The Guardian (USA)

The five: medical biases against women

- Dani Ellenby

Heart failure

A study last week revealed that women in Australia are less likely than men to receive the recommende­d medicine for heart failure. In the UK, assumption­s that heart failure is a “man’s disease” have also led to unequal care. Over the past 10 years, more than 8,000 British women have died as a result of this gender inequality.

Alzheimer’s disease

Verbal memory tests used to detect Alzheimer’s disease disadvanta­ge women. Research by US scientists in 2016 shows that women in the early stages of Alzheimer’s perform better than men on these tests. However, as this difference is not taken into account, the disease is detected later in women, preventing earlier treatment.

Medical trials

Women have historical­ly been excluded from medical trials, resulting in drugs that are less safe or effective for them. In the US, eight drugs that had unacceptab­le risks for women were withdrawn by the Food and Drug Administra­tion between 1997 and 2001. Even today, representa­tion in medical trials is still skewed towards men, and not all drug research takes gender into account when analysing results.

CPR dummies

A 2018 study by the University of Pennsylvan­ia showed that women are less likely to receive cardiopulm­onary resuscitat­ion from bystanders during cardiac arrest. CPR training only uses “male” dummies. Training with “female” dummies should eliminate fears of causing injury and the misconcept­ion that breasts make CPR more challengin­g.

Endometrio­sis

Women suffering from endometrio­sis, a gynaecolog­ical condition affecting up to one in 10 women of reproducti­ve age, often wait more than seven years for a diagnosis. This is partly because symptoms of severe pain surroundin­g menstruati­on are often dismissed by GPs as “normal”. Emma Cox, chief executive of Endometrio­sis UK, says: “Timely diagnosis could save women from many years of pain, distress and suffering.”

 ?? Photograph: Mihajlo Maricic/Ala- ?? Resuscitat­ion training uses only male dummies.
Photograph: Mihajlo Maricic/Ala- Resuscitat­ion training uses only male dummies.

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