Gender, health and theory: conceptualizing the issue, in local and world perspective
Abstract
Public policy documents on gender and health mostly rely on categorical understandings of gender that are now inadequate. Poststructuralist thought is an advance, but relational theories of gender, treating gender as a multidimensional structure operating in a complex network of institutions, provide the most promising approach to gendered embodiment and its connection with health issues. Examples are discussed in this article. A crucial problem is how to move the analysis beyond local arenas, especially to understand gender on a world scale. A relational approach to this question is proposed, seeing gendered embodiment as interwoven with the violent history of colonialism, the structural violence of contemporary globalization, and the making of gendered institutions on a world scale, including the corporations, professions and state agencies of the health sector. Gender is seen as the active social process that brings reproductive bodies into history, generating health consequences not as a side-effect but in the making of gender itself.
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The distinction between sex and gender and recognition of their interaction in individual development are increasingly common in health studies, but the importance of this distinction is still not sufficiently recognized, and both terms continue to intermesh in some scientific studies and official health policy documents.
“The distinction between sex and gender and the recognition of their interaction in individual development are increasingly common in health studies. However, the importance of this distinction is still not sufficiently recognized, and both terms still continue to intermesh in some scientific studies and official documents on health policy (Connell, 2012).”
From Health From a Gender Perspective (2017) · cites this paper as Connell, 2012
The development of social models does not follow a categorical logic, as postulated by the model of the sexual role of gender.
“Nor does the development of social models follow a categorical logic, as postulated by the model of the sexual role of gender, which is also based on a dichotomy, although grounded in social rules and expectations rather than in biology (Connell, 2012).”
From Health From a Gender Perspective (2017) · cites this paper as Connell, 2012
These approaches are insufficient for various reasons: they do not fully explain the variable gender, unintentionally reinforcing the inaccurate binary constructions of sex (man/woman) and gender (masculine/feminine), thereby presupposing that sex and gender are easily separable; and they often favor the search for differences over the exploration of similarities.
“However, these approaches are insufficient for various reasons: they do not fully explain the variable gender, unintentionally reinforcing the inaccurate binary constructions of sex (man/ woman) and gender (masculine/feminine), thereby presupposing that sex and gender are easily separable; and they often favor the search for differences over the exploration of similarities (Connell, 2012; Springer”
From Health From a Gender Perspective (2017) · cites this paper as Connell, 2012
Cites
Crenshaw, K. (2018) · Feminist Legal Theory · doi:10.4324/9780429500480-5 · Cited by 9,510 · see citing works
The Complexity of Intersectionality
McCall, L. (2005) · Signs: Journal of Women in Culture and Society · doi:10.1086/426800 · Cited by 6,682 · cited 1× · see citing works
“Further, McCall (2005) describes anti-categorical approaches used by intersectionality scholars to deconstruct systems of categorization and instead focus on complex relations between multiple groups not only within but across identities and analytic categories.”
BackgroundEmbodiment: a conceptual glossary for epidemiology
Krieger, N. (2005) · Journal of Epidemiology and Community Health · doi:10.1136/jech.2004.024562 · Cited by 964 · see citing works
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Discrimination and Health Inequities
Krieger, N. (2014) · International Journal of Health Services · doi:10.2190/hs.44.4.b · Cited by 953 · see citing works
Disrupting gender norms in health systems: making the case for change
Hay, K., McDougal, L., Percival, V., Henry, S., Klugman, J., Wurie, H., Raven, J., Shabalala, F., Fielding-Miller, R., Dey, A., et al. (2019) · The Lancet · doi:10.1016/s0140-6736(19)30648-8 · Cited by 442 · see citing works
Gender-related variables for health research
Nielsen, M. W., Stefanick, M. L., Peragine, D., Neilands, T. B., Ioannidis, J. P. A., Pilote, L., Prochaska, J. J., Cullen, M. R., Einstein, G., Klinge, I., et al. (2021) · Biology of Sex Differences · doi:10.1186/s13293-021-00366-3 · Cited by 238 · see citing works
“It’s gym, like g-y-m not J-i-m”: Exploring the role of place in the gendering of physical activity
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Men, masculinity, and engagement with treatment as prevention in KwaZulu-Natal, South Africa
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‘Where is the space for continuum?’ Gyms and the visceral “stickiness“ of binary gender
Coen, S. E., Davidson, J., & Rosenberg, M. W. (2021) · Qualitative Research in Sport, Exercise and Health · doi:10.1080/2159676x.2020.1748897 · Cited by 31 · see citing works
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Health From a Gender Perspective
Sánchez-López, M. P., & Limiñana-Gras, R. M. (2017) · The Psychology of Gender and Health · doi:10.1016/b978-0-12-803864-2.00001-8 · Cited by 12 · see citing works
- Authors
- Connell, R.
- Affiliations
- The University of Sydney (AU)
- Corresponding author
- Connell, Raewyn
- ORCID
- Connell, Raewyn
- Venue
- Social Science & Medicine
- Publisher
- Elsevier BV
- Published
- 2012-06
- Volume
- 74
- Issue
- 11
- Pages
- 1675-1683
- ISSN
- 0277-9536 (ISSN-L)
- OpenAlex
- W1982794430
- Cited by
- 860
- References
- 3
- Citations by year
- 2026: 47 · 2025: 66 · 2024: 58 · 2023: 48 · 2022: 56 · 2021: 103 · 2020: 90 · 2019: 65 · 2018: 72 · 2017: 55 · 2016: 53 · 2015: 48 · 2014: 48 · 2013: 19 · 2012: 19
- FWCI
- 104.61
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Social Science & Medicine (publishedVersion)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- Funders
- Robert Wood Johnson Foundation
- Topics
- Social Sciences › Sociology and Political Science › Gender, Health, and Social Inequality
- Social Sciences › Gender Studies › Gender and Feminist Studies
- Social Sciences › Gender Studies › Feminist Theory and Gender Studies
- Keywords
- gender and health, gendered embodiment, poststructuralism, colonialism, structural violence, globalization, gendered institutions, health sector, reproductive body, global health policy
- MeSH terms
- Anorexia, Concept Formation, Female, Humans, Male, Models, Theoretical, Sex Factors, Social Environment, Global Health, HIV Infections, Women's Health, Men's Health
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