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Sex and gender: modifiers of health, disease, and medicine

by Regitz-Zagrosek, Vera , Lonardo, Amedeo , Bairey Merz, Noel , Maki, Pauline M , Regensteiner, Judith G , De Vries, Geert J , DeMeo, Dawn L , Govindan, Ramaswamy , Mauvais-Jarvis, Franck , Barnes, Peter J , Carrero, Juan-Jesus , Klein, Sabra L , Rubin, Joshua B , Brinton, Roberta D , Epperson, C Neill , Sandberg, Kathryn , Suzuki, Ayako , McCullough, Louise D

in Acute Disease - epidemiology / Behavior / Betacoronavirus / Biology / Cause of Death / Chronic Disease - epidemiology / Chronic illnesses / Clinical trials / Community participation / Coronavirus Infections - epidemiology / COVID-19 / Diagnostic systems / Disease prevention / Epidemiology / Epigenetics / Female / Gender / Gender differences / Gender identity / Gene expression / Health care / Health services / Health Status / Humans / Male / Medical research / Medical treatment / Men / Morbidity / Pandemics / Pathophysiology / Physiology / Pneumonia, Viral - epidemiology / Precision medicine / Precision Medicine - standards / Puberty / Review / SARS-CoV-2 / Sex / Sex Characteristics / Sex Distribution / Sex Factors / Testosterone / Transgender persons / Womens health / X chromosomes / Y chromosomes

2020

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2020

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2020

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Journal Article

Sex and gender: modifiers of health, disease, and medicine

Regitz-Zagrosek, Vera,

Lonardo, Amedeo,

Bairey Merz, Noel,

Maki, Pauline M,

Regensteiner, Judith G,

De Vries, Geert J,

DeMeo, Dawn L,

Govindan, Ramaswamy,

Mauvais-Jarvis, Franck,

Barnes, Peter J,

Carrero, Juan-Jesus,

Klein, Sabra L,

Rubin, Joshua B,

Brinton, Roberta D,

Epperson, C Neill,

Sandberg, Kathryn,

Suzuki, Ayako,

McCullough, Louise D

2020

Overview

Clinicians can encounter sex and gender disparities in diagnostic and therapeutic responses. These disparities are noted in epidemiology, pathophysiology, clinical manifestations, disease progression, and response to treatment. This Review discusses the fundamental influences of sex and gender as modifiers of the major causes of death and morbidity. We articulate how the genetic, epigenetic, and hormonal influences of biological sex influence physiology and disease, and how the social constructs of gender affect the behaviour of the community, clinicians, and patients in the health-care system and interact with pathobiology. We aim to guide clinicians and researchers to consider sex and gender in their approach to diagnosis, prevention, and treatment of diseases as a necessary and fundamental step towards precision medicine, which will benefit men's and women's health.

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Publisher

Elsevier Ltd,Elsevier B.V,Elsevier Limited

Subject

Acute Disease - epidemiology

/ Behavior

/ Betacoronavirus

/ Biology

/ Cause of Death

/ Chronic Disease - epidemiology

/ Chronic illnesses