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7 - Opportunities for Change

Published online by Cambridge University Press:  05 June 2012

Chloe E. Bird  and
Patricia P. Rieker
Chloe E. Bird
Affiliation:
RAND Corporation, RAND Graduate School
Patricia P. Rieker
Affiliation:
Boston University, Harvard Medical School, Simmons College
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Summary

Both sex and gender-based differences and similarities in men's and women's physical and mental health are well documented. As we have shown throughout this book, these differences are not due solely to biological factors. In fact, many clinical and social science researchers now recognize that social and biological factors interact in complex ways and can affect the health of men and women differently. Still we contend that something is missing from the dominant explanations of those health differences. What is missing is an understanding of constrained choice – that is, how decisions made and actions taken at the family, work, community, and government levels differentially shape the health-related choices of individual men and women. In this chapter, we summarize the main points discussed in previous chapters and use that information to highlight opportunities for change. The change we advocate is for men and women, as well as decision makers at all levels, to consider health a priority in making major and everyday choices. Moreover, this is a strategic moment for researchers and policymakers to address the multifaceted aspects of gender differences in health. After more than a decade of gender-oriented research, members of the medical professions and some policymakers have begun to examine closely the social, biological, and psychological differences and similarities between men and women. The call for gender-specific medicine is just one example of the profound shift in thinking about how sex and gender matter when it comes to health.

Type
Chapter
Information
Gender and Health
The Effects of Constrained Choices and Social Policies
 , pp. 224 - 246
Publisher: Cambridge University Press
Print publication year: 2008

