adolescent↗

Coronary artery disease in women: different, often undertreated.

Cardiovascular disease is responsible for more deaths in women each year than all other causes combined. Women have different cardiac presentations than men and are more likely to be underdiagnosed and undertreated for coronary artery disease. This article addresses gender-specific issues in prevention, diagnosis, and treatment of coronary artery disease.

Cardiovascular System↗

Current diversity in orthopaedics. Issues of race, ethnicity, and gender.

The size and diversity of the United States orthopaedic workforce continues to interest academic graduate medical education analysts. Numerous medical groups have expressed the need for diversity in orthopaedics and in general medicine. The Association of American Medical Colleges has had two policies since the early 1970s concerning minorities in medicine. It was thought that special attention should be given to minority groups underrepresented in medicine and that the minority groups should be represented in medicine in the same proportion as in the population as a whole. The purpose of this paper was to examine the selection of orthopaedic residents during the past 12 years based on the candidates documented race, ethnicity, and gender. The diversity of orthopaedic residents changed minimally during the period of the study. The percentage of African American, Hispanic, Native American, Puerto Rican, and Mexican American orthopaedic residents essentially has remained unchanged. The percentage of Asian and Pacific Islander women has remained unchanged whereas the percentage of Asian and Pacific Islander men has quadrupled (2.2% in 1983 to 9.8% in 1995) during the 12 years of the study. The percentage of white women has remained virtually unchanged whereas that of white men has declined in direct relation to the increase in Asian or Pacific Islander men.

Black or African American↗

Mitral valve prolapse: gender differences in evaluation and management.

Mitral valve prolapse is a common clinical disorder that affects approximately 3-4% of the adult population. Prolapse occurs more commonly in women and has been associated with a variety of cardiac complications including mitral regurgitation, endocarditis, arrhythmias, and sudden death, as well as noncardiac manifestations including stroke. Much of our earlier understanding has been influenced by significant referral biases and lack of controlled studies. Our understanding of mitral prolapse has evolved considerably since the initial descriptions nearly 3 decades ago. This review on the current knowledge regarding diagnosis and management of primary mitral valve prolapse focuses on gender-related issues that influence clinical presentation, prognosis, and therapeutic strategies.

Adult↗

Separate lives, different interests: male and female reproduction in the Gambia.

We report the initial findings of a research programme on the fertility and reproductive health of both men and women in rural Gambia. The reproductive experiences of men and women in the population studied were very different. During the period 1993-97, the total fertility rates were 12.0 for men and 6.8 for women. For men fertility began later, reached higher levels and continued into older ages than for women. Through serial and polygynous marriages, men were able to extend their reproduction beyond what would be possible with one woman. Of the married men interviewed, 40% were married polygynously. Men's fertility preferences indicated that they recognized their reproductive potentials to be greater than those of their individual wives. On average, married men desired 15.2 children for themselves and 7.3 for each wife. In this polygynous population the means available for attaining reproductive goals were different for the two sexes, depending on the separate lives and different interests of men and women.

Adolescent↗

Perceptions of Women Living With Coronary Heart Disease: An Overview of Study Findings.

OBJECTIVE: To describe how 41 perimenopausal and postmenopausal women with coronary heart disease (CHD) perceive their illness experience. METHODS: Five focus groups were conducted at two community hospitals in New Jersey. Predetermined questions explored psychosocial and gender sensitive issues. Data collection and analysis was based on the grounded theory. RESULTS: Participants often failed to recognize the significance of risk factors and symptoms, and even denied the presence of disease following diagnosis and treatment. Consequences of illness centered on women's efforts to maintain control over their health and their lives. A gap existed between the desire for knowledge and the ability to access and assimilate information in key areas regarding CHD and personal health behaviors. CONCLUSIONS: Although not generalizable to the population at large, the insights provided by these women have several implications for future research and contribute valuable information related to the needs of this population. (c)1999 by CVRR, Inc.

Journal Article↗

In search of an "Authentic" women's medicine: the strange fates of Trota of Salerno and Hildegard of Bingen.

Despite centuries of debate about the medieval writers Trota and Hildegard, there still remain widely disparate views of them in both popular and scholarly discourses. Their alternate dismissal or romanticization is not due to a simple contest between antifeminist and feminist tendencies. Rather, issues of gender have intersected in varying ways with other agendas (intellectual, nationalist, etc.). Recent philological researches have helped not only to clarify why these earlier interpretations were created in the first place, but also to raise our understanding of these women and their work to a new, higher level.

Germany↗

Office of Women's Health, Food and Drug Administration: future directions for women's health.

The Office of Women's Health serves as an advocate for women's health throughout the Food and Drug Administration (FDA). Through and policies, the Office supports research in gender-related issues in the regulation and use of drugs, devices, biologics, and foods; initiates outreach and disseminates health information to women; provides leadership in increasing the number of women and appropriate data analysis in all phases of clinical trials; and promotes women's health in FDA actions. This article summarizes current activities and future directions in women's health at the FDA.

Clinical Trials as Topic↗

Moral leadership in academic dentistry: the story of Jeanne Craig Sinkford.

Jeanne Craig Sinkford graduated from Howard University College of Dentistry in 1958 and there began a career in academic dentistry as a clinical instructor. Six years later, armed with specialty training in prosthodontics and a master's degree and PhD in physiology from Northwestern University, Dr Sinkford returned to Howard expecting to develop a research program and continue her clinical teaching. Instead, she was immediately made head of the Department of Prosthodontics and in 11 more years became Howard's dean of dentistry. After 16 years as dean, Dr Sinkford retired and took a position at the American Dental Education Association charged with developing and implementing policy on issues involving gender and minorities in dentistry. In addition to her reputation for her principled approach to getting things done, Dr Sinkford is widely recognized for her dedicated sincerity, her warmth, her concern for others, and her "reasoned reasonableness."

Education, Dental↗