Abstract:
:This thesis is part of the studies of gender bias in health which together with the paradigm of evidence-based medicine shares the empirical assumption that there are inaccuracies in medical practice, in addition to a lack of rigour and transparency. It worked with the distinction between the concepts of sex and gender and between the concepts of sex-related differences and gender inequalities, in terms of applying a gender perspective in the study design and the subsequent analysis. This PhD review presents the research process conducted in Spain, which can provide an example for future research. Study I described a review of 58 clinical trials (CTs) of etoricoxib to assess its compliance with the Recommendations of Evaluation of Gender Differences in the Clinical Evaluation of Drugs. In Study II, key informants from professions related to different areas in drug development and pharmacovigilance held a working meeting to reach a consensus document on recommendations for the study and evaluation of gender differences in CTs in Spain. In Study III, the websites of the eight best-selling hormone replacement therapy drugs in Spain on Google first page of results were analysed. In Study IV, a logistic regression analysis was performed to compare analgesic prescription by sex in regions with a higher or lower Gender Development Index (GDI) than the Spanish average. Gender biases identified in this thesis limited the legitimacy of medicine, which is not based on the best possible evidence. The results also demonstrate the existence of inequalities between men and women that are not due merely to biological differences, but are gender inequalities stemming from the social differences that exist between both sexes.
journal_name
Glob Health Actionjournal_title
Global health actionauthors
Chilet-Rosell Edoi
10.3402/gha.v7.25484subject
Has Abstractpub_date
2014-12-09 00:00:00pages
25484eissn
1654-9716issn
1654-9880pii
25484journal_volume
7pub_type
杂志文章,评审abstract:BACKGROUND:Indonesia still faces challenges in maternal health. Specifically, the lack of information on community-level maternal morbidity. The relatively high maternal healthcare non-utilization in Indonesia intensifies this problem. OBJECTIVE:To describe the burden of community-level maternal morbidity in Indonesia...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2017.1339534
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:Oral health affects quality of life and is linked to overall health. Enhanced oral health research is needed in low- and middle-income countries to develop strategies that reduce the burden of oral disease, improve oral health and inform oral health workforce and infrastructure development decisions. OBJECT...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2018.1477249
更新日期:2018-01-01 00:00:00
abstract:OBJECTIVE:This study explores violence against women in a low-income setting in relation to residency and literacy. SETTING:The study was conducted within the Butajira Rural Health Programme (a Health and Demographic Surveillance Site), which includes rural and semi-urban settings in south-central Ethiopia. DESIGN:Th...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v3i0.2070
更新日期:2010-02-25 00:00:00
abstract::Background: Stability of measures in quantitative social science research is crucial to understand. There is very little evidence on the stability of violence against women and girls measures in the global South. Objective: To assess the test-retest stability of violence against women and girls measures, amongst young...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2019.1671663
更新日期:2019-01-01 00:00:00
abstract:BACKGROUND:Early medical checkups during and after delivery are key strategies to detect, prevent and treat maternal health concerns. Knowledge of interrelationships between early Antenatal Care (ANC), skilled delivery and early postnatal care (EPNC) is essential for focused and well-targeted interventions. This paper ...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2020.1830463
更新日期:2020-12-31 00:00:00
abstract:BACKGROUND:As the HIV/AIDS pandemic has evolved over recent decades, Africa has been the most affected region, even though a large proportion of HIV/AIDS deaths have not been documented at the individual level. Systematic application of verbal autopsy (VA) methods in defined populations provides an opportunity to asses...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v7.25370
更新日期:2014-10-29 00:00:00
abstract:BACKGROUND:Unsafe abortion contributes to a significant portion of maternal mortality in India. Access to safe abortion care is known to reduce maternal mortality. Availability and distribution of abortion care facilities can influence women's access to these services, especially in rural areas. OBJECTIVES:To assess t...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v8.26346
更新日期:2015-03-20 00:00:00
