Structural Heteropatriarchy and Birth Outcomes in the United States.
Structural Heteropatriarchy and Birth Outcomes in the United States.
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DOI：
10.1215/00703370-9606030
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发表时间：
2022-02-01
期刊：
影响因子：
3.5
通讯作者：
Philbin MM
中科院分区：
文献类型：
--
作者：
Everett BG;Limburg A;Homan P;Philbin MM
新出现的证据表明，结构性性别歧视和对女同性恋、男同性恋和双性恋（LGB）人群的结构性歧视与健康状况不佳有关，但研究尚未检验这些相互加强的不平等制度的综合影响。因此，我们开发了一种结构性异性恋父权制的综合测量方法，包括州一级的lgb政策、计划生育政策和结构性性别歧视指标（例如，女性相对于男性的政治和经济地位），并使用国家青少年到成人健康纵向研究（n=11,473）的第一波到第五波数据来检验其与出生结果的关系。多变量回归分析表明，高水平的异父权制与早产风险增加和出生体重下降相关，净重要协变量。临床低出生体重与异父制之间没有关联。没有证据表明异性父权制与个体的种族/民族或性别身份之间存在相互作用，这表明异性父权制对所有孕妇的出生结果都有负面影响。这项研究表明，必须将性别和性行为视为影响人口健康的相互加强的压迫系统。未来的研究应检查异性父权制对其他健康结果的影响，并结合其他结构性不平等，如种族主义和跨性别压迫。
Emerging evidence links structural sexism and structural discrimination against lesbian, gay, and bisexual (LGB) populations to poor health outcomes, but studies have yet to examine the combined effects of these mutually reinforcing systems of inequality. Therefore, we developed a composite measure of structural heteropatriarchy—that includes state-level LGB-policies, family planning policies, and indicators of structural sexism (e.g., women’s political and economic position relative to men)—and examined its relationship to birth outcomes using data from Waves I to V of the National Longitudinal Study of Adolescent to Adults Health (n=11,473). Multivariate regression analyses demonstrated that higher levels of heteropatriarchy were associated with an increased risk of preterm birth and decreased birth weight, net of important covariates. There was no association between clinical low birthweight and heteropatriarchy. There was no evidence of interactions between heteropatriarchy and individuals’ race/ethnicity or sexual identity, suggesting a negative effect of heteropatriarchy on birth outcomes for all pregnant people. This study demonstrates the importance of considering gender and sexuality as mutually reinforcing systems of oppression that impact population health. Future research should examine the impact of heteropatriarchy on additional health outcomes and in conjunction with other structural inequalities such as racism and transgender oppression.
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