This semester, I took a class on gender and health, mostly to examine the role that gender plays in health policies and administration. So we had to write an essay in which we had to sort of discuss this. The essay is to (try to, ha!) answer these questions: What role does gender play in health policies, how policymakers address gender differences in health, are the health differences between women and men due to their biological make-up and/or are natural or are they more social--or both?
The book I'm citing (authors: Bird and Reiker) is Gender and Health: The Effects of Constrained Choices and Social Policies by Chloe Bird and Patricia Reiker, published 2008. It's one of the most important books I've ever read in my life, so I definitely recommend it to everyone.
You know how people like to attribute all our differences to our biology? Yeah, well, they're not quite right. Women are more likely to seek help than men are not because men are just naturally supposed to be independent, for example; social upbringing has everything to do with it. Men get certain diseases more than women do, also more so due to social standards than to their biologies, although we really can't know for sure all the time. But both nature and nurture are equally important, something we need to keep in mind when talking about gender and health.
If something's unclear, lemme knoooow.
Gender Differences in Health
The book I'm citing (authors: Bird and Reiker) is Gender and Health: The Effects of Constrained Choices and Social Policies by Chloe Bird and Patricia Reiker, published 2008. It's one of the most important books I've ever read in my life, so I definitely recommend it to everyone.
You know how people like to attribute all our differences to our biology? Yeah, well, they're not quite right. Women are more likely to seek help than men are not because men are just naturally supposed to be independent, for example; social upbringing has everything to do with it. Men get certain diseases more than women do, also more so due to social standards than to their biologies, although we really can't know for sure all the time. But both nature and nurture are equally important, something we need to keep in mind when talking about gender and health.
If something's unclear, lemme knoooow.
Gender Differences in Health
People often attribute gender differences to biology alone;
it is not uncommon, for example, for a person to claim that women and men[1]
and are inherently different due to their biological, physiological
differences, and this, they insist, explains why they respond to the same
situations differently, including health-related issues. While we are
confronted with this perspective on the one hand, we have a part of western
feminism on the other, which does not respond well to the belief that women and
men are inherently different due to their biological framework. (Western)
feminism criticizes the focus on gender differences because it understands that
these differences are the reason women are universally subjugated and
discriminated against; it therefore suggests shifting the focus from women’s
and men’s “inherent” differences to their inherent equality.[2]
With this understanding of feminism, one finds Bird and Reiker’s acknowledgment
of women’s and men’s differences in health matter. They admit that there are
differences and that these differences are important—but they believe that why
these differences are there is essential to
our understating health policies as well as their effectiveness or
ineffectiveness. Ultimately, gender health differences are neither biological
nor social alone: they are both influenced by each other such that neither is
more important than the other.
As
Bird and Reiker agree, women and men do have unique biological differences, but
these differences vary with certain social conditions (Gender and Health, 16). The social factors of these differences are
often ignored because preference is given to the “biological” differences, and
it is rather convenient to attribute all differences to biology alone; biology
(science) is, after all, “objective” and therefore can’t be contested. Yet,
while it is true that science/biology is “objective,” assuming there is such a
thing indeed, how we teach it, explain it, and understand is subjective—and one
of the many reasons is it is subjective is due to our cultural, social
discourse understanding of gender.
To
support their argument, Bird and Reiker provide four diseases and health
conditions that are prevalent: cardiovascular disease and the combination of
immune function and disorders for physical health, and depressive disorders and
substance abuse for mental health. Due to the lack of space for this essay,
however, I will focus on women’s and men’s mental health. Research shows that
women’s rates of depressive disorders are between 50-100% greater than men’s;
this ratio includes both those who are treated as well as community samples
(ibid, 31). That until recently, it was believed that this meant men were
utterly immune to depression is an excellent example of the overlooking of
social aspects of health-related issues. As the authors note,
the
under-diagnosis of depression in men has been attributed to clinicians’ failure
to recognize symptoms, men’s unwillingness to seek help for such feelings, and
their tendency to cope with their feelings through drinking, drug use, and
other private activities or actions (ibid, 32).
Men therefore have more options (or at least they seem to
believe they do), even if they are bound to lead to more problems and even if
they are more temporary, than women do.[3]
Most societies, being patriarchal in nature, don’t value the independence and
mobility of women and teach women that not only is it okay to seek help but
that they are, for the most part, incapable of thinking and acting on their
own, that they must rely on the help of men in virtually all aspects of life;
the same societies understand masculinity for a man to be almost complete
self-reliance—no turning to anyone for help, doing everyone on his own,
etc.—but also that it is acceptable for women to talk “too much,” to share
their problems with others, to talk about themselves while it is not as
acceptable for men to do so. It is therefore not surprising that more women are
likely to seek help than men in order to treat their depression. The biological and social differences here are clear: gender, while socially
constructed, is determined by a person’s sex (which is biological), and how
that person is raised to believe what is determined by her/his (traditional, male-dominated)
society.
Once
a society concludes that, for example, women are more immune to depressive
disorders than men are, its policies are bound to be just as misled. Policymakers
often do not consider the multiple factors involved in health issues—such as,
for example, involuntary unemployment leading to stress, which affects a person’s mental
and physical health. This is a part of what Bird and Reiker identify as
constrained choices, which, they write, affect “men’s and women’s stress levels
as they experience competing demands on their time and other resources, which
can in turn affect their psychological and physical responses to stress” (ibid,
6). It is thus important for
policy makers to consider constrained choices in addressing health issues,
since doing so may help them identify the bigger, factors, those that are more worthy of public attention, that
cause the problem in the first place. Once they understand, for example, what
physiological and mental effects unemployment can have on individuals as well
as on the larger society, they would be better able to find a more appropriate
solution to mental and physical health issues that are caused primarily due to
social and physical stress.
[1] Here, I’m speaking from the perspective of the
"average" person, who either does not know about other genders and sexes or does
not acknowledge them, hence my reference to the traditional gender roles.
[2] As a Women and Gender Studies student, as well as an
Islamic feminist and a student of Islamic and Western feminisms (the two are
strikingly different), I often come across students and colleagues who do
attempt to deny the differences between women and men, whether they are social
or biological—although I agree with Bird and Reiker that both are equally
significant.
[3] That men are more likely to turn to drinking and
substance abuse than women are also makes sense to me from my own experiences
and upbringing: although Islam discourages alcohol for both women and men, it
is socially acceptable for men to drink in some Muslim communities, but it is
absolutely unacceptable for women to do so. In some Muslim societies, such as
South Asian, women are also degraded for smoking, although it is
acceptable for them to smoke just as it is for men in some Arab countries, such as Jordan.
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