Sex Differences and Gender Diversity in Stress Responses and Allostatic Load Among Workers and LGBT People

Juster, Robert‐Paul; Torre, Margot Barbosa de; Kerr, Philippe; Kheloui, Sarah; Rossi, Mathias; Bourdon, Olivier

doi:10.1007/s11920-019-1104-2

Cited by 61 publications

(29 citation statements)

References 70 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…We were therefore only able to compare results between males and females and were unable to determine the impacts of various gender identities on these outcomes or their intersection with other social determinants. Other studies have shown that people who do not identify as cis-men or cis-women often experience greater discrimination, higher psychosocial stress, poorer health outcomes and poor access to care than cis-gender men and women [ 23 – 26 ]. We suggest that surveys incorporate this distinction in the future to get a true picture of how gender identity may intersect with other social determinants to influence health.…”

Section: Discussionmentioning

confidence: 99%

Determinants of perceived health and unmet healthcare needs in universal healthcare systems with high gender equality

et al. 2021

View full text Add to dashboard Cite

Background Patient attitudes about health and healthcare have emerged as important outcomes to assess in clinical studies. Gender is increasingly recognized as an intersectional social construct that may influence health. Our objective was to determine potential sex differences in self-reported overall health and access to healthcare and whether those differences are influenced by individual social factors in two relatively similar countries. Methods Two public health surveys from countries with high gender equality (measured by UN GII) and universal healthcare systems, Canada (CCHS2014, n = 57,041) and Austria (AT-HIS2014, n = 15,212), were analysed. Perceived health was assessed on a scale of 1 (very bad) to 4 (very good) and perceived unmet healthcare needs was reported as a dichotomous variable (yes/no). Interactions between sex and social determinants (i.e. employment, education level, immigration and marital status) on outcomes were analysed. Results Individuals in both countries reported high perceived health (Scoring > 2, 85.0% in Canada, 79.9% in Austria) and a low percentage reported unmet healthcare needs (4.6% in Canada, 10.7% in Austria). In both countries, sex and several social factors were associated with high perceived health, and a sex-by-marital status interaction was observed, with a greater negative impact of divorce for men. Female sex was positively associated with unmet care needs in both countries, and sex-by-social factors interactions were only detected in Canada. Conclusions The intersection of sex and social factors in influencing patient-relevant outcomes varies even among countries with similar healthcare and high gender equality.

show abstract

Section: Discussionmentioning

confidence: 99%

Determinants of perceived health and unmet healthcare needs in universal healthcare systems with high gender equality

et al. 2021

View full text Add to dashboard Cite

show abstract

“…The binary categorization of bodies is produced and maintained in part through a process of constructing “biological normalcy”, which also, therefore, constructs “abnormalcy” (Wiley & Cullin, 2020). These constructions of “normalcy” of heteronormative sexed and gendered body and behavioral norms are socially enforced and constitute the bedrock producing much of the stigma and discrimination with which SGM people contend (Johnson, Greaves, & Repta, 2007; Juster, de Torre, et al, 2019; Juster, Doyle, et al, 2019).…”

Section: Biocultural Vulnerabilities During Covid‐19mentioning

confidence: 99%

“…These include mediators of stress (eg, cortisol), metabolism (eg, insulin production and glucose uptake), inflammation and immune response (eg, c‐reactive protein, Immunoglobulin A levels), and even cellular aging (eg, telomere attrition). Recently, pioneering biomarker work with some SGM populations suggests that inflammation levels (DuBois, 2012), day‐to‐day cortisol variation (DuBois, Powers, Everett, & Juster, 2017; Juster, Smith, Ouellet, Sindi, & Lupien, 2013), cortisol reactivity (Juster et al, 2015), cardiovascular functioning (DuBois, 2012; Juster, de Torre, et al, 2019; Juster, Doyle, et al, 2019), and allostatic load (Juster et al, 2013; Juster, Ouellet, et al, 2016; Juster, Seeman, et al, 2016; Mays, Juster, Williamson, Seeman, & Cochran, 2018) differ relative to heterosexual cisgender people as well as among LGBT2SQIA+ sub‐groups. Such findings illustrate the precarity inherent in the biocultural interplay between resource exclusion and physiological processes.…”

Section: Biocultural Vulnerabilities During Covid‐19mentioning

confidence: 99%

Sexual and gender minority health vulnerabilities during the COVID‐19 health crisis

Gibb

DuBois

Williams

et al. 2020

American J Hum Biol

107

100

View full text Add to dashboard Cite

Coronavirus 19 (COVID-19), the infectious disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), is both transforming and ending lives. In only 7 months (December 2019-July 2020), at least 11 million people have contracted the virus and over 500 000 have died (WHO, 2020). Though its impact is wide, COVID-19's illness and death tolls are felt most acutely by communities experiencing multiple and inter

show abstract

“…An additional limitation in this literature includes a lack of focus on gender. While stress response is a biological phenomenon, it can be differentially influenced by societal factors such as gender identity (e.g., Motta-Mena and Puts, 2017;Juster et al, 2019;Passarelli et al, 2021) and gender discrimination (e.g., Huynh et al, 2016;Volpe et al, 2020). However, the above reviewed studies suggest its importance.…”

Section: Sex Differences In the Relationships Between Cannabis Use And Stressmentioning

confidence: 99%

Impact of Acute and Chronic Cannabis Use on Stress Response Regulation: Challenging the Belief That Cannabis Is an Effective Method for Coping

Al’Absi

Allen

2021

Front. Psychol.

View full text Add to dashboard Cite

Although research has only recently started to examine the impact of cannabis use on stress response, there is some evidence that indicates acute and chronic impacts of cannabis on these processes. In this paper, we review processes involved in regulating the stress response and we review the influence of acute and chronic exposure to cannabis on patterns and regulation of the stress response. We also highlight the role of stress as a risk factor for initiation and maintenance of cannabis use. In this context, we examine moderating variables, including sex and life adversity. In light of recent observations indicating increasing prevalence of cannabis use during pregnancy, we provide additional focus on cannabis use in this vulnerable population, including how acute and chronic stress may predispose some individuals to use cannabis during pregnancy. While this line of research is in its infancy, we review available articles that focus on the perinatal period and that examined the association between cannabis use and various life stressors, including partner violence, job loss, and lack of housing. We also review psychiatric co-morbidities (e.g., post-traumatic stress disorder, anxiety). A better understanding of the way stress and cannabis use relate within the general population, as well as within certain subgroups that may be at a greater risk of using and/or at greater risk for adverse outcomes of use, may lead to the development of novel prevention and intervention approaches.

show abstract

Sex Differences and Gender Diversity in Stress Responses and Allostatic Load Among Workers and LGBT People

Cited by 61 publications

References 70 publications

Determinants of perceived health and unmet healthcare needs in universal healthcare systems with high gender equality

Determinants of perceived health and unmet healthcare needs in universal healthcare systems with high gender equality

Sexual and gender minority health vulnerabilities during the COVID‐19 health crisis

Impact of Acute and Chronic Cannabis Use on Stress Response Regulation: Challenging the Belief That Cannabis Is an Effective Method for Coping

Contact Info

Product

Resources

About