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Sex roles as variables in preventive health behavior

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Abstract

Preventive health behavior is broadly defined to encompass a spectrum of actions that range from voluntary exposure to the risk of disease, injury, or death to active efforts at prevention or detection of disease. Data are presented to show that men, in our culture engage in more risk-taking behavior and take preventive measures less frequently than women, while women avoid risks and take preventive action, particularly when this action requires medical intervention. The literature reviewed supports the hypothesis that these differences in behavior arise out of the socialization and adult role patterns that our society defines as appropriate for each sex. Women, in particular, are encouraged to define their problems in medical terms and to seek help for them within the medical care system.

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References

  1. Kasl SV, Cobb S: Health behavior, illness behavior and sick-role behavior.Arch Environ Health 2 534–541, 1966.

    Google Scholar 

  2. Burstyn JN: Education and sex: The medical case against higher education for women in England, 1890–1900.Proceedings of the American Philosophical Society 117 79–89, 1973.

    Google Scholar 

  3. Smith-Rosenberg C, Rosenberg C: The female animal: Medical and biological views of woman and her role in nineteenth century America.J Am Hist 60 332–356, 1973.

    Google Scholar 

  4. Wood A: The fashionable diseases: Women's complaints and their treatment in nineteenth century America.J Interdisciplinary Hist 4 25–52, 1973.

    Google Scholar 

  5. Marieskind H: The women's health movement.Int J Health Serv 5 217–223, 1975.

    Google Scholar 

  6. Weaver JL: Government response to cosmetic and contraceptive health risks.Women and Health 1 5–11, 1976.

    Google Scholar 

  7. National Clearinghouse for Smoking and Health: The health consequences of smoking. In EF Borgatta, RR Evans (eds):Smoking, Health, and Behavior. Chicago, Aldine, 1968. Pp 52–80.

    Google Scholar 

  8. Preston SH: An international comparison of excessive adult mortality.Population Studies 24 5–20, 1970.

    Google Scholar 

  9. Belloc NB: Relationship of health practices and mortality.Prev Med 2 67–81, 1973.

    Google Scholar 

  10. Gentleman JF, Forbes WF: Cancer mortality for males and females and its relation to cigarette smoking.J Gerontol 29 518–533, 1974.

    Google Scholar 

  11. Retherford RD: The changing sex differential in mortality. InStudies in Population and Urban Demography No. 1. Westport, Greenwood Press, 1975. Pp 101–105.

    Google Scholar 

  12. McCarroll JR, Haddon W: A controlled study of fatal automobile accidents in New York City. In W Haddon Jr, EA Suchman, D Klein (eds):Accident Research: Methods and Approaches. New York, Harper and Row, 1964. Pp 172–184.

    Google Scholar 

  13. National Institute on Alcohol Abuse and Alcoholism:Second Special Report to the United States Congress on Alcohol and Health. Government Printing Office, 1971.

  14. Brecher EM and the editors of Consumers Union:Licit and Illicit Drugs. Mount Vernon, Consumers Union, 1972.

    Google Scholar 

  15. Ray OS:Drugs, Society, and Human Behavior. St. Louis, C.V. Mosby, 1972.

    Google Scholar 

  16. Balter MB: Drug abuse: A conceptual analysis and overview of the current situation. In E Josephson, EE Carroll (eds):Drug Use: Epidemiological and Sociological Approaches. New York, Wiley, 1974, Pp 3–21.

    Google Scholar 

  17. Weber K: Men and women drivers: A study of exposure, accidents, and injuries.Proceedings of the 19th Conference of the American Association of Automotive Medicine, Montgrove, Ill, 1975. Pp 350–364.

  18. Waller JA: Issues concerning measurement of the population at risk in crashes. Highway Safety Literature No 76-03. Government Printing Office, 1976. Pp A1–A7.

  19. National Institute on Drug Abuse:Fifth Annual Report to the United States Congress on Marijuana and Health. Government Printing Office, 1975.

  20. Moriyama IM, Kruger DE, Stamler J:Cardiovascular Diseases in the United States. Cambridge, Harvard University Press, 1971.

