世界經(jīng)濟(jì)論壇-縮小女性健康差距:1萬億美元改善生活和經(jīng)濟(jì)的機(jī)會(huì)(英)-2024.1_第1頁
世界經(jīng)濟(jì)論壇-縮小女性健康差距:1萬億美元改善生活和經(jīng)濟(jì)的機(jī)會(huì)(英)-2024.1_第2頁
世界經(jīng)濟(jì)論壇-縮小女性健康差距:1萬億美元改善生活和經(jīng)濟(jì)的機(jī)會(huì)(英)-2024.1_第3頁
世界經(jīng)濟(jì)論壇-縮小女性健康差距:1萬億美元改善生活和經(jīng)濟(jì)的機(jī)會(huì)(英)-2024.1_第4頁
世界經(jīng)濟(jì)論壇-縮小女性健康差距:1萬億美元改善生活和經(jīng)濟(jì)的機(jī)會(huì)(英)-2024.1_第5頁
已閱讀5頁,還剩37頁未讀, 繼續(xù)免費(fèi)閱讀

下載本文檔

版權(quán)說明:本文檔由用戶提供并上傳,收益歸屬內(nèi)容提供方,若內(nèi)容存在侵權(quán),請(qǐng)進(jìn)行舉報(bào)或認(rèn)領(lǐng)

文檔簡(jiǎn)介

IncollaborationwiththeMcKinseyHealthInstituteClosing

the

Women’sHealth

Gap:

A

$1

TrillionOpportunity

to

ImproveLives

and

EconomiesI

N

S

I

G

H

T

R

E

P

O

R

TJA

N

U

A

RY

20

2

4Images:GettyImagesContentsForeword3459ExecutivesummaryIntroduction1.

Theroleofscienceinaddressinghealthdisparities2.

Datagapsunderestimatewomen’s

healthburden,limitinginnovationandinvestment13162024303435363.

Creatingsex-andgender-responsivecaredeliverysystems4.

Directinginvestmentstowardswomen’s

health5.

Closingthewomen’s

healthgapcouldboosttheglobaleconomy6.

Calltoaction:Howtoclosethewomen’s

healthgapConclusionContributorsEndnotesDisclaimerThisdocumentispublishedbytheWorldEconomicForumasacontributiontoaproject,insightareaorinteraction.The?ndings,interpretationsandconclusionsexpressedhereinarearesultofacollaborativeprocessfacilitatedandendorsedbytheWorldEconomicForumbutwhoseresultsdonotnecessarilyrepresenttheviewsoftheWorldEconomicForum,northeentiretyofitsMembers,Partnersorotherstakeholders.?2024WorldEconomicForum.Allrightsreserved.Nopartofthispublicationmaybereproducedortransmittedinanyformorbyanymeans,includingphotocopyingandrecording,orbyanyinformationstorageandretrievalsystem.ClosingtheWomen’s

HealthGap:A$1Trillion

OpportunitytoImproveLivesandEconomies2January2024ClosingtheWomen’s

HealthGap:A$1Trillion

OpportunitytoImproveLivesandEconomiesForewordLucyPérezShyamBishenSeniorPartner,

McKinsey&Company;Af?liatedLeader,McKinseyHealthInstitute,USAHead,CentreforHealthandHealthcare;MemberoftheExecutiveCommittee,WorldEconomicForumForalltheeffortstoimprovegenderequityoverthepastcentury,thegapbetweenmen’s

healthandwomen’s

healthremainswide,whetherit’s

inresearch,data,careorinvestment.possiblewithintentional,coordinatedefforts.Whiletherearemanyways,largeandsmall,forawiderangeoforganizationstoimprovewomen’s

health,speci?cactionscouldcreatemeaningfulimpact.Amongtheseareinvestinginwomen-centricresearch;collectingandanalysingsex-,ethnicity-andgender-speci?cdata;enhancingaccesstogender-speci?ccare;creatingincentivesfornew?nancingmodels;andestablishingbusinesspoliciesthatsupportwomen’s

healthandstrengthenwomen’s

representationindecision-making.Andeverypersonontheplanetisaffectedbythewomen’s

healthgap,whethertheyknowitornot.Whenweconsidertheimpactofclosingthegap,wearenotjusttalkingaboutwomen’s

lives,butthoseofpeoplewelove,ourcommunitiesandtheworldatlarge.Weknowit’s

possibletoreachequityinhealthformen

and

women.

