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PubMedDate not supplied

The influence of experimenter gender and race on pain reporting: does racial or gender concordance matter?

BACKGROUND: Research on disparities in the treatment of pain has shown that minorities receive less aggressive pain management than non-minorities. While reasons include physician bias, the focus of this study was to examine whether differences in pain reporting behavior might occur when pain is reported to individuals of a different race or gender. OBJECTIVE: To test whether gender and racial concordance might influence pain reporting and pain behavior in a laboratory setting. DESIGN/SETTING: By using a two (subject race)-by-two (subject gender)-by-two (experimenter race)-by two (experimenter gender) quasi-experimental design, pain was assessed in a laboratory through a standard cold pressor task administered by someone whose gender and/or race was similar or dissimilar. SUBJECTS: Subjects were 343 (156 men; 187 women) undergraduates whose ages ranged from 17 to 43 years (mean 20.27 years). OUTCOME MEASURES: Pain tolerance was assessed by total immersion time in the ice bath. Pain ratings were obtained by using Gracely scales, which rate the intensity and unpleasantness of the task. RESULTS: Total immersion time was shorter for both blacks and women, and both blacks and women reported higher pain intensity and unpleasantness. Racial and gender concordance did not influence pain reporting or pain tolerance, but interactions between subject race and experimenter gender, as well as subject gender and experimenter race, were revealed. CONCLUSIONS: Racial and gender concordance did not influence pain reporting; however, pain reporting was influenced by interactions between gender and race in the subject-experimenter dyads.

Adolescent↗
PubMed2005

Gender dysphoria and gender change in chromosomal females with congenital adrenal hyperplasia.

This article reviews the literature on studies and case reports on gender identity and gender identity problems, gender dysphoria, and gender change in chromosomal females with congenital adrenal hyperplasia, raised male or female. The large majority (94.8%) of the patients raised female (N= 250) later developed a gender identity as girls and women and did not feel gender dysphoric. But 13 (5.2%) patients had serious problems with their gender identity. This percentage is higher than the prevalence of female-to-male transsexuals in the general population of chromosomal females. Among patients raised male, serious gender identity problems were reported in 4 (12.1%) out of 33 patients. From these observations, we conclude that the assignment to the female gender as a general policy for 46,XX patients with CAH appears justified, even in severely masculinized 46,XX newborns with CAH (Prader stage IV or V).

Adrenal Hyperplasia, Congenital↗
PubMed2006

Sex, gender role orientation, gender role attitudes and suicidal thoughts in three generations. A general population study.

BACKGROUND: Suicide and other suicidal behaviours are markedly (though differently) patterned by gender. The increase in young male suicide rates in many countries has heightened interest in whether suicidal behaviours and ideation (thoughts) are related to masculinity. Relatively little research has explored the relationship between gender role attitudes and orientation and suicidal behaviours and ideation. Most research in this area has been conducted with young people. OBJECTIVE: We investigated whether gender role orientation (masculinity and femininity scores) and gender role attitudes were related to the reporting of serious suicidal thoughts in three generations (early adulthood, and early and late middle age) in a community sample. METHODS: Subjects (653 men and women aged around 23 years, 754 aged around 43 years, 722 aged around 63 years) completed home interviews with nurses as part of an ongoing longitudinal community-based study of social factors and health. These included measures of suicidal ideation (thoughts), attitudes to traditional gender roles, and a validated measure of gender role orientation (masculinity and femininity scores). RESULTS: The prevalence of serious suicidal thoughts was higher in early adulthood (10% men, 15% women) than in early (4% men, 8% women) and late (6% men, 5% women) middle age. In early adulthood only sex was significantly related to suicidal thoughts, with women at higher risk (adjusted OR 1.74, 95% CI 1.01-3.00). In early middle age masculinity scores were negatively related to suicidal thoughts (adjusted OR for each unit increase in score 0.65: 95% CI 0.46-0.93), and more traditional views on gender roles were positively associated with suicidal thoughts (adjusted OR 1.48: 95% CI 1.07-2.04). In late middle age trends were in the same direction as in early middle age, but were not statistically significant. Femininity scores were unrelated to serious suicidal thoughts at any age. CONCLUSION: The high rates of suicidal thoughts amongst men and women in early adulthood point to the importance of understanding mental health problems at this age. The results raise a number of questions and suggest that suicide researchers should pay more attention to gender roles and attitudes in older adults.

