Lecture 8: women and men health Flashcards

1
Q

Sex

A

-Biological and physiological characteristics that define men or women
• Determined by genetics
• Often two sex categories: male and female

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2
Q

Gender

A
  • Socially constructed roles, behaviours, activities, and attributes that a given society considers appropriate for men and women
    • Assumed through nurturing, learning and interacting with the socio-cultural environment
    • Often falls on a continuum: masculine  feminine
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3
Q

Gender Equality

A
  • Means the absence of discrimination on the basis of a person’s sex in opportunities, allocation of resources or benefits, and access to services
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4
Q

Gender Equity

A
  • Means fairness and justice in the distribution of benefits, power, resources and responsibilities between women and men
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5
Q

Self-reported women vs men

A
  • Women tend to report their health as being worse than men
  • We know that generally across the globe women live longer than men,
  • In the very poor countries we see the trend of lower self-reported health in women more
    o More stigma associated with men reporting their health as men
    o Differences in defying health between men and women in developing countries
    o There are more women in poverty in these regions (more likely to be poor
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6
Q

Life expectancy: women vs men

  • Biological
  • Social determinants
  • Protective factors
A
  • Men tend to live shorter lives than men
    Biological reasons:
  • Female sex hormone estrogen tends to protect women against things like heart disease until they get older
  • look up the strength of the male fetus
    Social determinants of health
  • men are more likely to die by suicide, but women are more likely to attempt it
  • men are more likely to take part in high risk activities
  • men are also at greatest risk of dying during periods of high instability in their country
  • men are more likely to die as a result of alcohol consumption, motor vehicle accidents, heart disease
  • men are more likely to smoke
  • men and stress,
  • men are less likely to access health care services, and less likely to partake in preventative medicine and early screenings
    protective factors
  • marriage is a protective factor for men
    • prevents men from taking part in high risk activities as well as excessive use of drugs and alcohol
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7
Q

Non-communicable diseases

M v W

A
  • men and women generally suffer from similar non-communicable diseases, but men and women tend to experience them at different rates and different degrees of severity
  • men experience non-communicable diseases earlier and more severely
  • women are more likely to be diagnosed with non-fatal chronic illnesses such as arthritis, osteoporosis,
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8
Q

Women and NCD

A
  • experience more frequent illnesses and disabilities but these are not typically life-threatening; also face some unique biological risks
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9
Q

Men and NCD

A
  • experience more life-threatening diseases more permanent disabilities, and more earlier deaths
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10
Q

Differences in Diagnosis and treatment

A
  • specific for mental health conditions: women are more likely to be diagnosed with things such as anxiety, depression, panic attacks
  • women might be more likely to experience stress however they are also more likely to talk about stress, so it is unknown
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11
Q

SDoH W v M

A
  • in many regions of the world, men and women are not equal in legal, economic and social rights (power dynamic)
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12
Q

SDoH and women

A
  • are more likely to be poor and suffer from poorer health, and be malnourished or undernourished
  • gender inequalities may exist before they are even born: preference for male babies
  • women tend to have reduced access to paid work
  • they tend to have lower wages
  • inequalities in how resources are allocated in families
  • women have increased care responsibilities
  • death in women and girls is often related to their environment
    o if there is not enough food, women and girls are last to eat in that particular house hold
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13
Q

SDoH in Men

A
  • men are more likely to be exposed to occupational risks that result in health problems
  • men are more likely to take part in high risk jobs
    o first responders
    o constructions
    o emergency related work
  • men are more likely to take part in jobs that require them to handle hazardous or unsafe materials
  • men are more likely to die from homicide or conflict
  • women are at risk for sexual and intimate relationship violence, but gay men are also at risk for these types of violence
  • experiences these types of violence’s increases your risk of divorce, substance and alcohol use and mental disabilities
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14
Q

Barriers experienced by Women

A
  • Responsible for the caregiving, therefore they are too busy
  • Lack of control over resources to pay for healthcare services
  • Might need to be accompanied by another individual, mandatory vs safety
  • Women are more likely to be on prescription medications
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15
Q

Barriers experienced by Men

A
  • Seen as a sign of weakness

- Taking time of work to access services may be a problem if men are predominant bread winners

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16
Q

Barriers experienced by both

A
  • distance

- poor health literacy

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17
Q

MDG’s and women’s health

A
  • the gender gap in employment persists, with a 24.8% point difference between men and women in the employment-to-population ratio in 2012
  • gender gaps in youth literacy rates are also narrowing. Globally 781 million adults, and 126 million youth lack basic reading and writing skills, more than 60% of them are women
  • women had reasonable access to well-trained birth attendance
  • looked at maternal health first couple months after pregnancies
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18
Q

countries that achieved the 5th MDG (reduce maternal mortality deaths by ¾)

A
  • Bhutan
  • Cabo Verde
  • Cambodia
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19
Q

SDG’s and Women’s Health

A
  • Focusing a lot of women and paid work, educational and vocational training, higher levels of education
  • Looking at things to make schools safer
  • Reducing the gender pay gap
  • In most countries women are still underrepresented in government and parliament, judicial systems and civil service
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20
Q

Reproductive health

A
  • Concerns the reproductive processes, functions and system at all stages of life
  • Aim to assure that people are able to have a responsible and safe sex life, and that they have the capability to reproduce and the freedom to decide when/how
21
Q

Access to reproductive and sexual health services

A
  • Family-planning counselling and education, prenatal care, safe delivery, prevention and management of abortion and miscarriage treatment of reproductive health conditions
22
Q

