Women's Health Across the Lifespan: A Sex- and Gender-Focused Perspective.

IF 3.5 4区 医学 Q1 ORTHOPEDICS
Jessica L McKinney, Susan C Clinton, Laura E Keyser
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引用次数: 0

Abstract

Women's health in physical therapy has historically focused on sexual and reproductive health. The biological and social constructs of sex and gender, respectively, are determinants of health, including pathophysiology of disease and therapeutic outcomes, and an expansion of the concept of "women's health" is warranted. This Perspective explores the role of sex and gender as key determinants of women's and girls' health and highlights the factors pertinent to physical therapist practice. The Scale for the Assessment for Narrative Review Articles (SANRA), a 6-point assessment to evaluate the quality of narrative reviews, was used a priori and consulted throughout. Across the lifespan, sex- and gender-based health disparities exist. These include sex-based disparities in maternal-fetal outcomes linking female fetal sex to maternal hypertensive disorders of pregnancy, along with a sex-based female advantage in birth outcomes and the emergence of gender differences in motor development. A complex interplay of biological and socially influenced factors contributes to an increased care burden for women throughout adulthood and specific risks for the development of cardiovascular and pelvic floor conditions, decreased function, and increased disability. Sex- and gender-disaggregated data are lacking in outcomes literature. A sex- and gender-informed approach in physical therapy, including analyzing data by sex and gender, may better meet the needs of patients and better prepare physical therapist professionals to contribute to women's health across the lifespan. Success will take coordinated effort involving many stakeholders within and adjacent to the physical therapist community. The influence of sex and gender are lifelong determinants of health, making them critically important to consider in physical therapist practice, education, research, advocacy, and policy. In women's health, focusing on sexual and reproductive health is limiting and insufficient.

妇女一生的健康:以性和性别为重点的视角。
物理治疗中的女性健康历来侧重于性健康和生殖健康。性和性别的生物和社会结构分别是健康的决定因素,包括疾病的病理生理学和治疗结果,因此有必要扩展 "女性健康 "的概念。本视角探讨了性和性别作为妇女和女孩健康关键决定因素的作用,并强调了与理疗师实践相关的因素。叙事性综述文章评估量表(SANRA)是一种用于评估叙事性综述质量的 6 点评估方法,本研究事先使用了该量表,并在整个过程中进行了参考。在人的一生中,存在着基于性和性别的健康差异。这些差异包括母胎结局中的性别差异,将女性胎儿性别与孕产妇妊娠高血压疾病联系在一起,以及女性在出生结局中的性别优势和运动发育中出现的性别差异。生物因素和社会影响因素的复杂相互作用,导致妇女在整个成年期的护理负担加重,心血管和骨盆底疾病、功能下降和残疾增加的特定风险也随之增加。结果文献中缺乏按性别分列的数据。在物理治疗中采用以性和性别为基础的方法,包括按性和性别分析数据,可以更好地满足患者的需求,并使物理治疗师专业人员做好更充分的准备,为女性一生的健康做出贡献。要想取得成功,就需要理疗师群体内部和毗邻的许多利益相关者共同努力。性和性别的影响是健康的终生决定因素,因此在物理治疗师的实践、教育、研究、宣传和政策中都必须考虑到这一点。在妇女健康方面,只关注性健康和生殖健康是有局限性的,也是不够的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Physical Therapy
Physical Therapy Multiple-
CiteScore
7.10
自引率
0.00%
发文量
187
审稿时长
4-8 weeks
期刊介绍: Physical Therapy (PTJ) engages and inspires an international readership on topics related to physical therapy. As the leading international journal for research in physical therapy and related fields, PTJ publishes innovative and highly relevant content for both clinicians and scientists and uses a variety of interactive approaches to communicate that content, with the expressed purpose of improving patient care. PTJ"s circulation in 2008 is more than 72,000. Its 2007 impact factor was 2.152. The mean time from submission to first decision is 58 days. Time from acceptance to publication online is less than or equal to 3 months and from acceptance to publication in print is less than or equal to 5 months.
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