Understanding gender inequity in brain health outcomes: missed stroke as a case study for intersectionality

被引:2
作者
Berkhout, Suze G. [1 ,2 ]
Hashmi, Syeda [2 ]
Pikula, Aleksandra [1 ,3 ,4 ]
机构
[1] Univ Hlth Network, Toronto, ON, Canada
[2] Univ Toronto, Dept Psychiat, Toronto, ON, Canada
[3] Jay & Sari Sonshine Ctr Stroke Prevent & Cerebrova, Toronto, ON, Canada
[4] Univ Toronto, Div Neurol, Toronto, ON, Canada
来源
FRONTIERS IN GLOBAL WOMENS HEALTH | 2024年 / 5卷
基金
加拿大健康研究院;
关键词
stroke; gender; intersectionality; misdiagnosis; brain health gap; implicit bias; CARE; DISPARITIES; EPIDEMIOLOGY; WOMEN; RACE;
D O I
10.3389/fgwh.2024.1350294
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Recent attention into sex and gender-based inequities surrounding outcomes for brain health disorders has generated momentum toward addressing what has been called the "brain health gap." Importantly though, "women" are not uniform demographic group. In this perspective piece, we discuss misdiagnosis in stroke as an aspect of access and quality of care within brain health. Drawing on narrative data from a mixed methods study of young stroke survivors we suggest that while missed stroke isn't only an issue of gender, if we are going to understand gender-based gaps in access and navigation through stroke care, we have to understand how intersections of gender with age, ethnoracial identity, nationality, language, (dis)ability, and other aspects of social identity come together to create affordances as well as biases that contribute to stroke outcomes.
引用
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页数:6
相关论文
共 37 条
[1]   Increasing the Awareness of Stroke Among Canadian Women [J].
Alimi, Ibraheem O. ;
Archibald, Arielle ;
Nwankwo, Odera ;
Palanichami, Deepak ;
Oladimeji, Tolulope ;
Keku, Emmanuel .
CUREUS JOURNAL OF MEDICAL SCIENCE, 2022, 14 (03)
[2]   White Feminist Gaslighting [J].
Berenstain, Nora .
HYPATIA-A JOURNAL OF FEMINIST PHILOSOPHY, 2020, 35 (04) :733-758
[3]   Identity, politics, and the pandemic: Why is COVID-19 a disaster for feminism(s)? [J].
Berkhout, Suze G. ;
Richardson, Lisa .
HISTORY AND PHILOSOPHY OF THE LIFE SCIENCES, 2020, 42 (04)
[4]   Implicit bias in stroke care: A recurring old problem in the rising incidence of young stroke [J].
Bhat, Aditya ;
Mahajan, Vipul ;
Wolfe, Nigel .
JOURNAL OF CLINICAL NEUROSCIENCE, 2021, 85 :27-35
[5]   Differences in Diagnostic Evaluation in Women and Men After Acute Ischemic Stroke [J].
Bruce, Samuel S. ;
Merkler, Alexander E. ;
Bassi, Meenakshi ;
Chen, Monica L. ;
Omran, Setareh Salehi ;
Navi, Babak B. ;
Kamel, Hooman .
JOURNAL OF THE AMERICAN HEART ASSOCIATION, 2020, 9 (05)
[6]   Epistemic injustice in healthcare: a philosophial analysis [J].
Carel, Havi ;
Kidd, Ian James .
MEDICINE HEALTH CARE AND PHILOSOPHY, 2014, 17 (04) :529-540
[7]   Toward a Field of Intersectionality Studies: Theory, Applications, and Praxis [J].
Cho, Sumi ;
Crenshaw, Kimberle Williams ;
McCall, Leslie .
SIGNS, 2013, 38 (04) :785-810
[8]   Stroke in women - from evidence to inequalities [J].
Cordonnier, Charlotte ;
Sprigg, Nikola ;
Sandset, Else Charlotte ;
Pavlovic, Aleksandra ;
Sunnerhagen, Katharina S. ;
Caso, Valeria ;
Christensen, Hanne .
NATURE REVIEWS NEUROLOGY, 2017, 13 (09) :521-532
[9]  
CRENSHAW K, 1993, STANFORD LAW REVIEW VOL 43, NO 6, JULY 1991, P1241
[10]  
Crenshaw K., 1989, University of Chicago Legal Forum, V1, P139