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Gender and Symptoms in Primary Care Practices

Received Nov. 16, 2002; accepted Feb. 25, 2003. From Walter Reed Army Medical Center, Washington, D.C. Address reprint requests to Dr. Jackson, Medicine-EDP, 4301 Jones Bridge Rd., Bethesda, MD 20814; jejackson{at}usuhs.mil (e-mail).

The authors sought to explore gender differences among patients with physical symptoms who came to see internists. The women were younger, more likely to report stress, endorsed more "other, currently bothersome" symptoms, were more likely to have a mental disorder, and were less likely to be satisfied with their care. The men were slower to improve, but there was no difference between the sexes after 3 months. There were no differences in the number, type, duration, or severity of symptoms or in the expectation of care, costs of visits, intervention received, use of health care services, or likelihood of being considered difficult by their physician. The gender of the clinician had no effect on any outcome.

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