The twain meet: empirical explanations of sex differences in health and mortality

Health statistics routinely show higher morbidity and health services use for women, while mortality rates are higher for men. This analysis empirically identifies reasons for women's poorer health. It is based on retrospective (interview) and prospective (health diaries) data from the Health In Detroit Study. Three kinds of risk factors, which may help explain females' excess, are considered: acquired risks, psychosocial aspects, and health-reporting behavior. Men and women differ markedly in acquired risks: smoking and job hazards are higher for men, but inactivity, nonemployment, stress, and many other factors are higher for women. Psychosocial aspects predispose women to more illness and health care. Women also had keener interest in the survey. When all of the risk factors are controlled, the morbidity gap narrows considerably. In fact, indicators of general and chronic health reverse to reveal higher morbidity for men. Similarly, females' excesses for therapeutic care (short- and long-term disability, medical visits, lay consultation, drug use) diminish when risks and morbidity level are controlled. They actually reverse to a male excess for disability and medical care. Though most of the unveiled male excesses are statistically nonsignificant, their pattern allows a reasonable interpretation. Our results are closely compatible with recent analyses of sex mortality differences in several California sites, which could not eliminate men's mortality excess by controlling for social factors. In conclusion, contemporary women's poorer health profile stems largely from their roles and stress (acquired risks), and to a smaller degree from their health attitudes. When social factors are taken into account, health data suggest a disadvantage for men, and mortality data maintain men's disadvantage. Do the reasons lie in biology?     

Gender differences in health risks and physical symptoms among the homeless

Gender differences in health risks and symptoms are compared for a survey sample of 100 homeless persons and for the general population. Homeless men appear at greater risk of exhibiting symptoms. Nonetheless, homeless women report more symptoms, a result consistent with general population trends. Predisposing illnesses were the most accurate predictors of the number of reported symptoms, but gender explained a significant amount of variation in reported symptoms after other health risks were controlled. The findings inform the debate on the relative importance of biological factors, acquired risks, illness perception and behavior, and reporting bias in explaining why women report more symptoms in survey research. It appears likely that female reporting bias and gender differences in illness perception are underestimated in general population surveys because even under extreme conditions, men are less likely than women to report symptoms.     

Routine inequality: violent victimization at the intersection of race and ethnicity among females

Criminological research has clearly demonstrated that the risk of violent victimization varies across gender. More complex are the differences across race and ethnicity within gender groups. Past studies have established that victimization rates among Black females exceed those of White and Latina females. Although this pattern has been established, the reason for these differences between females must continue to be explored. We draw on situational and contextual features of routine activities and lifestyle theories to examine their use in accounting for these variations across race and ethnicity among females. The results indicate that the divergent impact of routine activities and lifestyle measures on females' risks for violent victimization. For example, some situational (e.g., riding public transportation) and contextual (e.g., residential stability) measures increased the risks of violent victimization among females of color but decreased among White females. The implications of these findings and areas of consideration for further research are discussed.     

Socio-economic determinants of suicide in Japan

Japan has the highest suicide rates among the OECD countries and this public health problem seems to be accelerating in over the recent decades. Investigating and understanding the suicidal behaviour is of crucial importance to society and health policy makers. Such an investigation could provide with useful information for those responsible in formulating the national policies on suicide prevention. This study estimates dynamic econometric models for total, male and female suicides in Japan for the period of 1957–2009. Using the ARDL approach to cointegration, we find that the associations of suicide with sociological factors (divorce and fertility rates) were stronger than those with economic factors (per capita GDP and unemployment) for females.     

Stability and Change in Female and Male Violence across Rural and Urban Counties, 1981–2006

Two durable criminological patterns have been higher violence rates in urban compared to rural areas and by males compared to females. To derive and evaluate hypotheses related to correspondence across place and sex groups in changes in violence trends, we draw on a spatial‐inequality perspective that attends to the geographic distribution of inequalities at the subnational scale, as well as to recent extensions of social‐disorganization theory to variation in rural and female violence rates. Our study's focus is on systematically delineating the extent and timing of change in female and male violence trends, the rural‐urban violence gap, and the gender gap. We apply epidemiological joinpoint techniques to Uniform Crime Reports arrest data from completely rural to highly urbanized settings for several violent offenses (homicide, robbery, aggravated assault, and misdemeanor assault) between 1981 and 2006. Female and male violence rates in rural to urban settings generally followed the same course over 25 years. Analyses generally indicated parallel violence trends of rural and urban females and males and only subtle changes in the rural‐urban and gender gaps in serious violence. Serious violence became somewhat less concentrated in urban centers owing to more sizable urban rate declines after the mid‐1990s. In all contexts, the gender gap in assault arrests narrowed, but the female share of serious violence (homicide, robbery) remained much the same; this result suggests change in the social control of minor violence by females across rural and urban settings.     

