"Brave Men" and "Emotional Women": A Theory-Guided Literature Review on Gender Bias in Health Care and Gendered Norms towards Patients with Chronic Pain.

"Brave Men" and "Emotional Women": A Theory-Guided Literature Review on Gender Bias in Health Care and Gendered Norms towards Patients with Chronic Pain.
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DOI:
10.1155/2018/6358624
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发表时间:
2018-01-01
影响因子:
2.9
通讯作者:
Hensing, Gunnel
Hensing, Gunnel
中科院分区:
医学3区
文献类型:
--
作者:
Samulowitz, Anke;Gremyr, Ida;Hensing, Gunnel

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背景资料:尽管有大量的研究性别差异的疼痛,有一个缺乏知识的影响,性别的病人提供者遇到。本研究的目的是回顾有关男性和女性疼痛的性别规范和疼痛治疗中的性别偏见的文献。第二个目的是分析结果的理论概念的指导下,霸权男性气质和andronormativity。共有77篇文章符合纳入标准。纳入的文章进行了定性分析,与整合approach.Results:纳入的研究表明,各种性别规范的男性和女性的经验和表达的痛苦,他们的身份,生活方式和应对方式。疼痛治疗中的性别偏见被确定为患者-提供者接触和专业治疗决策的一部分。它讨论了性别规范是如何巩固霸权阳刚之气和andronormativity.Conclusions:性别规范的认识是很重要的,无论是在研究和临床实践中,为了抵制性别偏见在医疗保健和支持卫生保健专业人员提供更公平的护理,更有能力满足所有患者的需要,男性和女性。
Background: Despite the large body of research on sex differences in pain, there is a lack of knowledge about the influence of gender in the patient-provider encounter. The purpose of this study was to review literature on gendered norms about men and women with pain and gender bias in the treatment of pain. The second aim was to analyze the results guided by the theoretical concepts of hegemonic masculinity and andronormativity.Methods: A literature search of databases was conducted. A total of 77 articles met the inclusion criteria. The included articles were analyzed qualitatively, with an integrative approach.Results: The included studies demonstrated a variety of gendered norms about men's and women's experience and expression of pain, their identity, lifestyle, and coping style. Gender bias in pain treatment was identified, as part of the patient-provider encounter and the professional's treatment decisions. It was discussed how gendered norms are consolidated by hegemonic masculinity and andronormativity.Conclusions: Awareness about gendered norms is important, both in research and clinical practice, in order to counteract gender bias in health care and to support health-care professionals in providing more equitable care that is more capable to meet the need of all patients, men and women.