Gender & Health W8 Flashcards

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1
Q

Sex refers to

A

biological differences between men and women

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2
Q

Gender refers to

A

identity constructed by men and women based on how they act or behave and think in a society: the social, cultural and psychological differences between men and women

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3
Q

Traditional male activities (5):

A
  • powerful jobs
  • working in the fields, going out
  • could be violent against their children and wife
  • voting
  • smoking & drinking
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4
Q

Traditional female activities (5):

A
  • Housekeeping and raising children
  • Moving outside was restricted or accompanied by a male
  • Had to obey to their husband; did not react to violence against them
  • Voting was prohibited in many European countries until the beginning of 20th century
  • Stigmatised if smoked and drunk
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5
Q

Women and paid employment:

A

there is a gender gap of 17%

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6
Q

Feminization of poverty: women are more likely than men to be under the poverty line - why? (3):

A
  • women were less likely to be employed in the past
  • women earn less than men even when employed
  • women are more likely than men to be part-timers
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7
Q

Association between Gender and Health: Life expectancy (biological advantage now and before)

A
  • now: women live longer than men, b/c there is an innate biological advantage
  • 16th and 17th centuries: male advantage, b/c women were more vulnerable to infectious diseases and female mortality at birth delivery was high
  • 19th century: men and women had similar life
    expectancy
  • second half of 19th century: advantage for women b/c infectious diseases were handled, medicine provided women a safer environment to give birth
  • 2005: men 77, women 81
  • nowadays UK: men 79, women 82
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8
Q

Association between Gender and Health: Mortality

A
    • beginning of 20th century*: both men and women died from infections and respiratory diseases
  • nowadays: die from heart disease, cancer and respiratory diseases
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9
Q

Association between Gender and Health: Mortality & Morbidity

A
  • men: die more often from heart disease and lung cancer, in car accidents
  • women are more likely to attempt suicide
  • men are more likely to commit suicide
  • women are likely to suffer Alzheimer’s Disease
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10
Q

Gender and mental illness (3: ex’s, gender)

A

• Disorders of thought: psychoses, gender neutral
• Disorders of emotion: depression, anxiety, phobias, women
• Disorders of behaviour: * behavior and personality disorders, such alcohol and drug abuse*, men

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11
Q

Explanation of Gender Difference in Mortality (5)

A
  • men did more dangerous jobs
  • men are more likely to be risk takers and undertake dangerous activities
  • car accidents
  • impact of lifestyle: for ex 13% female deaths and 21% male deaths are attributed to smoking
  • men are less likely than women to read symptoms effectively and are less likely to seek help early
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12
Q

Explanation of Gender Difference in Morbidity (3)

A
  • Women report more symptoms and women consult clinicians more often
  • Men are more likely to suffer cardiovascular disease and lung cancer due to lifestyle (smoking, alcohol)
  • Women suffer more from AD: Apart from any biological reasons, this is also due to poor cognitive reserve and lack of prior exercise
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13
Q

Masculinity as Influential Factor: definitions, types of masculinity

A

masculinity - men’s social identity: what defines
somebody as a man, underlying force for men’s more risky behaviour

diff types, but the most influential is hegemonic masculinity: linked with authority/ power, paid work, physical strength and heterosexuality

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14
Q

Sexual attitudes and behaviours have changed – how?

A

teenagers are more open to them and more sexually active

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15
Q

Teenage pregnancy rates are higher in some countries than in others - why?

A
  • more sexualised society
  • lack of sexual education
  • parents are not involved
  • poverty
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16
Q

Health disparities -

A

health differences that are linked with cultural, social, economic, and environmental background and influence negatively some groups more than other groups

17
Q

LGBTQ+ -

A

An umbrella term to capture all sexualities, gender
identities and romantic relationships which are not
heterosexually oriented

18
Q

Gender identity -

A

how you in your head think about yourself, chemistry that composes you and how you interpret it
woman — genderqueer — man

19
Q

Gender expression -

A

how you demonstrate your gender (based on traditional gender roles) through the ways you act, dress, behave, interact

Feminine — Androgynous — Masculine

20
Q

Biological sex -

A

objectively measurable organs, hormones, chromosomes

Female (vagina, ovaries, XX) — Intersex (combination of the two) — Male (penis, testes, XY)

21
Q

Sexual orientation -

A

who you are physically, spiritually, emotionally attracted to based on their sex/gender in relation to your own

Heterosexual — Bisexual — Homosexual

22
Q

Gender terminology used in clinical practice and research:

A

• Sexual activities:
– MSM – men who have sex with men
– WSW – women who have sex with women
• Cis and trans
• Non-binary, genderfluid, gender neutral

23
Q

Issues that LGBTQ+ people face:

A

– Disclosure
– Discrimination
– Misconceptions and stereotypes
– Increased risk factors for certain diseases
– A lack of tailored healthcare

These are higher among trans people and LGBTQ+ people of colour

24
Q

LGBTQ and healthcare disparities: Mental health

A
  • due to fear of discrimination about half of LGBTQ+ have experienced depression, 1 in 8 LGBTQ+ people aged 18-24 have attempted suicide
  • struggle of ‘coming out’ and fear of rejection and
    stigmatisation
  • trouble finding integrating themselves in the LGBTQ+ community
25
Q

LGBTQ and healthcare disparities: Sexual health (4)

A
  • Younger age of first sexual encounters
  • Lack of education of safe sex
  • Avoidance of healthcare help
  • Poor understanding of STI testing and acquisition
26
Q

LGBTQ and healthcare disparities: Substance abuse

A

More prone to abuses of substances such as alcohol, tobacco, cannabis, ecstasy, cocaine, and heroin because of a result of mental health issues AND LGBTQ+ culture is more prominent in bars and clubs

27
Q

How to improve healthcare for LGBTQ in general (4) & skills for healthcare professionals, working with diversity (4)

A

in general:
• Appropriate education and training
• Ensure an inclusive environment
• Have a national strategy
• Enhance relationships and sex education

skills for healthcare professionals, working with diversity:
• sociological imagination, open minded and non-
judgmental
• deep listening, show interest and explore
• show empathy
• work with the patient in partnership