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Korean J Fam Med > Volume 45(1); 2024 > Article
Oh: Women’s Health and Primary Care
Health is a fundamental aspect of our lives and applies universally regardless of gender, age, or socioeconomic background. However, factors influencing health differ based on sex and gender [1]. These variances extend beyond biological reproductive organs to include attitudes towards sexual activity, the challenges of pregnancy, and childbirth. Chronic diseases common to men and women differ in their life cycles and pathogenesis depending on sex. In societal contexts, women often shoulder a greater familial burden, particularly in child-rearing responsibilities, despite positive shifts in women’s social status and roles. Nonetheless, unfriendly childbirth and child-rearing environments, gender inequality, labor market structures, male-centered family cultures, and societal institutions persist as factors that disproportionately burden women.
While women generally have a longer lifespan than men, their subjective health levels are often lower [2]. This discrepancy may stem from biological differences, factors significantly impacting health (e.g., physical activity), or social structural elements imposing additional burdens on women [3]. Future studies should explore these factors to better understand gender health disparities.
This issue features three papers concerning women’s health. Kunasagran et al. [4] provide a comprehensive review of global domestic violence during the coronavirus disease 2019 pandemic, highlighting its impact on women’s and children’s health. The paper underscores the need for an understanding of barriers that prevent victims from seeking help and emphasizes the crucial role of healthcare workers and policymakers in reducing pervasive domestic violence.
Shalak et al. [5] examine the repercussions of violence experienced by women in war-affected areas on their reproductive health. The review reveals the severe threats to women’s health in countries which frequently experience civil wars, such as those in Africa and the Middle East. Given the ongoing conflicts in Ukraine and Israel, this paper holds significant implications for current events. Through qualitative studies, Sukeri et al. [6] investigate the factors influencing contraception decisions of human immunodeficiency virus (HIV)-infected women. The paper highlights the diverse socio-cultural and religious factors shaping the thoughts of HIV-infected women on pregnancy and childbirth. It stresses the importance of considering patients’ value judgments when applying medical principles.
As primary care embodies comprehensiveness, longitudinality, and coordination, it can play a central role in supporting women throughout their lives. Primary care physicians should focus on establishing prevention and treatment strategies for women’s overall health, including contraception, pregnancy, childbirth, and menopause management [7-9]. Throughout this process, the socio-cultural environment affecting women’s health should also be carefully considered.

Notes

CONFLICT OF INTEREST

No potential conflict of interest relevant to this article was reported.

REFERENCES

1. Hwang JW, Eun Y, Song CH. Associations of alcohol consumption and smoking behaviors with depressed mood according to gender in Korean Young Adults. Korean J Fam Med 2023;44:274-80.
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2. Dixon S, McNiven A, Connolly A, Hinton L. Women’s health and primary care: time to get it right for the life course. Br J Gen Pract 2021;71:536-7.
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3. Lee E, Kim HJ, Hwang J, Park M. Gender difference of the association between energy intake expenditure balance and depression among Korean adults: a cross-sectional study from the 2014, 2016, and 2018 Korea National Health and Nutrition Examination Survey. Korean J Fam Med 2023;44:319-26.
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4. Kunasagran PD, Mokti K, Ibrahim MY, Rahim SS, Robinson F, Muyou AJ, et al. The global landscape of domestic violence against women during the COVID-19 pandemic: a narrative review. Korean J Fam Med 2024;45:3-11.
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5. Shalak M, Markson F, Nepal M. Gender-based violence and women reproductive health in war affected area. Korean J Fam Med 2024;45:12-7.
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6. Sukeri S, Sulaiman Z, Hamid NA, Ibrahim SA. Decision-making on contraceptive use among women living with human immunodeficiency virus in Malaysia: a qualitative inquiry. Korean J Fam Med 2024;45:27-36.
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7. Lee D, Jung W, Shin DW. Association of coffee or green tea with ferritin or hemoglobin in premenopausal women. Korean J Fam Med 2023;44:87-94.
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8. Malekian S, Mirghafourvand M, Najafipour F, Ostadrahimi A, Ghassab-Abdollahi N, Farshbaf-Khalili A. The associations between bone mineral density and oxidative stress biomarkers in postmenopausal women. Korean J Fam Med 2023;44:95-101.
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9. Sulaiman Z, Noor NM, Ismail SB, Mohd Lukman AS, Irfan M, Hussain NH. Maternal vitamin D supplementation for the prevention of respiratory tract infections in offspring: a meta-analysis. Korean J Fam Med 2022;43:174-82.
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