Gender-transformative health promotion for women: a framework for action
Gender-transformative health promotion for women: a framework for action
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DOI：
10.1093/heapro/dau083
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发表时间：
2015-03-01
影响因子：
2.7
通讯作者：
Poole, Nancy
中科院分区：
文献类型：
--
作者：
Pederson, Ann;Greaves, Lorraine;Poole, Nancy
性别不平等是对卫生公平的普遍全球挑战。促进健康作为一个领域，迄今为止只对两性不平等给予了有限的关注，但如果两性平等成为促进健康研究、政策和方案的明确目标，则可成为变革的积极因素。作为考虑到性别因素的保健系统的一个方面，促进健康的干预措施可能维持、加剧或减少与性别有关的保健不平等现象，这取决于方案或政策中促进性别平等的程度和质量。本文介绍了一个框架，性别变革的健康促进，建立在理解性别作为健康的决定因素，并概述了一个连续的行动，以解决性别和健康。促进两性平等的健康干预措施可以在改善全世界数百万女孩和妇女的生活方面发挥重要作用。确定了与性别有关的行动原则，这些原则扩展了促进健康的核心原则，但反映了在证据的制定和使用、利益攸关方的参与和干预措施的选择方面重视性别问题的重要性。我们说明了框架的例子，从一系列妇女的健康促进活动，包括心血管疾病的预防，烟草控制和酒精的使用。文献表明，促进性别平等的措施将提高促进健康干预措施的可接受性、相关性和有效性。通过超越对变革的反应，促进性别变革的健康可以加强大量妇女和男子、女孩和男孩的健康和社会成果。
Gender inequity is a pervasive global challenge to health equity. Health promotion, as a field, has paid only limited attention to gender inequity to date, but could be an active agent of change if gender equity became an explicit goal of health promotion research, policy and programmes. As an aspect of gendered health systems, health promotion interventions may maintain, exacerbate or reduce gender-related health inequities, depending upon the degree and quality of gender-responsiveness within the programme or policy. This article introduces a framework for gender-transformative health promotion that builds on understanding gender as a determinant of health and outlines a continuum of actions to address gender and health. Gender-transformative health promotion interventions could play a significant role in improving the lives of millions of girls and women worldwide. Gender-related principles of action are identified that extend the core principles of health promotion but reflect the significance of attending to gender in the development and use of evidence, engagement of stakeholders and selection of interventions. We illustrate the framework with examples from a range of women's health promotion activities, including cardiovascular disease prevention, tobacco control, and alcohol use. The literature suggests that gender-responsiveness will enhance the acceptance, relevance and effectiveness of health promotion interventions. By moving beyond responsiveness to transformation, gender-transformative health promotion could enhance both health and social outcomes for large numbers of women and men, girls and boys.