World War II and Its Effect on the Sex Differential in Arrests: An Empirical Test of the Sex-Role Equality and Crime Proposition*

A common explanation for the decrease in the sex differential in arrests during World War II attributes it to a change in female sex-role behavior. Because of the wartime equalization of sex roles, particularly of expanding occupational roles of women, female arrest rates began to approach male rates. Two alternative explanations appear equally plausible: (1) changes in the sex-age structure of the population at risk and (2) changes in official reactions to female "sex offenders" over the prewar to wartime period, as reflected in the differentiation in types of crimes for which males and females were arrested during World War II. The analysis examines these two alternative explanations, and finds that: (a) by simply correcting for the sex-age structure of the population, the narrowing of the sex differential is reduced considerably; and (b) by taking into account type of crime, and specifically by omitting offense categories that reflect the paternalism and double standard of sexual morality in society, the narrowing of the sex differential disappears. Finally, the predicted special effects of World War II on female arrests for property crimes did not materialize.     

Gender differentials in poverty-mortality well-being

"This paper explores the application of a life table approach to the analysis of poverty [in the United States]. After reviewing trends in gender differentials in poverty and mortality, we investigate an indicator of poverty-mortality well-being. The rationale for this approach is that to some extent poverty and mortality are causally interrelated phenomena which are both fundamental to well-being. The empirical results indicate that females are expected to live more years in poverty than are males, but females are expected to live more years in nonpoverty as well. Although the gender differential in poverty rates has increased to the disadvantage of females, and although most of the greater poverty of females cannot be attributed to their greater longevity, the gender differential in poverty-mortality well-being has nonetheless not deteriorated to the disadvantage of women in recent decades."     

Operationalization of Three Dimensions of Sexual Orientation in a National Survey of Late Adolescents

This study investigated three dimensions of sexual orientation—identity, attraction, and behavior—in a national survey of late adolescents. Prevalence rates and the diversity of dimensions of sexual orientation when combined were studied. A representative sample of 3,432 Swedish high school seniors completed an anonymous school-based self-report survey about sexuality, Internet use, and health. Four measures of sexual orientation were included—one for sexual identity, two for attraction (emotional or sexual attraction, romantic attraction), and one for sexual behavior. Prevalence rates of sexual minority orientation varied between 4.3% for sexual behavior (males 2.9%, females 5.6%) and 29.4% for emotional or sexual attraction (males 17.7%, females 39.5%). Different measures of sexual orientation were significantly associated with one another. Bisexual or homosexual orientation was reported by 1.5% of the participants in all four measures and by 17.6% in at least one measure. Researchers need to carefully choose, depending on the research questions under investigation, which dimensions of sexual orientation and which measures they wish to include in their survey. Recommendations based on findings from the study are given.     

Criminal history and assault of dating partners: the role of type of prior crime, age of onset, and gender

Some studies of assaults on intimate partners have found that most of the perpetrators are not violent outside the family, which suggests a specialized type of crime. However, other studies found domestic violence offenders tend to have extensive criminal histories. To further investigate the extent to which partner assaults are part of a more general pattern of criminal behavior or a specialized type of crime, we studied the dating relationships of 653 university students. Thirty-one percent reported assaulting a partner in the previous 12 months. The rate of assault on partners by females did not differ significantly for males (29%) and females (32%). We also found high rates of other self-reported crime, and much higher rates by males. For example, over one half of the male students and almost one third of the female students reported having stolen money. The male students reported an average of 3.4 crimes committed, and the female students an average of 1.4 crimes. These high crime rates and gender differences are consistent with many previous studies. Logistic regression analysis revealed that a history of prior criminal acts is associated with an increased probability of assaulting a partner. The relationship was greater when there was prior violent crime compared to property crime, when there was early onset of criminal behavior, and when the offender was female. The implications of the findings for understanding partner assaults, criminal careers, and gender differences in the etiology of violence against intimate partners are discussed.     

Marriage market imbalances and labor force participation of Canadian women

Several studies find a negative correlation between the ratio of males to females and measures of female labor supply in the US. This negative correlation has been interpreted as empirical support for the hypothesis that marriage market conditions influence intra-household allocation decisions. Given the similarity of cultures and of labor supply behavior of women in Canada and the United States, and the fact that they both experienced baby-booms at roughly the same time, any explanation for changes in female labor supply would be expected to hold for both countries. We test the prediction that marriage market conditions have explanatory power for Canadian female labor force participation (LFP) rates over the period 1971–2001. We find smaller marriage market effects for Canada than those found for the US but similar in magnitude to those found for the US Midwest.

