Gender and Ethnicity Flashcards

1
Q

Define Sex

A

Biological and physiological characteristics that are used to categorise people as male or female

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2
Q

Define Gender

A

Socially constructed roles, behaviour, activities and attributes that a given society considers appropriate for males and females

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3
Q

Define heteronormativity

A

Society’s assumption that relationships between the opposite binary sex are the norm or default.

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4
Q

Define gender identity

A

Internal sense of one’s own gender

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5
Q

Define sexual orientation

A

A person’s physical, romantic, emotional or other form of attraction to others

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6
Q

Define transgender

A

Umbrella term for people whose gender identity differs from the sex/gender they were assigned at birth.

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7
Q

What are the key differences between the health of men and women?

A
  • Women have a higher life expectancy than men but men live a greater portion of their live in good health .
  • Death rates for males are higher at all stages of the lifecourse.
  • Mental illness rates are higher amongst women.
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8
Q

What are the biological explanations for the health inequalities between men and women?

A
  • Boys more vulnerable in infancy
  • Immune system differences
  • Hormonal differences
  • Cardiovascular reactivity
  • Neuroendocrine responses
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9
Q

Describe the patterns of health behaviour between men and women that may explain health inequalities

A

Men:

  • Higher rates of smoking
  • Higher alcohol consumption and higher rates of hospital admissions for alcohol abuse
  • Strong association between alcohol consumption, depresion and suicide in men

Women:

  • Lower smoking rates than men but increased difficulty quitting
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10
Q

Explain how gender roles and exposures can explain health inequalities between men and women

A

Men may used ‘masculine sanctioned’ coping behaviour to relieve stress despite damaging consequences (e.g. drinking)

  • Health related behaviours a way for men to demonstrate masculinity

Men more likely to suffer accidents at work due to exposure (driving, manual labour etc)

Caring often portrayed as women’s work: caring profession associated with poor mental health.

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11
Q

Explain how gender roles and exposure can explain the health inequalities between men and women in terms of health access

A

Women more likely to visit GP, men often do not go at all.

CVD seen as a male disease: women may be treated inadequately.

  • Differences in symptoms:
    • Women less likely to experience chest pain: patient and doctors less likely to recognise symptoms as can be confused with other less harmful conditions.

Depression/anxiety seen as a women’s disease: men may not be treated adequately.

Breast cancer: rare in men but lower survival rates.

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12
Q

Define Race

A

Historical term used to argue the existence of inherent biological differences between populations.

Discredited term: populations are genetically more similar than different.

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13
Q

Define ethnicity

A

No reference to biological/genetic traits.

A group with a long shared history that the group views as distinguishable from other groups and the memory of which keeps it alive.

A cultural tradition of its own, including family and social customs and manners, not necessarily related to religion.

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14
Q

What are the key health inequalities between ethnic groups?

A

Ethnic minority groups more likely to have poor health than white majority population.

  • Poorer self-reported health
  • Higher infant mortality

T2DM:

  • 6x higher in south Asian population than white population
  • Likely to develop T2DM 10 years earlier.
  • Afro-caribbean population 3x more likely.
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15
Q

What are the genetic/biological explanations for health inequalities between ethnic groups?

A

Based on the notion of genetic homogeneity, based on outdated concept of race.

  • Genes and biology cannot explain all differences in health.
  • Some congenital anomalies and haemoglobinopathies strongly influenced by genes but ethnicity is not always useful in identifying at risk groups.
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16
Q

What are the migratory explanations for health inequalities amongst ethnic groups?

A

Migrants selected by health characteristics: generally have better health than those in country of origin.

Health tends to revert however, back to that of their country of origin which leads to a relative decline in health compared to health in the country of destination.

Stressful experience of migration and resettling.

‘Salmon bias’: those returning home when ill may reduce mortality rate of migrant populations artificially.

17
Q

What are the health behaviour and cultural explanations of health inequalities between ethnic groups?

A

‘Asian rickets’ caused by deficient south Asian diet

High ghee content of some Asian foods

However these are often victim-blaming explanations.

Diverse range of health behaviours and cultures amongst ethnic minority groups.

18
Q

How can social deprivation be used to explain health inequalities between ethnic groups?

A

Ethnic inequalities reflect the broad patterning of economic inequality amongst ethnic groups.

Socio-economics found to be most important factors in health inequalities. Ethnic minorities more likely to be in low socio-economic groups:

  • Poor access to healthcare, education, housing, food, exercise etc.
  • More likely to live in deprived neighbourhoods
  • More likely to be unemployed
  • More likely to experience racism
19
Q

Define the different types of racism

A

Direct racism: people treated less favourably due to their ethnicity or religion

Indirect racism: people unaware that their actions are undermining the position of people from ethnic minority groups.

Institutional racism: collective failure of an institution/organisation to provide an appropriate professional service to people becuase of their culture or ethnic origin.

20
Q

How is racism related to health?

A

Direct experiences of racism can lead to health inequality:

  • Stress and fear directly linked to poorer health.

Indirect experiences of health can lead to fear of racism which can lead to stress which has a negative impact on health.