abstract::Background: Globally, opportunities to validate government reports through external audits are rare, notably in India. A cross-sectional maternal health study in Uttar Pradesh, India's most populous state, compares government administrative data and externally collected data on maternal health service indicators. Obje...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2019.1619155
更新日期:2019-01-01 00:00:00
abstract:BACKGROUND:The burden of diabetes mellitus in Sub-Saharan Africa is growing rapidly, and yet the prevalence and patient characteristics are still largely unknown. OBJECTIVES:We analyzed clinical and demographic characteristics of Type 2 diabetes (T2DM) patients attending a diabetes clinic in Guinea-Bissau from Februar...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2020.1802136
更新日期:2020-12-31 00:00:00
abstract:BACKGROUND:The 4-year (2007-2011) Revitalizing Health for All international research program (http://www.globalhealthequity.ca/projects/proj_revitalizing/index.shtml) supported 20 research teams located in 15 low- and middle-income countries to explore the strengths and weaknesses of comprehensive primary health care (...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v7.24997
更新日期:2014-08-21 00:00:00
abstract:INTRODUCTION:Increasing efforts are being made globally on capacity building. North-south research partnerships have contributed significantly to enhancing the research capacity in low- and middle-income countries (LMICs) over the past few decades; however, a lack of skilled researchers to inform health policy developm...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v9.30522
更新日期:2016-10-06 00:00:00
abstract::Objective The graduates of the diploma and degree programmes of nursing and midwifery in India are considered skilled birth attendants (SBAs). This paper aimed to assess the confidence of final-year students from pre-service education programmes (diploma and bachelor's) in selected midwifery skills from the list of mi...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v8.29553
更新日期:2015-01-01 00:00:00
abstract:BACKGROUND:Migrant health workers fill care gaps in their destination countries, but they also actively engage in improving living conditions for people of their countries of origin through expatriate professional networks. This paper aims to explore the professional links that migrant health workers from sub-Saharan A...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v8.29210
更新日期:2015-12-09 00:00:00
abstract:BACKGROUND:A growing body of evidence points to the emission of greenhouse gases from human activity as a key factor in climate change. This in turn affects human health and wellbeing through consequential changes in weather extremes. At present, little is known about the effects of weather on the health of sub-Saharan...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v5i0.19078
更新日期:2012-11-23 00:00:00
abstract:BACKGROUND:Individuals in conflict-affected areas rarely get appropriate care for chronic or non-infectious diseases. The prevalence of gestational diabetes mellitus (GDM) is increasing worldwide, and new evidence shows conclusively that the negative effects of hyperglycemia occur even at mild glucose elevations and th...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v7.23887
更新日期:2014-05-12 00:00:00
abstract:BACKGROUND:Noma is an infectious but opportunistic disease that often results in severe facial disfigurements and mortality if untreated. As noma progresses quickly, early detection and treatment are important to prevent its development. OBJECTIVES:The objective of this study was to investigate primary healthcare work...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2017.1340253
更新日期:2017-01-01 00:00:00
abstract:OBJECTIVE:The aim of this study was to learn about the progress of the prevention and control of major non-communicable diseases (NCDs) in China from 1990 to 2009 and to determine what prevention and control gaps remain based on the opinions of a group of panellists. DESIGN:Sixty-four panellists, who are members of th...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v6i0.20004
更新日期:2013-02-12 00:00:00
abstract:BACKGROUND:Adolescents are particularly vulnerable to poor sexual and reproductive health outcomes. In addition, Lao PDR has the highest teenage pregnancy rate in southeast Asia and a high maternal mortality ratio. OBJECTIVE:This study aimed to provide a comprehensive exploration of factors that influence SRH knowledg...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2020.1791426
更新日期:2020-07-01 00:00:00
abstract:BACKGROUND:Managing cancer in a multicultural environment poses several challenges, which include the communication between the patient and the healthcare provider. Culture is an important consideration in clinical care as it contributes to shaping patients' health-related values, beliefs, and behaviours. This integrat...