Formative evaluation on a physical activity health promotion program for the group home setting

Physical inactivity and high rates of chronic conditions is a public health concern for adults with intellectual disability. Few health promotion programs target the group home setting which is the pre-dominant form of residential accommodation for persons with intellectual disability. A process evaluation of a physical activity health promotion program, Menu-Choice, was conducted with five group home sites for adults with intellectual and developmental disabilities. Menu-Choice assists group home staff in including physical activity goals within resident schedules. The physical activity program was designed based on theoretical frameworks, community-based participatory approaches, and established health promotion guidelines for adults with disabilities. Fourteen program coordinators (age M 39; 77% females), 22 staff (age M 39; 82% females), and 18 residents (age M 59; 72% females; 56% ambulatory) participated. Results from the fidelity survey and program completion highlight potential challenges with implementation. Findings will assist with the refinement of the program for continued implementation trials in the group home community.     

Pathological gamblers in methadone treatment: A comparison between men and women

This article uses data from interviews with 462 individuals enrolled in methadone treatment programs in New York City to compare the gambling and gambling-related drug use and criminal activities of those males (N=72) and females (N=27) found to be pathological gamblers. Both the male and female pathological gamblers were and continue to be actively involved in various forms of gambling. A greater proportion of males had engaged in almost all specific types of gambling, although differences between males and females were not all statistically significant. Males and females were very similar in terms of their patterns of drug and alcohol use and the substances they used when gambling. Males and females shared some reasons but also had separate reasons as to why they used heroin when they gambled. Males especially may participate in a variety of criminal and hustling activities to have the money to be able to gamble or to pay gambling debts. The implications of this research are discussed.This study was supported by grant 1RO3-DA08348, Prevalence of Gambling Problems Among Methadone Patients, from the National Institute on Drug Abuse, awarded to National Development and Research Institutes, Inc. Points of view or opinions in this report do not necessarily represent the official opinions or policies of the United States Government, National Development and Research Institutes, Inc., John Jay College of Criminal Justice/CUNY, Illinois State University, or Abt Associates. The authors wish to thank Leila Cahill and Michelle Silverman for their assistance with this research.     

Gender differences in the association of smartphone use with the vitality and mental health of adolescent students

ABSTRACT

Objective: The present study examined variations in the degree of smartphone use behavior among male and female adolescents as well as the association between various degrees of smartphone use behavior and the vitality and mental health of each gender.

Participants: A total of 218 adolescents were recruited from a junior college in September 2014.

Methods: All the participants were asked to answer questionnaires on smartphone use.

Results: The findings showed that adolescent females as compared with adolescent males exhibited significantly higher degrees of smartphone dependence and smartphone influence. Positive correlations were observed between the duration of smartphone use on weekends and the vitality/mental health of the male adolescents; negative correlations were found between smartphone dependence and the vitality/mental health of males.

Conclusion: The findings demonstrate that adolescent females are deeply affected by their smartphone use. Smartphone dependence may decrease the vitality and mental health of male adolescents.     

You don't bring me anything but down: adolescent romance and depression

What accounts for the sex difference in depression that emerges during the period of adolescence? We propose that females become more depressed than males in adolescence partly as a consequence of their involvement in romantic relationships. Using two waves of data from the National Longitudinal Study of Adolescent Health (N = 8,181), a study which began interviewing respondents in 1994, we compare change in levels of depression for adolescents with and without romantic involvement between interviews. Our results suggest that males and females who become romantically involved between interviews experience a larger increase in depression than their counterparts who do not; however, females experience a larger increase in depression than males in response to romantic involvement. Our results suggest that females' greater vulnerability to romantic involvement explains a large part of the emerging sex difference in depression during adolescence.     

Sex and Deviance: an Assessment of Major Sociological Variables*

This paper empirically examines the claim that many theories of deviance only have utility for explaining deviance committed by males because their conceptual development was tainted with inattention to females. Five variables representing the essence of major theories of deviant behavior are measured for a self-report sample of 1993 cases. Each variable is tested to determine how well it can account for deviance among females compared to males. In volume of deviance more males than females were classified as deviant but the underlying processes which the five theoretical variables address operated equally for members of both sexes. These findings support the position that the processes by which females come to commit deviance is similar to the processes for males. The findings suggest that exclusive focus on females is unlikely to yield more adequate explanations of female deviance.     

