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Female age and first pregnancy
POSTER PRESENTATIONS
North American medical school curricula. The "Gender, Sex, and Sexuality" module is designed to convey information and encourage reflection with the goal of improving physicianpatient relationships and health care provision for members of the GLBTTQI community. This poster outlines the themes, goals, and educational approaches of this module and the Gender and Health Collaborative Curriculum.
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Possible Interaction Between Gender and Cardiovascular Risk Factors in First- and Second-Generation Turkish Migrant Women Angelika Baderl; Doris Musshauser2; Alice Chwosta2; a n d M a r g a r e t h e H o c h l e i t n e r3
iWomen's Health Office of the State of Tyrol, Austria; 2Ludwig Boltzmann Institute for Gender Studies, Tyrol, Austria; and 3Innsbruck Medical University, Tyrol, Austria In the third year of a CVD prevention program aimed at both second- and first-generation Turkish migrant w o m e n in rural Austria, 910 participants completed a questionnaire on selfassessed CVD risk factors. Second generation was defined as having gone to school in Austria. More than half of the participants (477) were young adult w o m e n between 20 and 40 years of age. As expected, results varied widely between first and second generations. The greatest differences were found in gender- and lifestyle-related risk factors. BMI >30 (first 26.3%/ second 6.2°/,), exercise 3 times a week (36.3%/71.3%), and healthy diet (61.7%/83.6°/,) showed significantly better results among second-generation women. Smoking (16.7%/38.5°/,) showed significantly worse results in second-generation women. Having fewer language barriers, twice as many secondas first-generation migrants consume German-language media. Even t h o u g h fewer language barriers led better awareness of health risk factors to be expected in second-generation migrants, they were less informed about their clinically measured risk factors like blood pressure, cholesterol, and blood glucose levels t h a n was the first migrant generation in the same age group. Thus, culturally coded gender expectations m i g h t be a stronger impetus for health behavior t h a n health information for second-generation migrant women. Health care providers should strengthen positive health behavior of the culture of origin and the host culture to support good CVD health of w o m e n whose gender roles are in transition.
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Female Age and First Pregnancy M o j g a n Barati; Farideh Moramezi; Sara Masihi; M a h v a s h Zargar; N a j m e h Saadati; a n d Batool Hosainpour
Ahvaz University ofl Medical Science, Ahvaz, Iran I n t r o d u c t i o n : At both ends of the reproductive years, maternal age impacts pregnancy outcome. Adolescent pregnancy continues to be a complex issue for families, health care professionals, and government officials. Women over 35 are at increased risk for obstetrical complications. Maternal mortality is higher in w o m e n aged 35 and older, but improved medical care may ameliorate this risk. In this study, we provide data on pregnancies of adolescents and w o m e n over 35 years old. M a t e r i a l s a n d m e t h o d s : This study was done in one year in three hospitals in Ahvaz, Iran. All first pregnancies were surveyed. Women who were _<16, 18-29, and _>35 years old were collected and named groups 1, 2 and 3, respectively. Then
abortion, placenta previa, and placenta abruption in these three groups were compared. Findings: Totally 1650 w o m e n were collected. Women in groups 1, 2, and 3 were 380, 1008 and 262 persons respectively. Abortion was seen in 43 (11.3%) persons of group 1, 105 (10.4%) persons of group 2 and 56 (21.4%) persons of group 3. Placenta previa was seen in 2 (0.5%) persons of group 1, 8 (0.8°/.) persons of group 2 and 6 (2.3%) persons of group 3. Placenta abruption was seen in 4 (1.1%) persons of group 1, 20 (1.9°/.) persons of group 2 and 10 (3.8%) persons of group 3. D i s c u s s i o n a n d c o n c l u s i o n : In our country, we have observed a number of first pregnancies in w o m e n _<16. Pregnancy complications such as abortion, placenta previa, and placenta abmption were more in group 3 and similar in groups 1 and 2.
