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Int J Equity Health. 2005 Jul 13;4:11.

Defining and measuring gender: a social determinant of health whose time has come.

Author information

  • Department of Family Medicine, Queen's University, 220 Bagot St, Kingston, Ontario K7L 5E9, Canada. phillip@post.queensu.ca

Abstract

This paper contributes to a nascent scholarly discussion of sex and gender as determinants of health. Health is a composite of biological makeup and socioeconomic circumstances. Differences in health and illness patterns of men and women are attributable both to sex, or biology, and to gender, that is, social factors such as powerlessness, access to resources, and constrained roles. Using examples such as the greater life expectancy of women in most of the world, despite their relative social disadvantage, and the disproportionate risk of myocardial infarction amongst men, but death from MI amongst women, the independent and combined associations of sex and gender on health are explored. A model for incorporating gender into epidemiologic analyses is proposed.

PMID:
16014164
[PubMed]
PMCID:
PMC1180842
Free PMC Article
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