    Google Scholar 

  21. Lilienfeld AM, Levin ML, Kessler II:Cancer in the United States. Cambridge, Harvard University Press, 1973.

    Google Scholar 

  22. Iskrant AP, Joliet PV:Accidents and Homicide. Cambridge, Harvard University Press, 1968.

    Google Scholar 

  23. Rubin E, Lieber CS: Relation of alcoholic liver injury to cirrhosis.Clin Gastroenterol 4 247–272, 1975.

    Google Scholar 

  24. Room R: Cultural contingencies of alcoholism: Variations between and within nineteenth-century urban ethnic groups in alcohol-related death rates.J Health Soc Behav 9 99–113, 1968.

    Google Scholar 

  25. Kennedy RE:The Irish: Emigration, Marriage, and Fertility. Berkeley, University of California Press, 1973. Pp 51–65.

    Google Scholar 

  26. House JS: Occupational stress and coronary heart disease: A review and theoretical integration.J Health Soc Behav 15 12–27, 1974.

    Google Scholar 

  27. Fuchs VR:Who Shall Live? Health, Economics, and Social Choice. New York, Basic Books, 1975.

    Google Scholar 

  28. Johansson SR: Age-specific mortality patterns of Victorian women. Presented at the annual meeting of the Population Association of America, Montreal, Canada, 1976.

  29. Preston SH:Mortality Patterns in National Populations. New York, Academic Press, 1976. Pp 120–162.

    Google Scholar 

  30. Schwartz JL, Dubitzky M:Psychosocial Factors Involved in Cigarette Smoking and Cessation. Berkeley, Smoking Control Research Project, 1968.

    Google Scholar 

  31. National Center for Health Statistics: Changes in cigarette smoking habits between 1955 and 1966.Vital Health Stat, Series 10, No 9, 1970.

  32. Borgatta EF, Evans RR: Social and psychological concomitants of smoking behavior and its change among university freshmen. In EF Borgatta, RR Evans (eds):Smoking, Health and Behavior. Chicago, Aldine, 1968. Pp 206–219.

    Google Scholar 

  33. Bosse R, Rose CL: Smoking cessation and sex role convergence.J Health Soc Behav 17 53–61, 1976.

    Google Scholar 

  34. Center for Disease Control: Cigarette smoking in the United States—1975.Morbidity and Mortality Weekly Report 25 237–238, 1976.

    Google Scholar 

  35. Richman A: Is the onset of narcotic addiction among treated patients in the United States really declining? In E Josephson, EE Carroll (eds):Drug Use: Epidemiological and Sociological Approaches. New York, Wiley, 1974. Pp 83–88.

    Google Scholar 

  36. Suffet F, Brotman R: Female drug use: Some observations. TheInt J Addict 11 19–33, 1976.

    Google Scholar 

  37. Jarvis G, et al.: Sex and age patterns in self-injury.J Health Soc Behav 17 145–154, 1976.

    Google Scholar 

  38. Young GS, Baker SP: Recent trends in childhood burn deaths. Presented at the annual meeting of the American Public Health Association, Miami, 1976.

  39. Mellinger GS, Manheimer DI: An exposure-coping model of accident liability among children.J Health Soc Behav 8 96–106, 1967.

    Google Scholar 

  40. Suchman EA: Accidents and social deviance.J Health Soc Behav 11 4–15, 1970.

    Google Scholar 

  41. Williams AF: Personality and other characteristics associated with cigarette smoking among young teenagers.J Health Soc Behav 14 374–380, 1973.

    Google Scholar 

  42. Tyroler HA, Johnson AL, Fulton JT: Patterns of preventive health behavior in populations.J Health Hum Behav 6 128–140, 1965.

    Google Scholar 

  43. Lambert C Jr, Freeman HE:The Clinic Habit. New Haven, College and University Press, 1967.

    Google Scholar 

  44. Pratt L: Child rearing methods and children's health behavior.J Health Soc Behav 14 61–69, 1973.

    Google Scholar 

  45. Pratt L:Family Structure and Effective Health Behavior. Boston, Houghton Mifflin, 1976.

    Google Scholar 

  46. Clausen JA, Siedenfeld MA, Deasy L: Parent attitudes toward participation of their children in polio vaccine trials.Am J Public Health 44 1526–1536, 1954.

