男性和女性住院的最常见原因
The most male and female reasons to end up hospital

原始链接: https://leobenedictus.substack.com/p/the-most-male-and-female-reasons

这篇博文分析了英格兰的住院数据,以确定最“典型”的男性和女性住院原因,超出主要医疗状况。作者利用“外部原因”数据——导致住院的事件——发现了显著的性别模式。 虽然这些不是*最常见*的总体原因,但数据显示,男性因从高处坠落(如脚手架)、机械相关事故、运动损伤和暴力事件而住院的比例更高。相反,女性更常因妊娠相关问题、美容治疗并发症、动物相关伤害(如狗咬伤——之前一篇博文的主题)和心理健康问题而住院。 作者强调,这些发现并非关于内在差异,而是可能反映了不同的活动和冒险行为。后续博文中提供了完整数据集,供进一步研究。

最近的 Hacker News 讨论围绕一篇分析医院入院性别差异的文章(leobenedictus.substack.com)。文章强调了一些*不常见*的住院原因,这些原因显示出明显的性别差异——具体来说,男性是摩托车骑行,女性是怀孕/分娩。 评论者很快指出,文章明确了这些并非人们住院的*最常见*原因,而是*典型*的男性或女性原因。一位评论者幽默地总结了研究结果:“男人,别骑摩托车。女人,别生孩子”,而其他人则指出,危险职业的风险不成比例地影响男性。 进一步的讨论强调,即使消除这些性别特定的原因,也不会大幅改变两性的总体住院率,并指出其他因素,如选择性手术(女性的整形手术)也导致了医院就诊。完整的原始数据可以在链接的 Substack 文章中找到。
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原文

The first post I wrote for this blog was about people being injured by dogs. Specifically, how much of this goes on, and what counts as a lot.

We can measure this reasonably well in England, because the health service publishes annual data for hospital admissions showing what people were admitted for.

This often includes not just the physical condition that needed treatment, but the event that led to that condition in the first place. So not just the tissue damage on someone’s hand, in other words, but the story of a dog bite behind it.

These second-order reasons for admission—known as “external causes”—cover a whole world of horrible mishaps beyond the ones that I looked at last time. The data also records whether the patient was male or female, so I wondered what the most male and most female external causes might be.

To cut to the chase, here they are.

When I began the crunching that produced these numbers, I’d given no thought at all to what I would find. If I had, it would have been obvious that pregnancy would top the charts on the female side.

But I don’t think I could have imagined what a stark dossier of male and female stereotypes I was compiling. Because to me, the chart above basically says that violence, physical labour, sport and machines are the most typically male ways to end up in hospital, while pregnancy, beauty and animals and mental health are the most typically female.

I’m having to choose my words carefully, because I need to stress one thing: these are not the most common reasons for men and women to be admitted to hospital. They are the most typically male and typically female.

So only about 400 men in the whole of England go to hospital after falls from scaffolding each year. But that cause is at the top of the chart because it is the reason for admission that’s most male-dominated—just as the various pregnancy-related reasons are the most female. (I’ve put the total number of admissions in the column on the right, to give an actual sense of scale.)

In practice, I’d guess that these causes are the things that men or women do more often, or more dangerously.

Some minor points: I excluded all the external causes with less than 1,000 admissions in the last three years, so everything you see here happens at least fairly frequently, and amounts to a reasonable sample. I also excluded a small number of admissions (less than half a percent) that are classified “Gender Unknown”.

Some of the external causes have very longwinded names, so I’ve made them as simple as possible. “Agents primarily acting on smooth and skeletal muscles and the respiratory system” is especially unenlightening, although I suspect it might have something to do with Botox.

In the next few days I plan to upload all the data in a searchable table (if I can make that work) so you can explore it in other ways too.

UPDATE: You can now find the data in this follow-up post.

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