Medical Sociology Medical Sociology VIII Ethnicity, Racism

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  • 7/28/2019 Medical Sociology Medical Sociology VIII Ethnicity, Racism

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    Gender inequalities

    in health(Medical Sociology

    VII)Dr A P Irungovel

    M.A., M.S.W., M.Phil., Ph.D.,

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    A P Irungovel, Ph.D.,

    Recap

    Thought about how health and illness arestructured by society

    Considered the sick role, medicalisation,surveillance medicine and lay understandings ofhealth

    Considered different explanations about theimpact of social class on health

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    A P Irungovel, Ph.D.,

    Outline

    Consider the evidence for an associationbetween gender and health

    Look at completing explanations

    Biological

    Social

    Structural

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    A P Irungovel, Ph.D.,

    Gender Differences

    Gender differences in health are often related tothe maxim:

    Women get sicker but men die quicker

    Some evidence of this, but complex picture

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    A P Irungovel, Ph.D.,

    Mortality Difference

    In the UK, women generally life longer thanmen (National Statistics online)

    Life expectancy

    at birth:

    by sex in the UK

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    A P Irungovel, Ph.D.,

    Health care usage

    More women than men consult their GP NationalStatistics online

    Consultations

    with an NHS GP

    by sex and age

    2001/02

    0

    5

    10

    15

    20

    25

    0-4 5-15 16-44 45-64 65-74 75 and over

    Males

    Females

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    A P Irungovel, Ph.D.,

    Limiting illness

    Other statistics give a different picture National Statisticsonline

    2001 CensusPeople inprivatehouseholds

    with a long-termillness

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    A P Irungovel, Ph.D.,

    Gender differences

    What do you think might account for thedifferent levels of gender differences in the 3

    areas:

    Mortality

    Health care usageMorbidity

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    A P Irungovel, Ph.D.,

    Explaining

    Gender Differences

    There are 3 different groups of explanations:

    Biological

    Social Roles

    Structural factors

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    A P Irungovel, Ph.D.,

    Social Roles

    The construction of normative ideas aboutmasculinity and femininity has implications forhealth

    Different risk behavioursAlcohol, smoking

    Traffic Accidents major case of

    young male death

    Gendered work Occupational risks, domestic labour, unregulated markets

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    A P Irungovel, Ph.D.,

    Do you think women and mens lifestyles andwork can account for gendered differences?

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    A P Irungovel, Ph.D.,

    Social Roles

    Gendered roles in reporting

    Women and men are socialised to experience bodilysensations differently

    Women say how they feel, men report physical sensations

    Men may be more reluctant to seek medical advice

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    A P Irungovel, Ph.D.,

    Do you think there are gendered differences inthe experiences of bodily sensations?

    If so, how might this impact on health?

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    A P Irungovel, Ph.D.,

    Structural factors

    Material circumstances make a different tohealth outcomes

    Differences between men and women Power and resources in the home can leave women

    disadvantaged

    Feminization of poverty Differences between women

    Intersection with social class

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    A P Irungovel, Ph.D.,

    Summary

    Considered the relationship between gender andhealth

    Gendered roles and relationships have animportant impact on health

    This intersects with other areas of socialdisadvantage

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    A P Irungovel, Ph.D.,

    Next week

    Continue to consider health inequalities byfocusing on ethnicity

    Look at explanations for ethnic differences andexperiences of health patterns

    What impact does racism have?