    Google Scholar 

  47. Green LW: Status identity and preventive health behavior.Pacific Health Education Reports 1. University of California, 1970.

  48. Becker MB (ed):The Health Belief Model and Personal Health Behavior. Thorofare, Charles B. Slack, 1974.

    Google Scholar 

  49. Maccoby EM, Jacklin CN:The Psychology of Sex Differences. Stanford, Stanford University Press, 1974.

    Google Scholar 

  50. Phillips DL: Rejection of the mentally ill: the influence of behavior and sex.Am Sociol Rev 29 679–687, 1964.

    Google Scholar 

  51. Broverman IK, et al: Sex role stereotypes and clinical judgments of mental health.J Consult Clin Psychol 34 1–7, 1970.

    Google Scholar 

  52. Brodman K, et al: The Cornell Medical Index questionnaire: VI. The relation of patients' complaints to age, sex, race, and education.J Gerontol 8 339–342, 1953.

    Google Scholar 

  53. Nathanson CA: Illness and the feminine role: a theoretical review.Soc Sci Med 9 57–62, 1975.

    Google Scholar 

  54. Nathanson CA: Sex, illness, and medical care: a review of data, theory and method.Soc Sci Med (to be published).

  55. Knupfer G, Clark W, Room R: The mental health of the unmarried.Am J Psychiatry 122 841–851, 1966.

    Google Scholar 

  56. Warheit GJ, Holzer CE III, Arey SA: An analysis of social class and racial differences in depressive symptomology: A community study.J Health Soc Behav 14 291–299, 1973.

    Google Scholar 

  57. Hetherington RW, Hopkins CE: Symptom sensitivity: Its social and cultural correlates.Health Serv Res 4 63–75, 1969.

    Google Scholar 

  58. Anderson JG, Bartkus DE: Choice of medical care: A behavioral model of health and illness behavior.J Health Soc Behav 14 348–362, 1973.

    Google Scholar 

  59. Kirscht JP, et al: A national study of health beliefs.J Health Hum Behav 7 248–254, 1966.

    Google Scholar 

  60. Barry H III, Bacon MK, Child IL: A cross-cultural survey of some sex differences in socialization.J Abnorm Soc Psychol 55 327–332, 1957.

    Google Scholar 

  61. Sears RR, Maccoby EE, Levin H:Patterns of Child Rearing. Evanston, Row, Peterson, 1957.

    Google Scholar 

  62. Feinblatt JA, Gold AR: Sex roles and the psychiatric referral process.Sex Roles 2 109–122, 1976.

    Google Scholar 

  63. Salber EJ, Freeman HE, Abelin T: Needed research on smoking: Lessons from the Newton study. In EF Borgatta, RR Evans (eds):Smoking, Health, and Behavior. Chicago, Aldine, 1968. Pp 128–139.

    Google Scholar 

  64. Campbell JD: Attribution of illness: Another double standard.J Health Soc Behav 16 114–125, 1975.

    Google Scholar 

  65. Schuman SH, Polkowski J: Drug and risk perceptions of ninth grade students: Sex differences and similarities.Community Ment Health J 11 184–194, 1975.

    Google Scholar 

  66. Peterson ET: The impact of adolescent illness on parental relationships.J Health Soc Behav 13 429–437, 1972.

    Google Scholar 

  67. Sigerist HE: Developments and trends in gynecology. In Felix Marti-Ibañez (ed.):On the History of Medicine. New York, MD Publications, 1960. Pp 714–722.

    Google Scholar 

  68. Cooperstock R: Sex differences in psychotropic drug use. Presented at a symposium on sex, Culture, and Illness, Montreal. Canada, 1976.

