Gender equity in health: debates and dilemmas

Gender equity in health: debates and dilemmas
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DOI:
10.1016/s0277-9536(00)00072-1
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发表时间:
2000-09-01
影响因子:
5.4
通讯作者:
Doyal, L
Doyal, L
中科院分区:
医学2区
文献类型:
--
作者:
Doyal, L

文献摘要

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两性平等越来越多地被列为卫生政策的一个目标,但无论是在理论上还是在实践中,这一目标的含义都相当混乱。如果促进两性平等的政策要能够实现,其目标必须是公平分配与卫生有关的资源。这就需要认真查明男女保健需要的相同点和不同点。还必须分析目前阻碍男子和妇女实现其保健潜力的性别障碍。本文探讨了性别分工对妇女和男子的健康和医疗保健的影响,并提出了一些政策含义的分析。它概述了三点改革议程。这包括确保普遍获得生殖保健、减少获得资源方面的两性不平等和放宽严格界定的性别角色的限制的政策。文章最后简要概述了实施这些政策将带来的实际和政治困境。(C)2000爱思唯尔科技有限公司版权所有。
Gender equity is increasingly cited as a goal of health policy but there is considerable confusion about what this could mean either in theory or in practice. If policies for the promotion of gender equity are to be realisable their goal must be the equitable distribution of health related resources. This requires careful identification of the similarities and differences in the health needs of men and women. It also necessitates an analysis of the gendered obstacles that currently prevent men and women from realising their potential for health. This article explores the impact of gender divisions on the health and the health care of both women and men and draws out some of the policy implications of this analysis. It outlines a three point agenda for change. This includes policies to ensure universal access to reproductive health care, to reduce gender inequalities in access to resources and to relax the constraints of rigidly defined gender roles. The article concludes with a brief overview of the practical and political dilemmas that the implementation of such policies would impose. (C) 2000 Elsevier Science Ltd. All rights reserved.