Gender is a health determinant, but gender itself is influenced, in part, by biological and psychological variables. Understanding gender's influence on health therefore requires an understanding of the determinants of the construct gender. A review of certain gender determinants is presented. The authors consider the modifiability of these determinants and present recommendations about which of these determinants should be targeted for health promotion and policy creation activities. In concluding, they argue that gender is a multidetermined construct that encompasses many factors that may be modifiable through intervention, and consideration of all of these factors should be vigorously pursued.
Keywords: gender; theory; determinants; policy; reviewGender is a multifaceted construct. It is composed of social roles, behaviors, values, attitudes, and social environmental factors, as well as biological, physical, and hormonal attributes, yet the terms gender and sex are often used interchangeably, as though psychosocial and biological attributes inevitably covary. This conflation of terms has led to debates among scientists about how to operationalize these constructs (Deaux,