Adult↗
PubMed2005

Gender dysphoria and gender change in androgen insensitivity or micropenis.

This review article answers three questions relevant to the medical management and care of individuals born with complete androgen insensitivity syndrome (CAIS), partial androgen insensitivity syndrome (PAIS), or a micropenis: (1) Do any of these individuals reassign themselves from their initial gender assignment? (2) Do more reassign than the ones who do not? (3) Is there evidence of gender dysphoria in those who do not self-initiate reassignment? Reviewed were all articles on CAIS, PAIS, and micropenis cited in K. J. Zucker (1999) plus articles published through 2004. There were no documented cases of gender change in individuals with CAIS (N= 156 females) or micropenis (N= 89: 79 males, 10 females). Nine (9.1%) out of 99 individuals with PAIS changed gender. Thus, self-initiated gender reassignment was rare. Gender dysphoria also appears to be a rare occurrence. The best predictor of adult gender identity in CAIS, PAIS, and micropenis is initial gender assignment.

Adolescent↗
PubMed1999

Gendered personality disposition and gender role attitudes among Israeli students.

In a sample of 204 Israeli university students, the author examined the relationship between gendered personality dispositions and 2 aspects of gender role attitudes: occupational sex typing and gender role stereotypes. Evaluations of occupational gender attributes were the least sex typed among participants in the androgynous group. At the same time, contrary to expectations, the participants in the undifferentiated and sex-typed groups had relatively stereotyped perceptions of occupations. However, no relationship was found between gendered personality disposition and stereotyped perceptions of gender roles. Regardless of gendered personality disposition, the women, compared with the men, had more liberal attitudes toward gender roles.

Adult↗
PubMed1993

Cross-gender behavior and gender conflict in sexually abused girls.

OBJECTIVE: This study contrasted a group of sexually abused girls, aged 6 to 12 years, with two demographically comparable control groups, girls from a child psychiatry outpatient clinic, and girls from a general pediatric clinic, to determine whether differences in gender role behavior and identity could be demonstrated. METHOD: All girls underwent an evaluation protocol that included a semistructured interview for children, the Gender Role Assessment Schedule--Child (GRAS-C). The mothers were administered several questionnaires including two parent-report measures of gender-related behavior in their children, the Child Game Participation Questionnaire (CGPQ) and the Child Behavior and Attitude Questionnaire--Female version (CBAQ-F). RESULTS: Sexually abused girls manifested significantly more cross-gender behavior on the GRAS-C (in the areas of gender role preference and aggression) and gender identity conflict than did nonabused girls in both comparison groups. For the sexually abused and psychiatric control groups, their parents reported greater involvement in traditionally masculine games on the CGPQ, but on the CBAQ-F, no significant group differences were found. CONCLUSIONS: Findings suggest that sexual abuse in preadolescent girls is associated with cross-gender behavior and gender conflict.

Adaptation, Psychological↗
PubMed2006

The reproduction of gender: housework and attitudes towards gender equality in the home among Swedish boys and girls.

The housework Swedish girls and boys age 10 to 18 do, and their attitudes towards gender equality in the home are studied. One aim is to see whether the work children do is gendered and if so, whether they follow their parents', often gendered, pattern in housework. A second aim is to see whether children's attitudes are influenced by their parents' attitudes and practices. When it comes to issues like these, Sweden is of special interest because in 1995, Sweden was appointed the most gender equal country in the world by the United Nations. The data used were the Swedish Child Level of Living Survey 2000 (see http://www.sofi.su.se/LNU2000/english.htm), a data set that includes extensive first-hand information from both children and their parents. The results indicate that girls and boys in two-parent families are more prone to engage in gender atypical work the more their parent of the same sex engages in this kind of work. The fact that girls still do more housework than boys in all families independent of, among other things, the parental division of housework and the mother's educational level indicates that housework to some extent signifies gender also to children. However, no clear relation is found between the parents' division of work and the child's attitude towards gender equality in the home. Neither is there any clear relation between the parents' attitude towards gender equality in the home and the children's attitude to the same topic.

Adolescent↗
PubMed2003

Gender in medical curricula: course organizer views of a gender-issues perspective in medicine in Sweden.

