Chapter 3 56 Table 3. Interactions between gender relations in the medical domain and health-related quality of life Health-Related Quality of Life (PDQ-39) Primary Healthcare Provider PDQ-SI MOB ADL ß (SE) ß (SE) ß (SE) Same gender identity 1.66 (1.50) 1.83 (2.70) -0.01 (2.38) Female provider -2.81 (1.56) -0.62 (2.81) -2.52 (2.50) Attending Healthcare Provider Same gender identity 2.22 (1.66) 4.10 (3.00) 2.51 (2.66) Female provider -1.86 (1.65) 1.46 (2.98) -3.76 (2.63) PDQ Index Score: 1p = [0.0127 – 0.050]; 2p < 0.0127. PDQ Single Domain Scores: *p < 0.05; **p < 0.01; ***p < 0.001. On the dimension of gender relations in the medical domain, participants indicated that their primary healthcare provider (defined as “the PD related healthcare provider that the participant visits most often”) was in most cases the physiotherapist (55%), followed by the neurologist (21%) (Supplement 3). The attending healthcare provider (defined as “the PD related healthcare provider who is considered the main responsible care provider by the participant”) was in most of the cases the neurologist (87%), followed by the general practitioners in 9% of the cases. Significant differences were found between the gender identity of the participants and the reported gender identity of their treating neurologist, with women with PD (76/127 (61%)) visiting a female neurologist more often than men (78/180 (44%)) (p = 0.004). Associations between gender dimensions in the private domain and healthrelated quality of life. Self-reported gender identity did not show a significant association with overall HRQoL (PDQ-39 index score) (Table 2). In contrast, the results of the Bem Sex Role Inventory showed that an androgynous gender role significantly predicted a better overall HRQoL (B= -5.55, p = 0.009), compared to all the other gender roles. Backwards regression showed that specifically the gender-related traits of “Athletic”, “Assertive”, “Selfsufficient” and “Happy” were contributing to better overall HRQoL. The results on the dimension of gender relations showed that higher engagement with household tasks was associated with slightly better overall HRQoL (B-0.86, p= 0.002). No significant association was found between equal distribution of household tasks and HRQoL. Furthermore, a nominally significant association was found between equal distribution of relative income and better overall HRQoL (B= -3.55, p = 0.048).
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