Emory University, Atlanta, GA, USA.
Florida State University, Tallahassee, FL, USA.
J Health Soc Behav. 2024 Mar;65(1):2-19. doi: 10.1177/00221465231194043. Epub 2023 Sep 7.
Preventive health care use can reduce the risk of disease, disability, and death. Thus, it is critical to understand factors that shape preventive care use. A growing body of research identifies structural sexism as a driver of population health, but it remains unknown if structural sexism is linked to preventive care use and, if so, whether the relationship differs for women and men. Gender performance and gendered power and resource allocation perspectives lead to competing hypotheses regarding these questions. This study explores the relationship between structural sexism and preventive care in gender-stratified, multilevel models that combine data from the Behavioral Risk Factor Surveillance System with state-level data (N = 425,454). We find that in states with more structural sexism, both men and women were less likely to seek preventive care. These findings support the gender performance hypothesis for men and the gendered power and resource allocation hypothesis for men and women.
预防保健的使用可以降低疾病、残疾和死亡的风险。因此，了解影响预防保健使用的因素至关重要。越来越多的研究表明结构性性别歧视是影响人口健康的一个因素，但目前尚不清楚结构性性别歧视是否与预防保健的使用有关，如果有关，那么这种关系在女性和男性之间是否存在差异。性别表现和性别权力及资源分配的观点对这些问题提出了相互竞争的假设。本研究通过结合行为风险因素监测系统数据和州级数据（n=425454）的性别分层多层次模型，探讨了结构性性别歧视与预防保健之间的关系。我们发现，在结构性性别歧视程度较高的州，男性和女性接受预防保健的可能性都较低。这些发现支持了性别表现假说（对男性而言）以及性别权力和资源分配假说（对男性和女性而言）。
