Stronks K, Agyemang C O, Mackenbach J P
Academisch Medisch Centrum/Universiteit van Amsterdam, afd. Sociale Geneeskunde, Meibergdreef 15, 1105 AZ Amsterdam.
Ned Tijdschr Geneeskd. 2008 Oct 4;152(40):2163-4.
Women are generally considered the 'weaker sex'. In relation to health issues, it is not as simple as that. One might even argue that, in this context, men are the weaker sex. Life expectancy, for example, is lower in men than in women due to the fact that men suffer more from chronic conditions and have higher mortality risks. Part of these differences in health can be attributed to biological factors, but social factors seem to play an even more important role. The health gap between men and women might evolve over time and differ between situations. This is illustrated by the decreasing difference in life expectancy between men and women, and by the relatively adverse cardiovascular risk profile of women in immigrant groups compared with the host populations. Within healthcare, differences between men and women are also partly due to social determinants. Examples include the underrepresentation of women in health research as well as in guidelines committees, thereby affecting the production and implementation of medical evidence.
女性通常被认为是“弱势群体”。但就健康问题而言,情况并非如此简单。甚至有人可能会说,在这种背景下,男性才是弱势群体。例如,男性的预期寿命低于女性,因为男性更容易患慢性病且死亡风险更高。这些健康差异部分可归因于生物学因素,但社会因素似乎发挥着更为重要的作用。男性和女性之间的健康差距可能会随着时间推移而演变,且因情况而异。男女预期寿命差异的缩小,以及移民群体中女性相对于东道国人口而言相对不利的心血管风险状况,都说明了这一点。在医疗保健领域,男女之间的差异也部分归因于社会决定因素。例如,女性在健康研究以及指南委员会中的代表性不足,从而影响了医学证据的产生和实施。