Impact of Gendered Masculinity in Health Engagement and Decision-making
Release Date: 02/11/2021
Sex and Gender Differences in Aging
seX & whY
Show Notes for Episode Twenty-Six of seX & whY: Sex and Gender Differences in Aging Host: Jeannette Wolfe Guest: Dr Haag is a researcher in molecular epidemiology who studies human biological aging at the Karolinska Institute in Stockholm. Background - Dr Haag has a PhD in functional genomics and Post Doc in genetic and molecular epidemiology. She studies telomeres and molecular association with telomere length, she also has experience in molecular biology and computer science. Definitions and discussion points from podcast - a new field of biomedical science that looks at how the...
info_outline
Global Health and Pandemic Responsiveness Through a Sex and Gender Lens Part 2
seX & whY
Show Notes for Episode Twenty-Five of seX & whY, Part 2: Global Health and Pandemic Responsiveness Through a Sex and Gender Lens Host: Jeannette Wolfe Guests: McKinzie Gales and Emelie Yonally Phillips – Global Health Fellow at the CDC and co-lead for Phase I of the multi-agency SAGER IOA project aimed at facilitating better collection, analysis, and use of sex-disaggregated data and gendered data for outbreak response. – Global Health consultant (Epicentre/MSF) and core member of the Integrated Outbreak Analytics initiative ...
info_outline
Global Health and Pandemic Responsiveness Through a Sex and Gender Lens Part 1
seX & whY
Show Notes for Episode Twenty-Five of seX & whY: Global Health and Pandemic Responsiveness Through a Sex and Gender Lens Host: Jeannette Wolfe Guests: – Fellow at the CDC and co-lead for Phase I of the multi-agency SAGER IOA project aimed at facilities' better collection, analysis, and use of sex-disaggregated data and gendered data for outbreak response. – Global Health consultant and core member of the Integrated Outbreak Analytics initiative Definitions IOA - Integrated Outbreak Analytics SAGER - Sex and Gender Equity in Research The Integrated Outbreak...
info_outline
Sex and Gender Differences in Conflict - Part 2
seX & whY
Show Notes for Episode Twenty-Four of seX & whY: Sex and Gender Differences in Conflict, Part 2 Host: Jeannette Wolfe Guest: Joyce Benenson, lecturer of evolutionary biology at Harvard and author of the book In this podcast we continue our discussion about women interacting with each other at the workplace and how women often manage hierarchy differently than men. We got into a spirited discussion about a question posted on a female physician’s list serve querying whether women physicians want to be addressed as “Doctor” by other staff members. (My own preference was “yes” in...
info_outline
Sex and Gender Differences in Conflict - Part 1
seX & whY
Show Notes for Episode Twenty-Four of seX & whY: Sex and Gender Differences in Conflict, Part 1 Host: Jeannette Wolfe Guest: Joyce Benenson, lecturer of evolutionary biology at Harvard and author of the book Warriors and Worriers Here is a link to Dr Benenson’s book . This book dives deep into the evolutionary roots of human behavior and Dr Benenson makes a very clear and well referenced case that human males and females have evolved from slightly different playbooks. The root of this difference is sexual selection in that adaptions and behaviors that optimize the chance...
info_outline
Issues Surrounding Men’s Health - Part 2
seX & whY
Show Notes for Episode Twenty-Three of seX & whY: Issues Surrounding Men’s Health, Part 2 Host: Jeannette Wolfe Guests: Peter Baker – Twitter: Dominick Shattuck has a PhD in psychology and does Global Health Work at Johns Hopkins Bloomberg School of Public Health Main topics discussed: Challenges and barriers associated with optimizing men’s mental health and the role of men in reproductive health-related issues. Men’s mental health is important not just for men but for the health of communities....
info_outline
Issues Surrounding Men’s Health - Part 1
seX & whY
Show Notes for Episode Twenty-Three of seX & whY: Issues Surrounding Men’s Health, Part 1 Host: Jeannette Wolfe Guests: Peter Baker – Twitter: Dominick Shattuck has a PhD in psychology and does Global Health Work at Johns Hopkins Bloomberg School of Public Health Here is a of Peter Baker’s publications including Here is a of Dominick Shattuck’s publications Take home points Somewhat ironically even though most major health related organizations are dominated by men in...