College students' electronic victimization in friendships and dating relationships: anticipated distress and associations with risky behaviors

This study investigated college students' reports of electronic victimization in friendships and dating relationships. We examined 22 items representing four categories of electronic victimization: hostility, humiliation, exclusion, and intrusiveness. Nearly all participants (92%) reported some electronic victimization in the past year, with males reporting more victimization and females anticipating more distress. Both females and males anticipated more distress from electronic victimization in dating relationships than friendships. More actual experience with electronic victimization related to lower anticipated distress. Electronic victimization was associated with females' alcohol use, even after controlling for other victimization experiences. Discussion focuses on the contextualized nature of electronic victimization, and on the importance of understanding what makes electronic victimization highly distressing for some individuals.     

RESIDENTIAL MOBILITY AND ATTEMPTED SUICIDE AMONG ADOLESCENTS: An Individual-Level Analysis

Building on the Durkheimian legacy's emphasis on social integration as a determinant of suicidal behavior, many macrolevel studies have observed an association between aggregate rates of geographical mobility and suicide, but little research has explored this connection at the individual level. We use data from 9,594 respondents who participated in two waves of the National Longitudinal Study of Adolescent Health to examine the effect of recent residential mobility on attempted suicide one year later and to explore the mechanisms that potentially transmit this effect. We find that among adolescent girls, recent movers are about 60 percent more likely than nonmovers to report having attempted suicide during the following year and that this difference cannot be readily explained by mover versus nonmover differences in preexisting demographic and family background characteristics. Some of the apparent effect of residential mobility on females' risk of attempting suicide operates through higher rates of victimization and delinquency, lower levels of school attachment, higher rates of social isolation, and a tendency for movers to associate with peers who exhibit delinquent behaviors and who themselves have attempted suicide. In contrast, we find no evidence that mobile female adolescents' deficit of parental social capital or lower levels of school engagement can account for the difference in attempted suicide risk between movers and nonmovers. We also find that residential mobility is not significantly associated with suicide attempts among adolescent males.     

Frailty and the aging male

Frailty occurs in aging males for a variety of reasons. It is less common in males than females. Diseases which are particularly associated with frailty are diabetes mellitus, atherosclerosis, anemia and chronic obstructive pulmonary disease. Insulin resistance syndrome plays a pathogenetic role in the “fat-frail” syndrome. Sarcopenia occurs predominantly because of hormone deficiency and cytokine excess. Pain and anorexia are also associated with frailty. Stem cell research represents a potential promise for the treatment of frailty.     

Risk Factors for Gambling Problems: An Analysis by Gender

Differences in problem gambling rates between males and females suggest that associated risk factors vary by gender. Previous combined analyses of male and female gambling may have obscured these distinctions. This study aimed to develop separate risk factor models for gambling problems for males and for females, and identify gender-based similarities and differences. It analysed data from the largest prevalence study in Victoria Australia (N = 15,000). Analyses determined factors differentiating non-problem from at-risk gamblers separately for women and men, then compared genders using interaction terms. Separate multivariate analyses determined significant results when controlling for all others. Variables included demographics, gambling behaviour, gambling motivations, money management, and mental and physical health. Significant predictors of at-risk status amongst female gamblers included: 18–24 years old, not speaking English at home, living in a group household, unemployed or not in the workforce, gambling on private betting, electronic gaming machines (EGMs), scratch tickets or bingo, and gambling for reasons other than social reasons, to win money or for general entertainment. For males, risk factors included: 18–24 years old, not speaking English at home, low education, living in a group household, unemployed or not in the workforce, gambling on EGMs, table games, races, sports or lotteries, and gambling for reasons other than social reasons, to win money or for general entertainment. High risk groups requiring appropriate interventions comprise young adults, especially males; middle-aged female EGM gamblers; non-English speaking populations; frequent EGM, table games, race and sports gamblers; and gamblers motivated by escape.     

A Comparative Analysis of Male and Female Delinquency*

The historically dominant and generally accepted view is that males are much more likely than females to commit delinquent acts, and that when females deviate their misconduct is significantly less serious than that of males. This paper examines the recent contention that the delinquent behavior of males and females is more similar than assumed. Self-report questionnaires were administered in 1977 to a sample of 822 male and female adolescents selected from two urban high schools in a large midwestern state. Following Hindelang (1971), we concentrate on the types of delinquent acts most frequently reported, as well as the extent of involvement in these acts. While males tend to commit most offenses more frequently than females, the pattern of delinquency is virtually identical for the two groups. This uniformity holds for race-sex subgroups, although there are more similarities in delinquency within racial groups than within sex groups.