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References

Anderson, R. T., Weisman, C. S., Scholle, S. H., Henderson, J. T., Oldendick, R., & Camacho, R. (2002). Evaluation of the quality of care in the clinical care centers of the National Centers of Excellence in Women's Health. Women Health Iss, 12(6), 309–326.CrossRefGoogle ScholarPubMed
Banks, J., Marmot, M., Oldfield, Z., & Smith, J. P. (2006). Disease and disadvantage in the United States and in England. JAMA, 295(17), 2037–2045.CrossRefGoogle ScholarPubMed
Bird, C. E., Fremont, A. M., Bierman, A. S., Wickstrom, S. L., Shah, M. M., Rector, T.. (2007). Does quality of care for cardiovascular disease and diabetes differ by gender for enrollees in managed care plans?Women Health Iss, 17(3), 31–38.CrossRefGoogle ScholarPubMed
Bird, C. E., Fremont, A. M., Wickstrom, S., Bierman, A. S., & McGlynn, E. (2003). Improving women's quality of care for cardiovascular disease and diabetes: The feasibility and desirability of stratified reporting of objective performance measures. Women Health Iss, 13, 150–157.CrossRefGoogle ScholarPubMed
Bird, C. E., & Rieker, P. P. (1999). Gender matters: An integrated model for understanding men's and women's health. Soc Sci Med, 48(6), 745–755.CrossRefGoogle ScholarPubMed
Bird, C. E., & Rieker, P. P. (2002). Integrating social and biological research to improve men's and women's health. Women Health Iss, 12(3), 113–115.CrossRefGoogle ScholarPubMed
Cacioppo, J. T., Berntson, G. G., Taylor, S. E., & Schacter, D. L. (2002). Foundations in Social Neuroscience. Cambridge, MA: MIT Press.Google Scholar
Cohen, D. A., Sehgal, A., Williamson, S., Sturm, R., McKenzie, T. L., Lara, R.. (2006). Park Use and Physical Activity in a Sample of Public Parks in the City of Los Angeles (No. TR-357-HLTH). Santa Monica, CA: RAND Corporation.CrossRefGoogle Scholar
Conrad, P. (2004). Medicalization, markets and illness. J Health Soc Behav, 45, 158–176.Google Scholar
Conrad, P. (2005). The shifting engines of medicalization. J Health Soc Behav, 46, 3–14.CrossRefGoogle ScholarPubMed
Conrad, P., & Schneider, J. W. (1992). Deviance and Medicalization: From Badness to Sickness. Philadelphia: Temple University Press.Google Scholar
Courtenay, W. H. (2000). Behavioral factors associated with disease, injury, and death among men: Evidence and implications for prevention. J Men's Studies, 9(1), 81–142.CrossRefGoogle Scholar
Eisenman, D. P., Bird, C. E., Collins, R., Golinelli, D., Fremont, A., Beckman, R.. (2007). Differential diffusion of new HIV technologies by gender: The case of HAART. AIDS Patient Care STDs, 21(6), 390–399.CrossRefGoogle Scholar
Epel, E. S., Blackburn, E. H., Lin, J., Dhabhar, F. S., Adler, N. E., Morrow, J. D.. (2004). Accelerated telomere shortening in response to life stress. PNAS, 101(49), 17312–17315.CrossRefGoogle ScholarPubMed
Grant, J. E., & Potenza, M. N. (2006). Textbook of Men's Mental Health. Arlington, VA: American Psychiatric Publishing.Google Scholar
Grantmakers in Health. (2006, February 23). From the Ground Up: Improving Community Health, Inspiring Community Action. Paper presented at the Annual Meeting of Grantmakers in Health, Washington, DC.
Hale, L. (2003). Healthy Aging: Physiological Correlates of Cumulative Psychosocial Experiences. Princeton, NJ: Princeton University Press.Google Scholar
Institute of Medicine. (2001a). Exploring the Biological Contributions to Human Health: Does Sex Matter?Washington, DC: National Academy Press.
Institute of Medicine. (2001b). Health and Behavior: The Interplay of Biological, Behavioral and Societal Influences. Washington, DC: National Academy Press.
Karlamangla, A. S., Singer, B., Greendale, G., & Seeman, T. E. (2005). Increase in urinary epinephrine excretion is associated with cognitive decline in elderly men: MacArthur Studies of Successful Aging. Psychoneuroendocrinology, 30, 453–460.CrossRefGoogle ScholarPubMed
Koivumaa-Honkanen, H., Honkanen, R., Viinamäki, H., Heikkilä, K., Kaprio, J., & Koskenvuo, M. (2000). Self-reported life satisfaction and 20-year mortality in healthy Finnish adults. Am J Epidemiol, 152(10), 983–991.CrossRefGoogle ScholarPubMed
Lasser, K. E., Himmelstein, D. U., & Woolhandler, S. (2006). Access to care, health status, and health disparities in the United States and Canada: Results of a cross-national population-based survey. Am J Public Health, 96, 1300–1307.CrossRefGoogle ScholarPubMed
Loucks, E. B., Berkman, L. F., Gruenewald, T. L., & Seeman, T. E. (2006). Relation of social integration to inflammatory marker concentrations in men and women 70 to 79 years. Am J Cardiol, 97(7), 1010–1016.CrossRefGoogle ScholarPubMed
McEwen, B. S. (1998). Protective and damaging effects of stress mediators. N Engl J Med, 338(3), 171–179.CrossRefGoogle ScholarPubMed
McEwen, B. S., & Stellar, E. (1993). Stress and the individual: Mechanisms leading to disease. Arch Intern Med, 153, 2093–2101.CrossRefGoogle ScholarPubMed
National Cancer Institute. (2006, October 30–31). The Science of Team Science: Assessing the Value of Transdisciplinary Research, Bethesda, MD: National Cancer Institute.
Rieker, P. P., & Bird, C. E. (2000). Sociological explanations of gender differences in mental and physical health. In Bird, C. E., Conrad, P., & Fremont, A. M. (Eds.), The Handbook of Medical Sociology (5th ed., pp. 98–113). Englewood Cliffs, NJ: Prentice-Hall.Google Scholar
Rieker, P. P., & Bird, C. E. (2005). Rethinking gender differences in health: What's needed to integrate social and biological perspectives. J Gerontol: Soc Sci, 60B, 40–47.CrossRefGoogle Scholar
Rieker, P. P., & Bird, C. E. (2006). Gender, Longevity and Choice: Crafting Another Paradigm to Explain Gender Difference in Health. Paper presented at the British Sociological Association, Heriot-Watt University, September 14–16, Edinburgh, Scotland.Google Scholar
Scholle, S. H., Weisman, C. S., Anderson, R. T., & Camacho, F. (2003). The development and validation of the Primary Care Satisfaction Survey For Women. Women Health Iss, 14, 35–50.CrossRefGoogle Scholar
Seeman, T. E., Crimmins, E., Huang, M. H., Singer, B., Bucur, A., Gruenewald, T.. (2004). Cumulative biological risk and socio-economic differences in mortality: MacArthur Studies of Successful Aging. Soc Sci Med, 58(10), 1985–1997.CrossRefGoogle ScholarPubMed
Seeman, T. E., McEwen, B. S., Singer, B. H., Albert, M. S., & Rowe, J. W. (1997). Increase in urinary cortisol excretion and memory declines: MacArthur Studies of Successful Aging. J Clin Endocrinol Metab, 82(8), 2458–2465.Google ScholarPubMed
Seeman, T. E., Singer, B. H., Ryff, C. D., Love, Dienberg G., & Levy-Storms, L. (2002). Social relationships, gender, and allostatic load across two age cohorts. Psychosom Med, 64(3), 395–406.CrossRefGoogle ScholarPubMed
Sherbourne, C. D., Weiss, R., Duan, N., Bird, C. E., & Wells, K. B. (2004). Do the effects of quality improvement for depression care differ for men and women? Results of a group-level randomized controlled trial. Med Care, 42, 1186–1193.CrossRefGoogle ScholarPubMed
Sterling, P., & Eyer, J. (1988). Allostasis: A new paradigm to explain arousal pathology. In Fisher, S. & Reason, J. (Eds.), Handbook of Life Stress, Cognition and Health (pp. 631–651). New York: Wiley.Google Scholar
U.S. Department of Health and Human Services. (2002). An Evaluation of the National Centers of Excellence in Women's Health. Executive Summary. Rockville, MD: U.S. DHHS.
U.S. Department of Health and Human Services. (2004). National Community Centers of Excellence in Women's Health. Program Evaluation Executive Summary. Rockville, MD: U.S. DHHS.
Weisman, C. S. (1998). Women's Health Care: Activist Traditions and Institutional Change. Baltimore: Johns Hopkins University Press.Google Scholar
Weisman, C. S., Curbow, B., & Khoury, A. (1995). The National Survey of Women's Health Centers: Current models of women-centered care. Women Health Iss, 5(3), 103–117.CrossRefGoogle ScholarPubMed
Willett, W., Skerrett, P. J., & Giovannucci, E. L. (2001). Eat, Drink and Be Healthy: The Harvard Medical School Guide to Healthy Eating. New York: Simon & Schuster.Google Scholar

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