Bad Gender Planning
Hanno just alerted me to this interesting op-ed piece, "The Weaker Sex," by Marianne Legato in the NYTimes. Legato clarifies that by studying gender-specific medicine, she is not just studying women (interesting how in many peoples' minds gender=woman), but rather looks carefully at sex differences in disease, illness, life expectancy etc. She reports:
Men's troubles begin during the earliest days in the womb. Even though there are more male than female embryos, there are more miscarriages of male fetuses. Industrial countries are also witnessing a decline in male to female birth ratios, and we don't know why.
Some scientists have argued that the probability of a male child declines as parents (especially fathers) age. Still others have cited the prevalence of pesticides, which produce more birth defects in male children.
Even when a boy manages to be born, he's still behind the survival eight ball: he is three to four times more likely than girls to have developmental disorders like autism and dyslexia; girls learn language earlier, develop richer vocabularies and even hear better than boys. Girls demonstrate insight and judgment earlier in adolescence than boys, who are more impulsive and take more risks than their sisters. Teenage boys are more likely to commit suicide than girls and are more likely to die violent deaths before adulthood.
As adults, too, men die earlier than women. Twice as many men as women die of coronary artery disease, which manifests itself a decade earlier in men than women; when it comes to cancer, the news for men is almost as bad. Women also have more vigorous immune systems than men: of the 10 most common infections, men are more likely to have serious encounters with seven of them.
While depression is said to be twice as frequent in women as in men, I'm convinced that the diagnosis is just made more frequently in women, who show a greater willingness to discuss their symptoms and to ask for help when in distress. Once, at a dinner party, I asked a group of men whether they believed men were depressed as often as women, but were simply conditioned to be silent in the face of discomfort, sadness or fear. "Of course!" replied one man. "Why do you think we die sooner?"
Considering the relative fragility of men, it's clearly counterintuitive for us to urge them, from boyhood on, to cope bravely with adversity, to ignore discomfort, to persevere in spite of pain and to accept without question the most dangerous jobs and tasks we have to offer. Perhaps the reason many societies offer boys nutritional, educational and vocational advantages over girls is not because of chauvinism — it's because we're trying to ensure their survival.
It's possible, too, that we've simply been sexist. We've complained bitterly that until recently women's health was restricted to keeping breasts and reproductive organs optimally functional, reflecting the view that what made women valuable was their ability to conceive and bear children. But aren't we doing the same thing with men? Read the questions posed on the cover of men's magazines: how robust is your sexuality? How well-developed are your abs? The only malignancy I hear discussed with men is prostate cancer.
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