Sex differences in frequent ED use among those with multimorbid chronic diseases

Sadaf Milani, Hannah Crooke, Linda B. Cottler, Catherine W. Striley

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Objectives The objectives were to examine the association between multimorbid chronic disease and frequency of past 6 months emergency department (ED) visits, by sex, in a community sample of adults from North Florida (N = 7143). Methods Data came from HealthStreet, a community engagement program at the University of Florida which uses the Community Health Worker Model to assess community member health conditions and concerns, and willingness to participate in health research. Using logistic regression, we estimated associations between multimorbid chronic disease and frequent ED use using sex as an effect modifier. Results Multimorbid chronic disease was associated with frequent ED use overall, with a stronger association among men. Of the 7143 respondents, 14.4% were frequent ED users, 58.0% were female, and 61.5% were black non-Hispanic. Major findings included that women with 3+ chronic diseases were 2.49 (95% confidence interval, 1.7-3.6) times as likely as women without chronic diseases to report frequent ED use, compared with men with 3+ chronic diseases, who were 4.98 (95% confidence interval, 2.9-8.6) times as likely as men without chronic disease to report frequent ED use. Conclusions Multimorbid chronic disease is very strongly associated with frequent ED use among all, but the association is especially strong among men. Future research is needed to further understand this association and its implication for health care.

Original languageEnglish (US)
Pages (from-to)2127-2131
Number of pages5
JournalAmerican Journal of Emergency Medicine
Volume34
Issue number11
DOIs
StatePublished - Nov 1 2016
Externally publishedYes

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Sex Characteristics
Hospital Emergency Service
Chronic Disease
Confidence Intervals
Health
Logistic Models
Delivery of Health Care
Research

ASJC Scopus subject areas

  • Emergency Medicine

Cite this

Sex differences in frequent ED use among those with multimorbid chronic diseases. / Milani, Sadaf; Crooke, Hannah; Cottler, Linda B.; Striley, Catherine W.

In: American Journal of Emergency Medicine, Vol. 34, No. 11, 01.11.2016, p. 2127-2131.

Research output: Contribution to journalArticle

Milani, Sadaf ; Crooke, Hannah ; Cottler, Linda B. ; Striley, Catherine W. / Sex differences in frequent ED use among those with multimorbid chronic diseases. In: American Journal of Emergency Medicine. 2016 ; Vol. 34, No. 11. pp. 2127-2131.
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