性別/性別が心血管リスクの社会的決定因子として
Adrienne O'Neil1, Anna J Scovelle2, Allison J Milner2
1Melbourne School of Population and Global Health, University of Melbourne, Carlton, Australia. adrienne.oneil@unimelb.edu.au.
Circulation
|February 21, 2018
まとめ
性別は心臓血管疾患 (CVD) のリスクと結果に大きく影響し,生物学的性および他の社会的要因と相互作用します. 性別を社会的決定因子として扱うことは,CVDの負担と健康上の不平等を減らすために極めて重要です.
科学分野:
- 心血管の健康
- 健康の社会的決定因子
- ジェンダー研究
背景:
- 心血管疾患 (CVD) は社会的なグラデントを示し,社会経済的地位,人種,環境などの社会的な決定要因への移行を促します.
- 性別が心血管の健康に 与える影響は 極めて重要ですが 多くの場合 生物学的な性別と 混同されてしまっています
研究 の 目的:
- 性別は心臓血管の健康を 決定的に 左右する社会的な要素として 強調すること
- 性別が健康行動,心理社会的ストレス,およびCVDに影響を与える潜在的な生物学的経路をどのように形成するか探求する.
- 心血管疾患の治療,認知,ジェンダーの平等戦略への影響について議論する.
主な方法:
- 性別,社会的決定因子,心血管健康に関する既存の文献のレビュー.
- 性別が健康行動 (身体活動,薬物使用) の早期採用にどのように影響するか分析する.
- トラウマや人生のストレス要因を含む心理社会的ストレスにおけるジェンダーの役割の検討
主要な成果:
- 性別は社会的に構築され 流動的な概念として 生物学的性やその他の社会的な決定因子と 相互作用し 生涯を通じて 心血管の健康を形作ります
- 性別は若者の健康行動に 影響を及ぼし 心理的社会的なストレスを引き起こします
- 自律的機能などの潜在的な生物学的経路は 性別と心血管の健康を結びつけます
結論:
- 性別は心臓血管健康の重要な社会的決定因子であり,研究と臨床実践に含めることが必要である.
- 性別の多面的な役割を理解することで,心血管疾患の格差を減らすための標的型の介入を促すことができます.
- 性別平等の促進は,心血管疾患の負担を減らすために,人口レベルでの戦略を提供することができます.
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