  69. Shuval JT, et al:Social Functions of Medical Practice. San Francisco, Jossey-Bass, 1970.

    Google Scholar 

  70. White KL, et al: Ecologic results. In D Rabin (ed):International Comparisons of Medical Care. Milbank Mem Fund Q 50 31–44, P 2, 1972.

    Google Scholar 

  71. Nyman K, Kalimo E: National sickness insurance and the use of physicians' services in Finland.Soc Sci Med 7 541–553, 1973.

    Google Scholar 

  72. Suchman EA: Social patterns of illness and medical care.J Health Hum Behav 6 2–16, 1965.

    Google Scholar 

  73. Feldman JJ:The Dissemination of Health Information. Chicago, Aldine, 1966.

    Google Scholar 

  74. Reeder LG, Berkanovic E: Sociological concomitants of health orientations: A partial replication of Suchman.J Health Soc Behav 14 134–143, 1973.

    Google Scholar 

  75. Warren RB: The work role and problem coping: Sex differentials in the use of helping systems in urban communities. Presented at the annual meeting of the American Sociological Association, San Francisco, 1975.

  76. Mechanic D: Sex, illness, illness behavior, and the use of health services.J Hum Stress 2 29–40, 1976.

    Google Scholar 

  77. Friedman M, Rosenman RH:Type A Behavior and Your Heart. New York, Alfred Knopf, 1974.

    Google Scholar 

  78. Calahan D, Cisin IH, Crossley HM:American Drinking Patterns: A National Study of Drinking Behavior and Attitudes. New Brunswick, Rutgers Center of Alcohol Studies, 1969.

    Google Scholar 

  79. Chambers CD: Some epidemiological considerations of onset of opiate use in the United States. In E Josephson, EE Carroll (eds):Drug Use: Epidemiological and Sociological Approaches. New York, Wiley, 1974. Pp 65–82.

    Google Scholar 

  80. Chambers CD:An Assessment of Drug Use in the General Population, Special Report No. 1, Drug Use in New York State. New York State Narcotic Addiction Control Commission, 1971.

  81. Josephson E: Trends in adolescent marijuana use. In E Josephson, EE Carroll (eds):Drug Use, Epidemiological and Sociological Approaches. New York, Wiley, 1974. Pp 177–205.

    Google Scholar 

  82. Mellinger GD, et al: An overview of psychotherapeutic drug use in the United States. In E Josephson, EE Carroll (eds):Drug Use: Epidemiological and Sociological Approaches. New York, Wiley, 1974. Pp 333–366.

    Google Scholar 

  83. Gish RE: Characteristics of licensed drivers.Report No. 6, Nationwide Personal Transportation Survey. Washington, DC, Federal Highway Administration, 1973.

    Google Scholar 

  84. Andersen R, Anderson OW:A Decade of Health Services. Chicago, University of Chicago Press, 1967.

    Google Scholar 

  85. Avnet HH:Physician Service Patterns and Illness Rates. New York, Group Health Insurance, Inc. 1967.

    Google Scholar 

  86. National Center for Health Statistics: The national ambulatory medical care survey: 1973 Summary, United States, May 1973–April 1974.Vital Health Stat, Series 10, No 100, 1975.

  87. Public Health Service:Dental Care in a Group Purchase Plan. PHS Publication No 684. Government Printing Office, 1959.

  88. National Center for Health Statistics: Current estimates from the health interview survey, United States, 1974.Vital Health Stat, Series 10, No 100, 1975.

  89. Public Health Service:Population Characteristics and Participation in the Poliomyelitis Vaccination Program. PHS Publication No 723. Government Printing Office, 1969.

  90. National Center for Health Statistics: Current estimates from the health interview survey, United States, 1973.Vital Health Stat, Series 10, No 95, 1974.

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Authors
  1. Constance A. Nathanson Ph.D.
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Dr. Nathanson is Associate Professor in the Department of Population Dynamics, The Johns Hopkins University School of Hygiene and Public Health, 615 North Wolfe Street, Baltimore, Maryland 21205.

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Nathanson, C.A. Sex roles as variables in preventive health behavior. J Community Health 3, 142–155 (1977). https://doi.org/10.1007/BF01674236

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