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This study develops a gender assessment tool for use in clinical and population research, including large-scale health surveys involving diverse Western populations. While analyzing sex as a biological variable is widely mandated, gender as a sociocultural variable is not, largely because the field lacks quantitative tools for analyzing the influence of gender on health outcomes. We conducted a comprehensive review of English-language measures of gender from 1975 to 2015 to identify variables across three domains: gender norms, gender-related traits, and gender relations. This yielded 11 variables tested with 44 items in three US cross-sectional survey populations: two internet-based (N= 2,051; N= 2,135) and a patient-research registry (N= 489), conducted between May 2017 and January 2018. Exploratory and confirmatory factor analyses distilled 11 constructs to 7 gender-related variables: caregiver strain, work strain, independence, risk-taking, emotional intelligence, social support, and discrimination. Regression analyses, adjusted for age, ethnicity, income, education, sex assigned at birth, and self-reported gender identity, identified associations between these gender-related variables and self-rated general health, physical and mental health, and health-risk behaviors. Our new instrument can be used to develop health interventions based on a fuller understanding of gender associations with health.
This study develops a gender assessment tool for use in clinical and population research, including large-scale health surveys involving diverse Western populations. While analyzing sex as a biological variable is widely mandated, gender as a sociocultural variable is not, largely because the field lacks quantitative tools for analyzing the influence of gender on health outcomes. We conducted a comprehensive review of English-language measures of gender from 1975 to 2015 to identify variables across three domains: gender norms, gender-related traits, and gender relations. This yielded 11 variables tested with 44 items in three US cross-sectional survey populations: two internet-based (N= 2,051; N= 2,135) and a patient-research registry (N= 489), conducted between May 2017 and January 2018. Exploratory and confirmatory factor analyses distilled 11 constructs to 7 gender-related variables: caregiver strain, work strain, independence, risk-taking, emotional intelligence, social support, and discrimination. Regression analyses, adjusted for age, ethnicity, income, education, sex assigned at birth, and self-reported gender identity, identified associations between these gender-related variables and self-rated general health, physical and mental health, and health-risk behaviors. Our new instrument can be used to develop health interventions based on a fuller understanding of gender associations with health.
Thirty-seven college men and 57 college women assessed on Gender Diagnosticity (GD), Masculinity (M), and Femininity (F) created self-descriptive photo essays, which were then rated by six judges on 38 personality characteristics, including masculinity and femininity. Lay judges reliably rated men and women's masculinity and femininity from photo essay information. Men's GD strongly correlated with their judged masculinity and femininity, M with judged extraversion, and F with judged warmth and nurturance. However, women's GD correlated most strongly with their judged maladjustment and athleticism, M with dominance and extraversion, and F with adjustment and physical attractiveness. Naive judgments of men and women's masculinity-femininity were strongly linked to other judged personality characteristics, and physical attractiveness was correlated with judgments of women's but not men's masculinity and femininity. The results show that masculinity and femininity make sense to laypeople, are readily judged from multidimensional information, and that for men, GD predicts lay judgments of masculinity and femininity better than M and F do.
In four studies, with a total of 1780 male and 2969 female participants, subdomains of masculine and feminine occupations were identified from sets of occupational preference items. Identified masculine subdomains included "blue-collar realistic" (e.g., carpenter), "educated realistic" (electrical engineer), and "flashy, risk-taking" (jet pilot). Feminine subdomains included "fashion-related" (fashion model), "artistic" (author), "helping" (social worker), and "children-related" (manager of childcare center). In all studies, principal components analyses of subdomain preference scales showed that masculine subdomains were bipolar opposites of feminine subdomains. This bipolar structure emerged in analyses conducted on combined-sex groups, high-school boys, high-school girls, men, women, heterosexual men, gay men, heterosexual women, and lesbian women. The results suggest that, although there are distinct masculine and feminine occupational subdomains, gender-related occupational preferences, nonetheless, form a replicable, cohesive, bipolar individual difference dimension, which is not an artifact of studying mixed-sex or mixed-sexual-orientation groups.
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