While there is growing awareness of the importance of gender issues in medicine, with new knowledge and new perspectives intensely debated, reports on the implementation of gender issues into medical curricula are scarce. In 1996, the Medical Faculty of Göteborg University, Sweden, determined that a gender-issues perspective be included in medical education. In 1999, course organizers from preclinical and clinical departments of the faculty were interviewed to determine whether they felt that a gender-issues perspective had contributed to their scientific field and, if so, how they implemented it in their teaching. The interviews revealed varied opinions on the relevance of this perspective in medicine. These variations followed gender division rather than that of preclinicians/clinicians. Thus, female gender was overwhelming for inspiring and introducing a gender-issues perspective both scientifically and practically. Positivism is firmly established in medicine and this must be taken into consideration when introducing a more culturally- and socially-based understanding of sex/gender issues. Female gender is important in this process, but successful implementation requires thorough faculty support and participation of male colleagues and students.

Attitude of Health Personnel↗
PubMed1984

The development of sex role stereotypes in the third year: relationships to gender labeling, gender identity, sex-typed toy preference, and family characteristics.

The onset and development of preschoolers' awareness of sex role stereotypes, gender labeling, gender identity, and sex-typed toy preference were explored in 26-, 31-, and 36-month-old children. Gender labeling, gender identity, sex-typed toy preferences, and awareness of adult sex role differences were observed in significantly more 26-month-old children than would have been expected by chance. Verbal gender labeling was observed in a majority of 26-month-olds, while verbal and nonverbal gender identity were observed in a majority of 31-month-olds. Nonverbal gender labeling and awareness of adult sex role differences were observed in a majority of children by 36 months. No evidence of awareness of sex differences in children's toys was found in the majority of children at any age. Awareness of sex role differences in children's toys was not related to awareness of adult sex role differences. Brighter children were more aware of adult sex role differences. Sex-typed toy preference was not related to awareness of sex role differences but was related to gender identity. Predictors of sex role development included the mothers' employment, and the father's personality traits, attitudes toward women, and sex-typed activities in the home. Implications for theories of early sex role development are discussed.

Awareness↗
PubMed1995

Is gender dysphoria dysphoric? Elevated depression and anxiety in gender dysphoric and nondysphoric homosexual and bisexual men in an HIV sample. HNRC Group.

Few if any studies before the AIDS epidemic suggested that male homosexuals may on average have higher levels of depression than male heterosexuals. However, several samples of homosexual and bisexual men in HIV studies suggest that depression and anxiety are high in these populations, and that this psychiatric morbidity began before the AIDS epidemic. We tested the hypothesis that high childhood gender nonconformity (CGN) is associated with depression and anxiety, and so might account for differences in these variables among samples of homosexuals. A total of 254 homosexual or bisexual male subjects were assessed for depression, anxiety, and associated symptoms using various self-report and interview measures, as well as for CGN (using the Freund Feminine Gender Identity scale, FGI). For comparison purposes only, we also evaluated the subjects for the DSM-III diagnosis of Ego-Dystonic Homosexuality. Highly gender nonconforming men (high FGI scores) were more likely to have current symptoms of anxiety and depression by self-report, and to have had a lifetime history of depression by clinical interview. This association was more often due to FGI items dealing with childhood than adulthood. When the FGI was broken into subscales by a prior factor analysis, stepwise regression suggested that the subscale measuring core gender identity nonconformity (so-called "gender dysphoria") was more reliably associated with depression and anxiety than were the factors measuring nonconformity in the areas of masculine and feminine gender roles, or genitoerotic (sexual) roles. This subscale was also the only FGI measure correlating with Ego-Dystonic Homosexuality. AIDS (CDC stage and HIV serostatus) and age did not account for these findings. We conclude that the often-reported higher levels of depression, anxiety, and associated symptoms among homosexual and bisexual men in AIDS studies are more common in the subgroup of such men who are gender dysphoric. Theoretical and clinical implications of these data are discussed.

Adult↗
PubMed1998

Effects of gender constancy and figure's height and sex on young children's gender-typed attributions.

