Department of Pediatrics, Stanford University School of Medicine, Stanford University, Stanford, CA, USA.
London School of Hygiene & Tropical Medicine, London, UK.
Lancet. 2019 Jun 15;393(10189):2455-2468. doi: 10.1016/S0140-6736(19)30765-2. Epub 2019 May 30.
Despite global commitments to achieving gender equality and improving health and wellbeing for all, quantitative data and methods to precisely estimate the effect of gender norms on health inequities are underdeveloped. Nonetheless, existing global, national, and subnational data provide some key opportunities for testing associations between gender norms and health. Using innovative approaches to analysing proxies for gender norms, we generated evidence that gender norms impact the health of women and men across life stages, health sectors, and world regions. Six case studies showed that: (1) gender norms are complex and can intersect with other social factors to impact health over the life course; (2) early gender-normative influences by parents and peers can have multiple and differing health consequences for girls and boys; (3) non-conformity with, and transgression of, gender norms can be harmful to health, particularly when they trigger negative sanctions; and (4) the impact of gender norms on health can be context-specific, demanding care when designing effective gender-transformative health policies and programmes. Limitations of survey-based data are described that resulted in missed opportunities for investigating certain populations and domains. Recommendations for optimising and advancing research on the health impacts of gender norms are made.
尽管全球致力于实现性别平等和改善所有人的健康和福祉,但用于精确估计性别规范对健康不平等影响的定量数据和方法仍不够发达。尽管如此,现有的全球、国家和次国家数据为检验性别规范与健康之间的关联提供了一些重要机会。我们采用创新方法分析性别规范的代理指标,得出的证据表明,性别规范影响着不同生命阶段、卫生部门和世界区域的男女健康。六个案例研究表明:(1)性别规范是复杂的,可以与其他社会因素相互作用,影响整个生命周期的健康;(2)父母和同伴早期的性别规范影响可能对女孩和男孩有多种不同的健康后果;(3)不符合和违反性别规范可能对健康有害,特别是当它们引发负面制裁时;(4)性别规范对健康的影响可能因具体情况而异,在设计有效的性别变革健康政策和方案时需要谨慎。描述了基于调查的数据的局限性,这些局限性导致某些人群和领域的调查机会丧失。为优化和推进性别规范对健康影响的研究提出了建议。
Lancet. 2019-5-30