Wong Y L
Health Research Development Unit, University of Malaya Medical Centre, 50603 Kuala Lumpur, Malaysia.
Asia Pac J Public Health. 2000;12 Suppl:S74-7.
There is no doubt that gender bias has been inherent in medical and public health education, research, and clinical practice. This paper discusses the central question for medical and public health educators viz. whether women's health concerns and needs could be best addressed by the conventional biomedical approach to medical and public health education, research, and practice. Gender inequalities in health and gender bias in medical and public health education are revealed. It is found that in most public health and prevention issues related to women's health, the core issue is male-female power relations, and not merely the lack of public health services, medical technology, or information. There is, thus, an urgent need to gender-sensitize public health and medical education. The paper proposes a gender analysis of health to distinguish between biological causes and social explanations for the health differentials between men and women. It also assessed some of the gender approaches to public health and medical education currently adopted in the Asia-Pacific region. It poses the pressing question of how medical and public health educators integrate the gender perspective into medical and public health education. The paper exhorts all medical and public health practitioners to explore new directions and identify innovative strategies to formulate a gender-sensitive curriculum towards the best practices in medicine and public health that will meet the health needs of women and men in the 21st century.
毫无疑问,性别偏见一直存在于医学和公共卫生教育、研究及临床实践中。本文探讨了医学和公共卫生教育工作者的核心问题,即传统的生物医学方法在医学和公共卫生教育、研究及实践中是否能最好地解决女性的健康问题和需求。文中揭示了健康领域的性别不平等以及医学和公共卫生教育中的性别偏见。研究发现,在大多数与女性健康相关的公共卫生和预防问题中,核心问题是男女权力关系,而不仅仅是缺乏公共卫生服务、医疗技术或信息。因此,迫切需要提高公共卫生和医学教育的性别敏感度。本文提出对健康进行性别分析,以区分男女健康差异的生物学原因和社会解释。它还评估了亚太地区目前采用的一些公共卫生和医学教育的性别方法。它提出了一个紧迫的问题,即医学和公共卫生教育工作者如何将性别视角融入医学和公共卫生教育。本文呼吁所有医学和公共卫生从业者探索新方向,确定创新策略,以制定对性别问题有敏感认识的课程,实现21世纪医学和公共卫生的最佳实践,满足男女的健康需求。