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No Gender Differences in the Presentation, Management, and Outcome of Unstable Angina T. Ben-Amil; H. Gilutzl; A. Porath2; G. Sosnal; a n d N. Liel-Cohen 1
iCardiology Division, Soroka Medical Center and Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel; and 2Medical Department F, Soroka Medical Center and Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel B a c k g r o u n d : Female management of acute myocardial infarction (MI) may be biased. Such aspects in management of w o m e n with unstable angina (UA) were not fully elucidated. O b j e c t i v e : To investigate gender differences in the clinical presentation, treatment, and prognosis of UA. M e t h o d s : 226 Consecutive patients (men = 146, w o m e n = 80) admitted during 2-3/2000 with UA. Data was collected prospectively. In-hospital m a n a g e m e n t and two-year follow-up were monitored. Results: Women were older (71 + 12.2 vs. 66 + 12.3, P = 0.006), more diabetic (41.3% vs. 34.5%, NS), hypertensive (76.35 vs. 64.6, P = 0.07), and presented with atypical chest pain (18.8% vs. 7.5%, P = 0.03). More beta-blockers were administered to w o m e n (88.5% vs. 75.7%, P = 0.02) and more statins to m e n (48.1% vs. 35.4%, P = 0.07). Angiography rates were similar (17.7% vs. 19.6°/,). Similar management was documented during 2 years of follow-up. Rehospitalization rates (53.3% of w o m e n and 63.7% of men, NS) were similar. Men had a tendency to suffer more acute MI (9.6% vs. 2.66%, P = 0.06), PVD (3.7% vs. 0%, P = 0.09), and CABG (6.66% vs. 1.33%, P = 0.08). No gender difference was found in angiography (14.7% of w o m e n vs. 16.3% of men), PCI (13% vs. 16.7°/,), or mortality (13.3% of w o m e n vs. 16.3% of men, NS). Kaplan-Meier for event free survival after 2 years showed no gender difference in survival. Multiregression analysis showed that gender was not a prognostic factor in survival. C o n c l u s i o n s : Women presenting with UA are older than men. We found no major gender difference in the m a n a g e m e n t of UA. Men showed a tendency to suffer more major cardiac events; however, prognosis was the same.
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Women's Health E-Learning Program Nili Ben-Zvil; Michael Rosenbluthl; Revital Gross-Myers2; a n d Yael A s h k e n a z i 2
iClalit Health Services, Tel Aviv, Israel; and 2Myers-JDC-Brookdale Institute-Jerusalem, Israel $45
North American medical school curricula. The "Gender, Sex, and Sexuality" module is designed to convey information and encourage reflection with the goal of improving physicianpatient relationships and health care provision for members of the GLBTTQI community. This poster outlines the themes, goals, and educational approaches of this module and the Gender and Health Collaborative Curriculum.
5
Possible Interaction Between Gender and Cardiovascular Risk Factors in First- and Second-Generation Turkish Migrant Women Angelika Baderl; Doris Musshauser2; Alice Chwosta2; a n d M a r g a r e t h e H o c h l e i t n e r3
iWomen's Health Office of the State of Tyrol, Austria; 2Ludwig Boltzmann Institute for Gender Studies, Tyrol, Austria; and 3Innsbruck Medical University, Tyrol, Austria In the third year of a CVD prevention program aimed at both second- and first-generation Turkish migrant w o m e n in rural Austria, 910 participants completed a questionnaire on selfassessed CVD risk factors. Second generation was defined as having gone to school in Austria. More than half of the participants (477) were young adult w o m e n between 20 and 40 years of age. As expected, results varied widely between first and second generations. The greatest differences were found in gender- and lifestyle-related risk factors. BMI >30 (first 26.3%/ second 6.2°/,), exercise 3 times a week (36.3%/71.3%), and healthy diet (61.7%/83.6°/,) showed significantly better results among second-generation women. Smoking (16.7%/38.5°/,) showed significantly worse results in second-generation women. Having fewer language barriers, twice as many secondas first-generation migrants consume German-language media. Even t h o u g h fewer language barriers led better awareness of health risk factors to be expected in second-generation migrants, they were less informed about their clinically measured risk factors like blood pressure, cholesterol, and blood glucose levels t h a n was the first migrant generation in the same age group. Thus, culturally coded gender expectations m i g h t be a stronger impetus for health behavior t h a n health information for second-generation migrant women. Health care providers should strengthen positive health behavior of the culture of origin and the host culture to support good CVD health of w o m e n whose gender roles are in transition.
