Men's and Women's Use and Creation of Online Sexually Explicit Materials Including Fandom-Related Works.

The Internet and mobile computing have been highly influential in shaping the modern technological era and subsequently the production of and access to online sexually explicit materials (SEM). Fandom-the realm of fans sharing a common interest-has also adapted to the Internet, which has changed how fans access and distribute fanworks (i.e., material created by fans such as stories and art), many of which contain SEM. The current study examined gender differences in the use and creation of online SEM by surveying 468 men and 347 women (ages 18 or older; mean age = 33.8 years) residing in North America. Participants completed anonymous measures assessing demographic information, experiences using and creating online SEM, and measures of related sexual attitudes. Use of online SEM was widely reported by participants, with men (87.8 %) indicating more use than with women (67.4 %). As expected, few participants reported creating online SEM (3.6 % of men, 4.9 % of women). Men and women reported similar levels of preferred sexual explicitness in the online SEM that they used. There were no significant gender differences in the use of fanworks reported by men (14.3 %) and women (14.7 %) or in the creation of fanworks (1.5 % of men, 3.2 % of women). Fandom-related online SEM use was predicted only by more permissive sexual attitudes (one of eight predictors). Although there were many similarities between men's and women's use of online SEM, some gender differences were found in their motives for online SEM use. Findings are discussed in terms of the context in which men and women experience online SEM.

Computer use in primary care practices in Canada.

OBJECTIVE: To examine the use of computers in primary care practices. DESIGN: The international Quality and Cost of Primary Care study was conducted in Canada in 2013 and 2014 using a descriptive cross-sectional survey method to collect data from practices across Canada. Participating practices filled out several surveys, one of them being the Family Physician Survey, from which this study collected its data. SETTING: All 10 Canadian provinces. PARTICIPANTS: A total of 788 family physicians. MAIN OUTCOME MEASURES: A computer use scale measured the extent to which family physicians integrated computers into their practices, with higher scores indicating a greater integration of computer use in practice. Analyses included t tests and 2 tests comparing new and traditional models of primary care on measures of computer use and electronic health record (EHR) use, as well as descriptive statistics. RESULTS: Nearly all (97.5%) physicians reported using a computer in their practices, with moderately high computer use scale scores (mean [SD] score of 5.97 [2.96] out of 9), and many (65.7%) reported using EHRs. Physicians with practices operating under new models of primary care reported incorporating computers into their practices to a greater extent (mean [SD] score of 6.55 [2.64]) than physicians operating under traditional models did (mean [SD] score of 5.33 [3.15]; t726.60 = 5.84; P < .001; Cohen d = 0.42, 95% CI 0.808 to 1.627) and were more likely to report using EHRs (73.8% vs 56.7%; [Formula: see text]; P < .001; odds ratio = 2.15). Overall, there was a statistically significant variability in computer use across provinces. CONCLUSION: Most family physicians in Canada have incorporated computers into their practices for administrative and scholarly activities; however, EHRs have not been adopted consistently across the country. Physicians with practices operating under the new, more collaborative models of primary care use computers more comprehensively and are more likely to use EHRs than those in practices operating under traditional models of primary care.

The influence of gender and other patient characteristics on health care-seeking behaviour: a QUALICOPC study.

BACKGROUND: Canadians' health care-seeking behaviour for physical and mental health issues was examined using the international Quality and Cost of Primary Care (QUALICOPC) survey that was conducted in 2013 in Canada. METHOD: This study used the cross-sectional Patient Experiences Survey collected from 7260 patients in 759 practices across 10 Canadian provinces as part of the QUALICOPC study. A Responsive Care Scale (RCS) was constructed to reflect the degree of health care-seeking behaviour across 11 health conditions. Using several patient characteristics as independent variables, four multiple regression analyses were conducted. RESULTS: Patients' self-reports indicated that there were gender differences in health care-seeking behaviour, with women reporting they visited their primary care provider to a greater extent than did men for both physical and mental health concerns. Overall, patients were less likely to seek care for mental health concerns in comparison to physical health concerns. For both women and men, the results of the regressions indicated that age, illness prevention, trust in physicians and chronic conditions were important factors when explaining health care-seeking behaviours for mental health concerns. CONCLUSION: This study confirms the gender differences in health care-seeking behaviour advances previous research by exploring in detail the variables predicting differences in health care-seeking behaviour for men and women. The variables were better predictors of health care-seeking behaviour in response to mental health concerns than physical health concerns, likely reflecting greater variation among those seeking mental health care. This study has implications for those working to improve barriers to health care access by identifying those more likely to engage in health care-seeking behaviours and the variables predicting health care-seeking. Consequently, those who are not accessing primary care can be targeted and policies can be developed and put in place to promote their health care-seeking behavior.