Volume 16, Issue 4 pp. 331-338
ORIGINAL ARTICLE

International study of physicians' opinion on physician–patient sex concordance when treating athletes

Yuka Tsukahara MD, PhD

Corresponding Author

Yuka Tsukahara MD, PhD

Waseda Institute for Sport Sciences, Waseda University, Tokorozawa, Japan

Faculty of Physical Education, Tokyo Women's College of Physical Education, Tokyo, Japan

Correspondence

Yuka Tsukahara, MD, PhD, Faculty of Physical Education, Tokyo Women's College of Physical Education, 4-30-1 Fujimidai Kunitachi Tokyo Japan.

Email: [email protected]

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Melissa Novak DO

Melissa Novak DO

Department of Family Medicine, Oregon Health and Science University, Portland, USA

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Seira Takei MD, PhD

Seira Takei MD, PhD

Waseda Institute of Human Growth and Development, Waseda University, Tokorozawa, Japan

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Irfan M. Asif MD

Irfan M. Asif MD

Department of Family and Community Medicine, The University of Alabama at Birmingham School of Medicine, Birmingham, USA

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Fumihiro Yamasawa MD, PhD

Fumihiro Yamasawa MD, PhD

Marubeni Health Promotion Center, Tokyo, Japan

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Suguru Torii MD, PhD

Suguru Torii MD, PhD

Faculty of Sport Sciences, Waseda University, Tokorozawa, Japan

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Takao Akama MD, PhD

Takao Akama MD, PhD

Faculty of Sport Sciences, Waseda University, Tokorozawa, Japan

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Hideo Matsumoto MD, PhD

Hideo Matsumoto MD, PhD

Public Interest Incorporated Foundation, Japan Sports Medicine Foundation, Tokyo, Japan

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Carly Day MD

Carly Day MD

Department of Health and Kinesiology, Purdue University, West Lafayette, USA

Franciscan Physician Network, West Lafayette, USA

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First published: 18 October 2023

Abstract

Background

The effect of physician–patient sex concordance in medicine has been reported in many studies. Whether physicians believe that the sex concordance between physician and athlete influences treatment has not been investigated.

Objective

To determine whether physicians believe that the sex concordance between physician and athlete influences treatment.

Design

Cross-sectional study.

Setting

Online survey.

Participants

One thousand one hundred ninety-three sports medicine physicians in 51 countries. Participants were sports medicine physicians trained in orthopedics (n = 443 [37.1%]) and nonorthopedics (n = 750 [62.9%]).

Interventions

Not applicable.

Main Outcome Measures

Participants were asked to decide whether sex of the physician made them better suited to care for athletes of concordant or different sexes along with their personal background.

Results

Orthopedic sports medicine physicians agreed less than nonorthopedic sports medicine physicians regarding the statement “MALE sports medicine physicians are better suited than their female counterparts to care for MALE athletes” (odds ratio [OR] 0.56, 95% confidence interval [CI] 0.35–0.91, p = .02), and compared to sports medicine physicians based in Europe, those based in Asia agreed more to this statement (OR 7.91, 95% CI 4.60–13.60, p < .01). In addition, regarding the statement “FEMALE sports medicine physicians are better suited than their male counterparts to care for FEMALE athletes,” compared to sports medicine physicians based in Europe, those based in Asia (OR 9.12, 95% CI 5.63–14.79, p < .01) and North America (OR 2.18, 95% CI 1.46–3.25, p < .01) agreed more and orthopedic sports medicine physicians agreed less than nonorthopedic sports medicine physicians (OR 0.61, 95% CI 0.39–0.93, p = .02) to this statement.

Conclusions

Sports medicine physicians trained in orthopedics felt sex concordance was less important than physicians trained in other specialties. Asian sports medicine physicians believed sex concordance was more important compared to physicians in other regions.

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