Vlassoff Carol
Department of Epidemiology and Community Medicine, University of Ottawa, Canada.
J Health Popul Nutr. 2007 Mar;25(1):47-61.
This paper uses a framework developed for gender and tropical diseases for the analysis of non-communicable diseases and conditions in developing and industrialized countries. The framework illustrates that gender interacts with the social, economic and biological determinants and consequences of tropical diseases to create different health outcomes for males and females. Whereas the framework was previously limited to developing countries where tropical infectious diseases are more prevalent, the present paper demonstrates that gender has an important effect on the determinants and consequences of health and illness in industrialized countries as well. This paper reviews a large number of studies on the interaction between gender and the determinants and consequences of chronic diseases and shows how these interactions result in different approaches to prevention, treatment, and coping with illness. Specific examples of chronic diseases are discussed in each section with respect to both developing and industrialized countries.
本文采用了一个针对性别与热带疾病所开发的框架，用于分析发展中国家和工业化国家的非传染性疾病及状况。该框架表明，性别与热带疾病的社会、经济和生物学决定因素及后果相互作用，从而为男性和女性带来不同的健康结果。尽管该框架此前仅限于热带传染病更为流行的发展中国家，但本文表明，性别对工业化国家的健康与疾病的决定因素及后果也具有重要影响。本文回顾了大量关于性别与慢性病的决定因素及后果之间相互作用的研究，并展示了这些相互作用如何导致在预防、治疗和应对疾病方面采取不同的方法。在每个部分中，针对发展中国家和工业化国家都讨论了慢性病的具体实例。