Young children's attributions of gender-typed activities to figures/models differing in height and/or sex were examined over three experiments. The influence of gender constancy understanding on children's gender-typed attributions was also examined. In Experiment 1, young children attributed significantly more masculine activities to male than female figures and significantly more feminine activities to female than male figures. Experiment 2 confirmed the results demonstrated in Experiment 1. In Experiment 2, additional line-drawn stimuli and figure comparisons were incorporated; participants attributed significantly more masculine activities to taller than shorter male figures and taller than shorter female figures. In addition, children attributed significantly more feminine activities to taller than shorter female figures. In Experiment 3, participants viewed pictures of taller and shorter male and female models. Results confirmed those of Experiment 1, as well as most of those of Experiment 2. No consistent patterns of children's gender-typed attributions as a function of gender constancy understanding emerged in the three experiments. Results are discussed as they apply to unexplored tenets from Kohlberg's cognitive-developmental model, as well as those of gender schema models, of early gender role development.

Analysis of Variance↗
PubMed2003

Social dominance orientation and gender: the moderating role of gender identity.

The aim of this research was to investigate the claim that gender differences in levels of social dominance orientation (SDO; Pratto, Sidanius, Stallworth, & Malle, 1994), a personality variable measuring a general predisposition towards anti-egalitarianism, are essentially invariant (Sidanius & Pratto, 1999). Previous findings have indicated that (regardless of covariate) males display higher levels of SDO than females. Two studies were conducted to test the expectation (derived from social identity theory) that the gender-SDO relationship would be moderated by strength of gender group identification. Both samples (150 non-students and 163 students) completed the full SDO(6) measure, and measures of gender group identification. Consistent with predictions, strength of gender identification was found to moderate the gender-SDO relationship, such that increasing group identification was associated with increasing SDO scores for males, and decreasing SDO for females. This result raises questions concerning the theoretical basis of social dominance theory, and whether gender group membership should be accorded a different status from other 'arbitrary-set' group memberships.

Adult↗
PubMed2000

[Gender in the brain. A critical scrutiny of the biological gender differences].

Down through history, biological arguments have often been used to legitimize a social gender order characterized by male supremacy. In the 1990's, a lively debate on the biological grounds of gender differences once again emerged in various fields. In the present article, the biological models used for explaining cognitive and behavioral gender differences are scrutinized, and recent research is discussed in light of history. These biological models emanate from theories about sex hormones, genetics and brain anatomy. Regarding the cognitive effects of sex hormones, no consensus has been reached, indicating a need for further research. Studies of relationships between genetics on the one hand and sexual orientation and behavior on the other are theoretically obscure and have thus far failed to prove a trustworthy connection. While there is indeed a difference in total brain size--men's brains are heavier than women's--it is not known whether this difference has any import beyond the fact that men have larger bodies. The existence of differences in brain lateralization and the size of the corpus callosum have been powerfully dismissed in several recent reviews. The design and interpretation of medical research in this field are still colored by gender-stereotyped preconceptions and expectations, which obstructs efforts to gain a solid understanding of the biological differences/similarities between men and women. The media's interest in publicizing research results on gender differences, irrespective of magnitude or practical significance, further alerts us to the importance of scientific reason. There exists a very real risk today that medical gender research may be reduced to research about differences. If this problem is not addressed, it might lead to the reinforcement of the gendered structures of society.

Behavior↗
PubMed2005

Gender identity and recalled gender related childhood play-behaviour in adult individuals with different forms of intersexuality.

The concept of intersexuality subsumes a wide variety of phenomena with very specific underlying causes. In all these cases, an untypical development takes place during the prenatal sex differentiation process becoming clinically manifest, either at, or soon after birth or at the time of puberty. It subsumes conditions in which biological sexual characteristics (e.g. chromosomal sex, gonadal sex, hormonal sex, morphological sex) differ from each other and one person cannot easily be assigned to one sex. One of the main goals of medical treatment of persons with intersex-syndroms is the development of a stable gender identity. Over the last few years, sex (and gender) assignment of persons with different forms of intersexuality has become a much discussed topic. An interesting--and very obviously observable--variable that was brought in connection with sex assignment is gender related childhood play behaviour. The purpose of the presented study is to examine 37 persons with different forms of intersexuality (disturbances of androgen biosynthesis, partial and complete androgen insensitivity, gonadal dysgenesis with 46,XY and congenital adrenal hyperplasia with 46,XX) with regard to gender identity and gender role behaviour in childhood. Not all subjects in the study group had developed a clear female or male gender identity. In contrast to previous studies, some persons with CAIS did not recall distinguished female childhood play behaviour and these persons did not show a clear female gender identity. In contrast to results from other studies, the CAH-affected girls in this study did not seem to recall masculinized behaviour. Further research is needed to guarantee better psychosexual development with good quality of life in individuals with intersexuality.

