Luz María Moreno Tetlacuilo Coordinadora Programa de Estudios de Género y Salud Facultad de Medicina, UNAM

From your perspective, what are three key recommendations regarding the social determinants of health that you would like to suggest for the Regional Position Paper?

Although WHO has recognized gender as a social determinant of health, it is not as visible as it should be, according to its importance, in scientific papers or some of the WHO reports, it is scarcely mention or not mention at all sometimes.

Probably because it is not long ago that Not long ago gender has been recognized by the WHO as a social determinant of health. However even it is an important issue for men and women’s health, it is not well known among health professionals, including physicians. Gender as a social determinant of health is scarcely discuss in medical scientific papers even in WHO reports.

So, it is necessary to review it in the . I suggest taking into consideration the follow issues 1.Gender as condition to:
1)exposed men and women to different risk factors for their health;
2) to develop differential risky attitudes and behaviors for women’s and men’s health, i.e., some women are reluctant to cervical uterine cancer prevention (pap test)because of gender sexual norms and values. 2.Gender inequities and inequalities constitute negative condition for women’s health, i.e. lack of economical and psychological autonomy constitutes an obstacle to access health services; it doesn´t allow poor and dependent women to take proper care of their own and their children health if their husband doesn´t provide economical resources for that.

3.Traditional masculinity encourages risk attitudes and behaviors for health, i.e., alcoholism as risk factor for traffic accidents, liver cirrhosis, injuries; courage as a social values that expose men to injuries and homicides, traffic accidents as well, these are main causes of dead in Mexico .

4.Health services most take into account gender inequities and inequalities, as well as gender roles and sexual labor division for health promotion and health education. Health services most address children’s health care as a responsibility of mother and father.

ATENTAMENTE. Luz María Moreno Tetlacuilo Coordinadora Programa de Estudios de Género y Salud Facultad de Medicina, UNAM. Dpto. Salud Publica Email: luztetla@hotmail.com

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