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Author: Homan, Patricia
Resulting in 3 citations.
1. Homan, Patricia
Structural Sexism and Health in the United States
Ph.D. Dissertation, Department of Sociology, Duke University, 2018
Cohort(s): NLSY79
Publisher: ProQuest Dissertations & Theses (PQDT)
Keyword(s): Discrimination, Sex; Geocoded Data; Health Survey for Norway (NHS); Health/Health Status/SF-12 Scale; State-Level Data/Policy

Permission to reprint the abstract has not been received from the publisher.

Chapter 3 lays out a more comprehensive, multilevel framework for structural sexism and examines how it shapes the health of women and men at midlife. I measure macro-level structural sexism at the U.S. state-level using indicators of inequality in political, economic, cultural and reproductive domains. Using restricted geo-coded data from the NLSY79, individuals are located within states to capture their exposure to structural sexism. This chapter also incorporates individual- and spousal-level data from the NLSY79 in order to measure exposure to structural sexism at the meso- and micro-levels. Results show that among women exposure to more sexism at the macro- and meso-levels is associated with more chronic conditions, worse self-rated health, and worse physical functioning. Among men, macro-level structural sexism is also associated with worse health. However, at the meso-level greater structural sexism is associated with better health among men. At the micro-level, internalized sexism is not related to health among either women or men. These results highlight the importance of a multilevel approach.
Bibliography Citation
Homan, Patricia. Structural Sexism and Health in the United States. Ph.D. Dissertation, Department of Sociology, Duke University, 2018.
2. Homan, Patricia
Structural Sexism and Health in the United States: A New Perspective on Health Inequality and the Gender System
American Sociological Review 84,3 (June 2019): 486-516.
Also: https://journals.sagepub.com/doi/full/10.1177/0003122419848723
Cohort(s): NLSY79
Publisher: American Sociological Association
Keyword(s): Discrimination; Gender Attitudes/Roles; Geocoded Data; Health, Chronic Conditions; Health/Health Status/SF-12 Scale; State-Level Data/Policy

Permission to reprint the abstract has not been received from the publisher.

In this article, I build a new line of health inequality research that parallels the emerging structural racism literature. I develop theory and measurement for the concept of structural sexism and examine its relationship to health outcomes. Consistent with contemporary theories of gender as a multilevel social system, I conceptualize and measure structural sexism as systematic gender inequality at the macro level (U.S. state), meso level (marital dyad), and micro level (individual). I use U.S. state-level administrative data linked to geocoded data from the NLSY79, as well as measures of inter-spousal inequality and individual views on women's roles as predictors of physical health outcomes in random-effects models for men and women. Results show that among women, exposure to more sexism at the macro and meso levels is associated with more chronic conditions, worse self-rated health, and worse physical functioning. Among men, macro-level structural sexism is also associated with worse health. However, greater meso-level structural sexism is associated with better health among men. At the micro level, internalized sexism is not related to physical health among either women or men. I close by outlining how future research on gender inequality and health can be furthered using a structural sexism perspective.
Bibliography Citation
Homan, Patricia. "Structural Sexism and Health in the United States: A New Perspective on Health Inequality and the Gender System." American Sociological Review 84,3 (June 2019): 486-516.
3. Homan, Patricia
The Gender System Makes Me Sick: Structural Sexism and Health in the United States
Presented: Denver CO, Population Association of America Annual Meeting, April 2018
Cohort(s): NLSY79
Publisher: Population Association of America
Keyword(s): Gender Attitudes/Roles; Gender Differences; Geocoded Data; Health, Mental/Psychological; Health/Health Status/SF-12 Scale; Marriage; State-Level Data/Policy

Permission to reprint the abstract has not been received from the publisher.

The present study seeks to build a new line of health disparities research that parallels the emerging structural racism literature by developing theory and measurement for the concept of structural sexism and examining its relationship to health. Consistent with contemporary theories of gender as a multilevel social system, I conceptualize and measure structural sexism as systematic gender inequality at the macro-level (U.S. state), meso-level (marital dyad), and micro-level (individual). I use U.S. state-level administrative data linked to geo-coded data from the NLSY79. Results show that (1) higher internalized sexism at the micro-level is associated with worse mental health among women; (2) structural sexism within marriage is associated with better physical and mental health for men but worse physical health for women; and (3) exposure to more sexism at the macro-level is associated with worse physical and mental health among both men and women, controlling for meso and micro level sexism.
Bibliography Citation
Homan, Patricia. "The Gender System Makes Me Sick: Structural Sexism and Health in the United States." Presented: Denver CO, Population Association of America Annual Meeting, April 2018.