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Introduction

Published online by Cambridge University Press:  05 June 2012

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

Gender and Health is a book intended to improve health by informing both personal choices and policy decisions. It is designed for researchers, policymakers, and others who want to understand the ways in which both differences in women's and men's lives and in their physiology contribute to the paradoxical differences in their health.

The discrepancies are clear. Women live longer than men, yet they have higher morbidity rates. Men experience more life-threatening chronic diseases, whereas women have more nonfatal acute and chronic conditions. Furthermore, although the overall rate of serious mental illness is similar for men and women, the most common mental health disorders differ by gender. Most notably, women experience higher rates of depression and anxiety disorders, whereas men have higher rates of substance abuse and antisocial behavior disorders.

Are the factors underlying these health differences physiological, social, or both? Obviously, biological sex differences have health consequences. Yet biology is not destiny. In fact, even physiological differences in adult men and women may be socially acquired. Interactions between social and biological factors as well as those between mental and physical health further complicate the picture. For example, osteoporosis traditionally has been viewed as the product of hormonal deficiency as well as the lack of weight-bearing exercise and a poor diet, both of which are related to multiple social factors. In addition, recent research indicates that depression, which may be attributable to both social and biological factors, can also increase the risk of osteoporosis.

Type
Chapter
Information
Gender and Health
The Effects of Constrained Choices and Social Policies
, pp. 1 - 15
Publisher: Cambridge University Press
Print publication year: 2008

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References

Bassuk, S. S., & Manson, J. E. (2004). Gender and its impact on risk factors for cardiovascular disease. In Legato, M. J. (Ed.), Principles of Gender-Specific Medicine, Vol. 1., 198–214. San Diego: Elsevier Academic Press.Google Scholar
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MacIntyre, S., Hunt, K., & Sweeting, H. (1996). Gender differences in health: Are things really as simple as they seem?Soc Sci Med, 42, 617–624.CrossRefGoogle Scholar
McEwen, B. S. (1998). Protective and damaging effects of stress mediators. N Engl J Med, 338(3), 171–179.CrossRefGoogle ScholarPubMed
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
Seeman, T. E., Singer, B., Rowe, J., & McEwen, B. S. (2001). Exploring a new concept of cumulative biological risk – Allostatic load and its health consequences: MaCarthur Studies of Successful Aging. Proc Nat Acad Sci, 98(8), 4770–4775.CrossRefGoogle Scholar
Verbrugge, L., & Wingard, D. L. (1987). Sex differentials in health and mortality. Women Health, 12(2), 103–145.CrossRefGoogle ScholarPubMed

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