journal_title:Global health action
pub_type: 杂志文章,评审
doi:10.3402/gha.v9.33208
更新日期:2016-11-30 00:00:00
abstract::Once an orphan field, 'global mental health' now has wide acknowledgement and prominence on the global health agenda. Increased recognition draws needed attention to individual suffering and the population impacts, but medicalizing global mental health produces a narrow view of the problems and solutions. Early framin...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v7.24000
更新日期:2014-05-16 00:00:00
abstract:BACKGROUND:A health system that provides equitable health care is a principal goal in many countries. Measuring horizontal inequity (HI) in health care utilization is important to develop appropriate and equitable public policies, especially policies related to non-communicable diseases (NCDs). DESIGN:A cross-sectiona...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v7.24919
更新日期:2014-08-04 00:00:00
abstract:BACKGROUND:Although community engagement (CE) is widely used in health promotion, components of CE models associated with improved health are poorly understood. This study aimed to examine the magnitude of the impact of CE on health and health inequalities among disadvantaged populations, which methodological approache...
journal_title:Global health action
pub_type: 杂志文章,评审
doi:10.3402/gha.v8.29842
更新日期:2015-12-18 00:00:00
abstract:BACKGROUND:While there is accumulated evidence showing the rapid rise of the burden caused by non-communicable diseases (NCDs) in Vietnam, information on the extent to which households in the country suffer financial catastrophe or impoverishment caused by the diseases is still largely lacking. This paper aims to exami...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v5i0.18892
更新日期:2012-12-20 00:00:00
abstract::Background: mHealth applications assist workflow, help move towards equitable access to care, and facilitate care delivery. They have great potential to impact care in low-resource countries, but have significant ethical concerns pertaining to patient autonomy, safety, and justice. Objective: To achieve consensus amon...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2019.1666695
更新日期:2019-01-01 00:00:00
abstract:BACKGROUND:Adherence to screening guidelines has been widely accepted to reduce morbidity, mortality, and cost outcomes. The aim of this study was to identify predictors of adherence to screening guidelines for chronic diseases of lifestyle (CDL), cancers, and HIV in a health-insured population in South Africa, some of...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v7.23807
更新日期:2014-03-14 00:00:00
abstract:BACKGROUND:A woman's satisfaction with childbirth services can have a significant impact on her mental health and ability to bond with her neonate. Knowing postnatal women's opinions and satisfaction with services makes the services more women-friendly. Indian women's satisfaction with childbirth services has been expl...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2017.1386932
更新日期:2017-01-01 00:00:00
abstract::Bangladesh has historically been cholera endemic, with seasonal cholera outbreaks occurring each year. In collaboration with the government of Bangladesh, the Infectious Diseases Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b) initiated operational research to test strategies to re...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2019.1574544
更新日期:2019-01-01 00:00:00
abstract:BACKGROUND:Worldwide, there is an increased reliance on casual staff in the health sector. Recent policy attention in South Africa has focused on the interrelated challenges of agency nursing and moonlighting in the health sector. OBJECTIVE:This paper examines the potential health system consequences of agency nursing...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v8.26683
更新日期:2015-05-11 00:00:00
abstract:BACKGROUND:Transactional sex is associated with the HIV epidemic among young people in Uganda. Few quantitative studies based on nationally representative survey data explored the relationship between sexual behaviors, HIV infection, and transactional sex. OBJECTIVE:This study aimed to determine the associations betwe...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v8.27249
更新日期:2015-05-21 00:00:00
abstract:BACKGROUND:Despite considerable global attention to the issues of climate change, relatively little priority has been given to the likely effects on human health of current and future changes in the global climate. We identify three major societal determinants that influence the impact of climate change on human health...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v6i0.20513
更新日期:2013-01-01 00:00:00