Woman’s’ Parity

A
  • Number of births a woman has had, including live births and stillbirths
23
Q

Sex ratio at birth

A
  • Number of male babies born per 100 female babies born
24
Q

Natural Fertility

A
  • When women or couples do not vary behaviours that affect their chance of subsequent birth, including birth intervals
25
Q

Controlled fertility (family planning)

A
  • When woman/couple behaviour influences the interval to the next live birth
26
Q

Coale’s Preconditions for Fertility Limitation

A
  • Willing: acceptance of the possibility and moral acceptability of control of fertility
  • Ready: perception of advantages from reduced fertility
  • Able: knowledge and mastery of effective techniques of fertility control
27
Q

Unmet need for family planning

A
  • Occurs when a woman does not want any more children at all or at this time, but she is not using any method of contraception
28
Q

Reasons for lack of contraceptive use

A
  • Exposure
  • Supply
  • Opposition
29
Q

Contraception

A
  • Prevention of conception/pregnancy through the use of drugs, devices or sexual practices
30
Q

Modern contraceptive methods

A
  • Have been developed through modern technology or medical research
  • Sterilization, the pill, IUDs, condoms, injectable, vaginal barrier methods, implants
31
Q

Traditional contraceptive methods

A
  • Used to limit fertility historically, often with the use of more natural methods
  • Rhythm method, withdrawal, douching, abstinence
32
Q

Important cause of the decline in female mortality

A

-Effective birth control

33
Q

Education and fertility

A

-Correlation between female literacy rates and birth rates

34
Q

Bangladesh and Family Planning

A
  • Effective program at limiting children born to women
  • Trained local women, to train other women about family planning initiatives
  • Worked out really well
  • Considered one of the largest and more influential control experiment in the discipline of family planning “Family planning and health services project”
  • Started in the late 1970’s in Matlab (rural district in Bangladesh)
  • Only a few years after they saw a drastic increase in the use of contraceptive use, and decreases
35
Q

Birth Interval

A

-Amount of time between one live birth and the next live birth

36
Q

WHO’s recommended birth interval

A

-Answer: 2 years
o Too many pregnancies are often a threat for health outcomes for both the mother and the child
o Rest is very important in the last trimester

37
Q

How long to wait to attempt pregnancy again after miscarriage or abortion

A
  • 6 months
38
Q

WHO’s recommendation breast feeding

A
  • women breast feed for a total of 2 years,
  • exclusively breast feed for the firs 6 months
  • if a mom is HIV positive, be put on ARVs as well as the child and they continue to breast feed
39
Q

Obstetric Fistula

A
  • a hole between the vagina and rectum or bladder that is caused by prolonged obstructed labour, leaving a woman incontinent or urine or feces or both
  • more than 75% of women with these have endured labor that lasted 3 or more days
  • Initiatives for access to care, and trained birth attendance
40
Q

Stigma associated with Obstetric Fistulas

A
  • Lots of literature looks at the consequences of this
  • Lost a child
  • Men will leave them
41
Q

Mother’s household wealth, age and child mortality

A
  • Economic and social benefits for young girls to delay marriage and child birth
  • Younger people do the worst
42
Q

Strategies to address unplanned, unintended or unwanted pregnancies

A
  • Abortions
  • Sex-selective abortions
  • Infanticide: killing of a child under one year of age, which typically occurs very soon after birth
  • Fosterage
  • Adoption
  • Abandonment
43
Q

Unsafe Abortions

A
  • Access to safe abortion care would reduce maternal mortality rates
  • In Africa, about 60% of the unsafe abortions take place among women younger than 25
  • Majority of these unsafe abortions in the world take place in low and middle income countries
  • 22 million unsafe abortions in the world every year 19 million take place in low and middle income countries
44
Q

Female Infanticide

A
  • most common in China and India under the form of sex-selective abortions
  • has shifted the male to female ratio in some countries quite a bit
  • lower income groups are more likely to participate in sex-selection female infanticide
  • higher income groups are more likely to take part in sex-selective abortions and in the more educated

-why people who do this
o distorted construction of females as being inferior
o family’s desire to sustain the families name
o avoidance of paying a dowry
o expenditures on females is viewed as a waste because the women will marry and leave the house hold

-in India, ultrasound in the use of sex-selection abortions has been banned in India since 1994 and in China in 1995

45
Q

Female Genital Mutilation

A
  • comprises all procedures involving partial or total removal of the external female genitalia or other injury to the female genital organs for non-medical reasons
  • this is a practice that has been banned globally

-never be performed by a health care provider
ls or women

-can cause complications in pregnancy

46
Q

types of female genital mutilation

A
  • type1: removal of the clitoris
  • type 2: removal of the clitoris and the labia minora with or without excision of the labia majora

-type 3: narrowing the vaginal opening, sewing it up (Infibulation)
o deinfibulation, cutting open the sealed vaginal opening in a women who has been infibulated

-type 4: unclassified

47
Q

Long term consequences of FGM

A
  • urinary problems
  • pain during intercourse
  • birth complications
48
Q

Why is FGM performed

A
  • helping to save the girls virginity in areas where rape is common
  • prevent adultery
  • to fight against things such as female homosexuality
  • prevent masturbation
  • make sure the women is a good candidate for marriage
49
Q

Life-course perspective of violence against women

A
  • prenatal phase: sex selective abortions
  • infancy: female infanticide, abuse
  • childhood: FGM, sexual abuse, differential access to food and medicine
  • Adolescence: dating violence, sexual abuse, rape, forced prostitution
  • Reproductive: marital rape and abuse, sexual harassment
  • Old age: abuse of widows