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The Implication of Gender Bias and Norms on Cardiovascular Health
“You throw like a girl” and “You need to man up” are two common phrases used that emphasize how society expects men and women to act. Such phrases perpetuate stereotypes that associate masculinity with positive traits (strength, courage, etc.) and associate femininity with negative traits (openness, fragility, etc.) (Samulowitz et al., 2018). Although strides have been taken to disassociate the positive and negative connotations of masculine and feminine values, gender norms serve to regulate male dominance in society (Samulowitz et al., 2018) and influence the quality of healthcare women receive.
As strength is associated with masculinity, women are often presumed to be weak and have low pain tolerances. The gendered bias towards women has led health professionals to believe women are overreacting when in pain and therefore devalue the severity of women’s complaints (Samulowitz et al., 2018). As a result, women experience a lower urgency in a hospital setting and are 20% less likely to be treated immediately for presumed heart attack than men (Mackay, 2020).
Through gender norms, the white male body has been socially classified as the “normal” body. Therefore, most standardized symptoms and treatments are based upon the male body. Consequently, these gender norms serve to disadvantage women as they are only viewed in comparison to men, leading to misdiagnosis. (Alcalde-Rubio et al., 2020). For example, the most common symptom associated with heart attacks is chest pain; however, women often present instead with jaw or neck pain. Due to different symptom presentations, women are half as likely to be referred to a cardiologist (Clerc Liaudat et al., 2018).
In conclusion, the differential treatment of men and women in the healthcare field is not a result of biological differences but a product of gender bias and norms for which the healthcare system was formed.
P.S. Press keep reading for a full list of references!
Alcalde-Rubio, L., Hernández-Aguado, I., Parker, L. A., Bueno-Vergara, E., & Chilet-Rosell, E. (2020). Gender disparities in clinical practice: are there any solutions? Scoping review of interventions to overcome or reduce gender bias in clinical practice. International Journal for Equity in Health, 19. https://doi.org/10.1186/s12939-020-01283-4
Clerc Liaudat, C., Vaucher, P., De Francesco, T., Jaunin-Stalder, N., Herzig, L., Verdon, F., Favrat, B., Locatelli, I., & Clair, C. (2018). Sex/gender bias in the management of chest pain in ambulatory care. Women’s Health, 14. https://doi.org/10.1177/1745506518805641
Mackay M., (2020). Sex disparities in acute coronary syndrome care: time to move from understanding to action. Heart,106(2), 92-93. http://doi.org /10.1136/heartjnl-2019-315887
Samulowitz, A., Gremyr, I., Eriksson, E., & Hensing, G. (2018). “Brave Men” and “Emotional Women”: A Theory-Guided Literature Review on Gender Bias in Health Care and Gendered Norms towards Patients with Chronic Pain. Pain Research & Management. The Journal of the Canadian Pain Society, 2018, 14. http://dx.doi.org.myaccess.library.utoronto.ca/10.1155/2018/6358624