Adolescent↗
PubMed1993

Memory for gender-consistent and gender-inconsistent event sequences by twenty-five-month-old children.

Gender-schema theory predicts that, based on a rudimentary understanding of gender (e.g., self-labeling), children will invoke gender schemata in the processing of information. In older children, one indication of schematic processing is differential memory for schema-consistent versus schema-inconsistent material. Due to a lack of appropriate measures, evidence of very early use of gender schemata has been limited. In the present study, elicited imitation was used to assess 25-month-old girls' and boys' immediate and delayed recall of sequences depicting female-stereotyped, male-stereotyped, and gender-neutral activities. At immediate and delayed testing, girls showed equivalent levels of recall of all 3 sequence types. Boys showed superior recall of male- relative to female-stereotyped sequences; their recall of gender-neutral sequences was equivalent to that of male-stereotyped ones. Results indicate that, at least for boys, use of gender schemata is evident by 25 months of age. Possible explanations for the absence of a clear effect for girls are discussed.

Child Development↗
PubMed1996

Gender differences in heart rate before and after autonomic blockade: evidence against an intrinsic gender effect.

OBJECTIVES: To document gender differences in heart rate in healthy young adult men and women, and examine the degree to which autonomic tone and other variables may be associated with the gender differences in heart rate. DESIGNS: Cohort study. SETTINGS: Clinical Research Center of a tertiary care medical center. PATIENTS: A volunteer sample of 20 healthy men and 23 healthy women between ages 21 and 39 years. INTERVENTIONS: Subjects were each studied three times: during the menstrual, follicular, and luteal phases of the menstrual cycle in women; and 5 to 10 days apart in men. Electrocardiograms (ECGs) were obtained at baseline and following double autonomic blockade with propranolol 0.2 mg/kg and atropine 0.04 mg/kg. Maximum exercise capacity was determined by bicycle ergometry. MAIN OUTCOME MEASURES: Sinus cycle length at baseline and following double autonomic blockade, before and after correction for confounding variables. RESULTS: Men had longer sinus cycle length both at baseline and after double autonomic blockade (971 +/- 88 ms versus 918 +/- 115 ms, P < 0.02, and 645 +/- 41 ms versus 594 +/- 57 ms, P < 0.0001). Sinus cycle length in women was longer than during the menstrual than luteal phase but this difference could not account for the gender difference in sinus cycle length. Men also had a greater maximum exercise capacity than women (1295 +/- 167 kpm/min versus 857 +/- 227 kpm/min; P < 0.0001). By analysis of covariance, maximum exercise capacity was the most significant predictor of sinus cycle length (P < 0.0003 at baseline, and P < 0.001 post blockade) and gender did not have a significant effect. The relationship of maximum exercise capacity to sinus cycle length was blunted but not abolished by autonomic blockade. CONCLUSIONS: Sinus cycle length is longer in men than women. This difference appears to be associated with a gender difference in exercise capacity rather than intrinsic gender related properties of the sinus node or differences in autonomic tone. In addition, exercise induced bradycardia is mediated by both autonomic and nonautonomic factors in both genders.

Adrenergic beta-Antagonists↗
PubMed2003

The effects of interviewer gender and child gender on the informativeness of alleged child sexual abuse victims in forensic interviews.

Most students of forensic interviews have focused on the interrogatory techniques used to elicit information from alleged child abuse victims. We asked how the gender of the interviewer and the gender of the child affected this process. Forensic investigators in three countries used either the NICHD structured interview protocol or local standard interview practices to interview 672 alleged victims who ranged in age from 4 to 14 years. Analyses of the interviews showed significant effects of gender on both the interviewers' behavior and the amount of information provided by children. Female interviewers asked boys more invitations, as well as absolutely and proportionally more suggestive questions, than they did girls, whereas male interviewers interviewed boys and girls similarly. Children's responses varied depending on their gender and age, the gender of the interviewer, and the type of question asked. Girls of all ages provided more information in response to directive questions posed by female rather than male interviewers whereas boys did not respond differently to male and female interviewers. The oldest girls provided more information in response to option-posing questions posed by male interviewers. More information was provided by the younger children in response to suggestive prompts from interviewers of the opposite gender. The gender-of-interviewer effects were attenuated in protocol-guided interviews.

Adolescent↗