Gender Analysis Policy of Diabetes Mellitus

• Main Authors: Hsiao, Wei-tsung, 蕭偉宗
• Other Authors: Chang, Chu-hui
• Format: Others
• Language: zh-TW
• Published: 2011
• Online Access: http://ndltd.ncl.edu.tw/handle/36190166409472853550

碩士 === 長榮大學 === 醫務管理學系碩士班 === 99 === Objectives: The diabetes in ten leading causes of death is ranked sixth for males and fourth for females. According to study aboard proved that risk of disease has gender difference and females have more high risk outcome. But now the health policy lack of gender perspectives. This study stands on policy analysis surveying the diabetes‟s policy, the certified diabetes educator, the gender sensitivity of health education material and proposing how to add gender perspective in health policy. Methods：Using multivariate method, the focused synthesis of policy analysis is main method and the text analysis strengthens it. The method analyzed the data of the diabetes about health policy, the material for certified diabetes educator in Taiwanese Association of Diabetes Educators and the diabetes education materials from the Bureau of Health Promotion, Department of Health, R.O.C. (Taiwan). The gender analysis, gender role, accessibility and control and gender need are references to WHO. These data are used to analyze gender. Comparing the diabetes and female health policy at the Centers for Disease Control and Prevention, USA with the diabetes policy in Taiwan and using the data mining analyzes the sex of diabetes and empirical research to survey the health education material weather reflecting organism's sex differs from gender or not. Results： The diabetes‟s policy in USA respects for the gender differences and executes the policy in the each life stages of female. Especially, the female patients who are gestational high blood sugar or type 1diabetes in adolescent years, gestational or menopause confront different challenges, needs and understand the multicultural background people‟s demands. The study proved that the diabetes risk has gender difference in life stages. The female have more probability to raise reproductive years and have high menopause risk than the male. According to the gender point shows the health care role of female to bring pressure in life and expense. The diabetes prevention and care are built home care to community care and other support network; finally it became the care of medical institutions after Taiwan enforces the National Health Insurance. But all the way did not show the care of gender about female, the care of specialty still stands on the knowledge of education care. The health education program of gestational diabetes only execute in reproductive years of the female but it limit to the health of mother and infant in pregnancy period. The program does not show the probability of gestational diabetes in the mother and infant after life and the female of menopause. The health education data emphasize care knowledge. In part of gestational, the data show to monitor the condition of blood sugar, hormone and the risk of type 2 diabetes. But the data do not provide the different risk of the family gender in inherit, and the female who play the social role for family need to control the diet for the patients at home. The data indicated that the dissimilar races have different diabetes risks, but did not show the right way of diet and care and provide answer to the female in care way. Conclusions：The gender sensitivity in health indicators will improve gender health. The gender health should not limit no sex difference or the healthy datum about the male. The diabetes prevention and care in nation did not attach the hormone change of female in reproductive years and menopause after cleaning the difference of diabetes gender risks. The type 1 diabetes of the girl in adolescent years did not obtain proper care knowledge and plan that made themself and infant in the risk of the diabetes.