6
Female Age and First Pregnancy M o j g a n Barati; Farideh Moramezi; Sara Masihi; M a h v a s h Zargar; N a j m e h Saadati; a n d Batool Hosainpour
Ahvaz University ofl Medical Science, Ahvaz, Iran I n t r o d u c t i o n : At both ends of the reproductive years, maternal age impacts pregnancy outcome. Adolescent pregnancy continues to be a complex issue for families, health care professionals, and government officials. Women over 35 are at increased risk for obstetrical complications. Maternal mortality is higher in w o m e n aged 35 and older, but improved medical care may ameliorate this risk. In this study, we provide data on pregnancies of adolescents and w o m e n over 35 years old. M a t e r i a l s a n d m e t h o d s : This study was done in one year in three hospitals in Ahvaz, Iran. All first pregnancies were surveyed. Women who were _<16, 18-29, and _>35 years old were collected and named groups 1, 2 and 3, respectively. Then
abortion, placenta previa, and placenta abruption in these three groups were compared. Findings: Totally 1650 w o m e n were collected. Women in groups 1, 2, and 3 were 380, 1008 and 262 persons respectively. Abortion was seen in 43 (11.3%) persons of group 1, 105 (10.4%) persons of group 2 and 56 (21.4%) persons of group 3. Placenta previa was seen in 2 (0.5%) persons of group 1, 8 (0.8°/.) persons of group 2 and 6 (2.3%) persons of group 3. Placenta abruption was seen in 4 (1.1%) persons of group 1, 20 (1.9°/.) persons of group 2 and 10 (3.8%) persons of group 3. D i s c u s s i o n a n d c o n c l u s i o n : In our country, we have observed a number of first pregnancies in w o m e n _<16. Pregnancy complications such as abortion, placenta previa, and placenta abmption were more in group 3 and similar in groups 1 and 2.
7
No Gender Differences in the Presentation, Management, and Outcome of Unstable Angina T. Ben-Amil; H. Gilutzl; A. Porath2; G. Sosnal; a n d N. Liel-Cohen 1
iCardiology Division, Soroka Medical Center and Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel; and 2Medical Department F, Soroka Medical Center and Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel B a c k g r o u n d : Female management of acute myocardial infarction (MI) may be biased. Such aspects in management of w o m e n with unstable angina (UA) were not fully elucidated. O b j e c t i v e : To investigate gender differences in the clinical presentation, treatment, and prognosis of UA. M e t h o d s : 226 Consecutive patients (men = 146, w o m e n = 80) admitted during 2-3/2000 with UA. Data was collected prospectively. In-hospital m a n a g e m e n t and two-year follow-up were monitored. Results: Women were older (71 + 12.2 vs. 66 + 12.3, P = 0.006), more diabetic (41.3% vs. 34.5%, NS), hypertensive (76.35 vs. 64.6, P = 0.07), and presented with atypical chest pain (18.8% vs. 7.5%, P = 0.03). More beta-blockers were administered to w o m e n (88.5% vs. 75.7%, P = 0.02) and more statins to m e n (48.1% vs. 35.4%, P = 0.07). Angiography rates were similar (17.7% vs. 19.6°/,). Similar management was documented during 2 years of follow-up. Rehospitalization rates (53.3% of w o m e n and 63.7% of men, NS) were similar. Men had a tendency to suffer more acute MI (9.6% vs. 2.66%, P = 0.06), PVD (3.7% vs. 0%, P = 0.09), and CABG (6.66% vs. 1.33%, P = 0.08). No gender difference was found in angiography (14.7% of w o m e n vs. 16.3% of men), PCI (13% vs. 16.7°/,), or mortality (13.3% of w o m e n vs. 16.3% of men, NS). Kaplan-Meier for event free survival after 2 years showed no gender difference in survival. Multiregression analysis showed that gender was not a prognostic factor in survival. C o n c l u s i o n s : Women presenting with UA are older than men. We found no major gender difference in the m a n a g e m e n t of UA. Men showed a tendency to suffer more major cardiac events; however, prognosis was the same.
8
Women's Health E-Learning Program Nili Ben-Zvil; Michael Rosenbluthl; Revital Gross-Myers2; a n d Yael A s h k e n a z i 2
iClalit Health Services, Tel Aviv, Israel; and 2Myers-JDC-Brookdale Institute-Jerusalem, Israel $45