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What is Gen der-Specific
Medicine?
Gender-Specific Medicine is the science of how normal human
biology differs between men and women and of how the diagnosis
and treatment of disease differs as a function of gender.
On December 1, 2006 the Governor's Women's Health Advisory
Council reported that women’s health is a sex- and
gender-informed practice, grounded in an interdisciplinary
sex- and gender-informed bio-psycho-social science, focusing
on care of the whole woman in the diverse contexts of her life
experiences.
The foundation of women’s health is sex- and gender-based
biology, the field of scientific
inquiry committed to identifying the biological and
physiological differences between men and women. “Sex refers
to the classification of living things, generally as male or
female, according to their reproductive organs and functions
assigned by chromosomal complement (genotype). Gender refers
to a person’s self-representation as male or female, or how
that person is responded to by social institutions based on
the individual’s gender presentation. Gender is rooted in
biology and shaped by environment and experience” (IOM
report, Exploring the Biologic Contributions to Human
Health: Does Sex Matter? 2001). In other words, sex is
biologically rooted in one’s DNA/chromosomes and gender is
related to the social roles of men and women. Both biology and
social roles have profound effects on health.
Women's health issues are defined in the context of women's
lives, including their multiple social roles and the
importance of relationships with other people in their lives.
The definition of women's health encompasses physical, mental,
emotional, and spiritual health and spans the life course of
multiple generations. Current medical practice is based on
research done largely on men and extrapolated to women. Using
this information to diagnose and treat women is as inaccurate
as diagnosing and treating children based on adult norms for
height, weight, hormonal levels, body shape, emotional state
and social roles.
Health care delivery systems for women are fragmented,
separating reproductive health from mental/emotional health
and the rest of a woman’s body. Historically, an entire system
of health care for women was created based on reproductive
health. This made sense a century ago when the leading cause
of morbidity and mortality in women was due to child birth. In
contrast, the leading causes of morbidity and mortality of
21st century women in the United States are chronic diseases.
Multiple specialties have emerged to diagnose and treat
chronic diseases, but these specialties are not sex- and
gender-specific. Given the historically limited focus on
reproductive health and a male centric health care system,
there is a current need to create a health care delivery
system that addresses and is respectful of the unique aspects
of women and girls.
While we know that gender and sex provide one set of barriers
for women obtaining health
services, research shows that women’s ethnicity/race also has
a tremendous impact on the access to and quality of health
care that women of color and their families receive. Our
current health care system has institutionalized systems that
adversely affects health outcomes. A person’s social role is
based on gender (being male or female), skin color
(race/ethnicity), and/or income (poverty and level of
education), all of which affect health in many ways, including
diet, living conditions, occupations, access to health
services, trust of health care systems, communication with
medical providers and the effects of stress associated with
these. These external influences on the individual
dramatically affect the health of individuals and entire
populations of people.
For more
information on Gender-Specific Medicine:
Governor's Women's Health Advisory Council Report
http://partnership.hs.columbia.edu/
http://sexandgendercourse.od.nih.gov
Gender-Specific
Medicine Facts
Differences between women and men
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