info_outline
Sex, Drugs, and Rats
seX & whY
Show Notes for Episode Twenty-Two of seX & whY: Sex, Drugs, and Rats Host: Jeannette Wolfe Guest: Dr Irv Zucker, Faculty at UC Berkley since 1966. Interests include behavioral endocrinology, chronobiology, and sex differences in pharmacology General discussion Many times, the worlds of basic science and human clinical trials do not overlap to the degree that they should. Greater coordination between the two silos, especially as it comes to the examination of sex differences, would likely produce more robust, higher quality science that would benefit a greater number of...
info_outline
Sex and Gender Differences in Opioid Use Disorder
seX & whY
Show Notes for Episode Twenty-One of seX & whY: Opioid Use Disorder Host: Jeannette Wolfe Guests: Dr Alyson McGregor, author of Sex Matters: How Male-Centric Medicine Endangers Women's Health and What We Can Do About It Dr Lauren Walter Here is link to American Psychiatric Association DSM 5 diagnosis for opioid use disorder from the . Essentially the disorder is defined by continued craving and use of opioids despite significant social and professional consequences caused by its use. This podcast is on sex and gender differences in opioid use disorder. Although sex (s) and gender (g) are...
info_outline
Interview With Dr Shirin Heidari Part 2: Gendro - Advancing Sex and Gender Equity in Science Research
seX & whY
Show Notes for Episode Twenty of seX & whY: Interview With Dr Shirin Heidari Part 2: Gendro - Advancing Sex and Gender Equity in Science Research Host: Jeannette Wolfe Guest: Shirin Heidari PhD, virologist and experimental oncologist, founding President of Gendro. Part 2 of Interview with Dr Shirin Heidari This podcast focuses on Dr Heidari’s work on systematically integrating the variables of sex and gender into different access points along the research pipeline. She helped start an organization called which is dedicated to this mission. The three major gatekeeping posts...
info_outlineShow Notes for Episode Seventeen of seX & whY: Impact of Gendered Masculinity in Health Engagement and Decision-making
Host: Jeannette Wolfe
Guests:
Dr Fahad Saeed, Nephrologist and Palliative Care Specialist from the University of Rochester
Dr Lauren J. Parker, PhD, Dual PhD in Gerontology and Health Promotion, scientist at the Johns Hopkins Bloomberg School of Public Health
The topic today discussed how masculinity and race can impact access to health and health related decisions.
Take home points
- Overall, men have a shorter life expectancy than women and this is likely influenced by both biologically and sociocultural based factors associated with an individual’s gender identity
- Race based stressors amplify these sociocultural mortality differences
- Men are less likely to access preventative health care services and some of this is likely related to biological sex differences and behavioral patterns that begin in early adulthood as females are more likely to interact with health systems due to pregnancy and child related issues.
- Sociocultural “masculinity norms” may discourage health engagement due to an individual’s desire to be perceived as tough and independent.
- Ways to better engage men with their health (with an emphasis on men of color)
Increase public messaging to normalize the need for men’s preventative health
Increase diversity amongst medical providers
Reach men where they are like sporting events, barber shops and churches
Acknowledge and appreciate the unique roles and challenges that many men face
Target and adjust messaging to engage men at different life points
- Men can get caught in a warrior-like mentality which may impact their end-of-life choices. In cancer patients this may make them less receptive to palliative care due to a concern that it may suggest that they are “giving up”.
Palliative care is a specialty that helps patients, and their families cope with a life shortening illness and to optimize their quality of life. Patients in palliative care can still receive aggressive disease modifying therapy like chemotherapy with the except of patients receiving “hospice care”. Hospice care, although still under the palliative care umbrella, has slightly different rules. Under hospice, it is recognized that a patient is likely in their last 6 months of life and that they would no longer benefit from aggressive treatments, all care is redirected to optimize comfort.
Dr Saeed’s tips surrounding palliative care engagement in men with advanced cancer
- Normalize messaging such that palliative care is considered a natural part of cancer treatment
- Appreciate impact of non-verbal language- be authentic in conversation
- Recognize that most conversations have a logical and emotional component and appreciate that both need to be addressed
- Take time to know the patient’s story, this humanizes the interaction and increases empathy
- Remember goal is to figure out their preferences and then honor them
- Sometimes shifting focus from fighting terminal cancer to fighting for comfort and to ease families suffering can make patients more amenable to palliative care services
Links
- Dr Lauren Parker’s paper that examines ways to more effectively engage men in their health.
- List of her other publications-
TEDX Rochester talk by Dr Saeed
- Links to Dr Saeed’s publications
- His specific research that we discussed
- 2012 paper that Dr Saeed referenced by Susan Wong