In

this

report,Closing

the

Women’sHealthGap:A

$1TrillionOpportunitytoImproveLivesandEconomies,

we’repleasedtoshowcasehowthenarrowingofthewomen’shealthgapwouldallow3.9billionwomentolivehealthier,

higher-qualitylives.Itcouldalsoallowatleast$1trilliontobepumpedintoeconomicproductivityannually,whichre?ectshownarrowingthegapwouldleadtofewerearlydeaths,fewerhealthconditions,extendedeconomicandsocietalcapacitytocontribute,andincreased

productivity.Ofthat,thelargestimpactwouldbecreated

fromwomenhavingfewerhealthconditions,lettingthemavoid24millionlifeyearslostduetodisabilityandboostingeconomicproductivitybyupto$400billion.We

inviteleadersfromthepublic,socialandprivatesectorstoreviewthisreportand?ndwaystobringtheirowncontributionsto?llingthegapinwomen’s

healthoutlinedhere.We

areexcitedtoseerecentmomentuminaddressingthisgap,suchasthedebutoftheWomen’s

HealthInnovationOpportunityMap;

therecentcreationoftheWhite1HouseInitiativeonWomen’s

HealthResearch;thelaunchoftheWomen’s

HealthInterestGroupfromtheEuropeanInstituteofWomen’s

Health;andnewsthatAustraliaisontracktobecomeoneofthe?rstcountriestoeliminatecervicalcancer.Inthismulti-yearresearcheffort,theanalysisbacksuponeofthecorebeliefsofeveryoneinvolved:thatweallhavearoletoplayinimprovingwomen’s

lives.AsNobelPrizewinnerMalalaYousafzai

oncesaid,“Wecannotsucceedwhenhalfofusareheldback.”Women’s

healthencompassesmorethanwomen-speci?cconditions,andachievinghealthequityisClosingtheWomen’s

HealthGap:A$1Trillion

OpportunitytoImproveLivesandEconomies3ExecutivesummaryInvestmentsaddressingthewomen’s

healthgapcouldaddyearstolifeandlifetoyears–andpotentiallyboosttheglobaleconomyby$1trillionannuallyby2040.Whendiscussingthechallengesinwomen’shealth,a

commonrejoinder

isthatwomen,average,livelongerthanmen.Butthisneglectsthefactthatwomenspend25%more

oftheirlivesindebilitatinghealth.4.

Investment:Therehasbeenlowerinvestmentinwomen’s

healthconditionsrelativetotheirprevalence.Thisdrivesareinforcingcycleofweakerscienti?cunderstandingaboutwomen’sbodiesandlimiteddatatode-risk2onnewinvestment.Addressing

thegapsandshortcomingsinwomen’s

healthcouldreduce

thetimewomenspendinpoorhealthbyalmosttwo-thirds.

Thishasthepotentialtohelp3.9billionwomenlivehealthier,

higher-quality

livesbyaddinganaverageofsevendaysofhealthylivingforeachwomanannually,addinguptopotentiallymore

than500daysovera

woman’s

lifetime.Beyondthesocietalimpactsofhealthierwomen,includingmoreprogression

ineducationandintergenerationalThesefactorsplayoutinmanydifferentwaysandtovaryingextentsacrossregionsandincomelevels.However,

theevidencesuggeststhatnogeographicregionoragegroupisunaffected.Chartingthewayforwardbene?ts,3improving

women’s

healthcouldalsoMovingforwardrequiresunderstandingthebroadereffectsofthewomen’s

healthgap,anddrivingactionon?vefronts:enablewomentoparticipateintheworkforcemore

actively.Thiswouldpotentiallyboosttheeconomybyatleast$1trillionannuallyby2040.Theseestimates–

whilesigni?cant–

are

likelyanunderestimation

givendatalimitations.–Investinwomen-centricresearchacrosstheresearch

anddevelopment(R&D)continuumto?llthegapsinunder-researched,

oftenundiagnosedwomen-speci?cconditions(forexample,endometriosis,andpregnancyandmaternalhealthcomplications),aswellasdiseasesaffectingwomendifferentlyand/ordisproportionately(forexample,cardiovasculardisease).Inthisreport,women’s

healthisde?nedasbiologicalconditionsandgeneralhealthconditionsthatoftenaffectwomenuniquely,differentlyordisproportionately.Therearemanyeffortstoimprovewomen’s

healthglobally;however,

thisreportfocusesontheeconomicimplicationsofthewomen’s

healthgapandthebusinesscaseforclosingit.–Strengthenthesystematiccollection,analysisandreportingofsex-andgender-speci?cdatatoestablishamoreaccuraterepresentationofwomen’s

healthburdenandevaluatetheimpactofdifferentinterventions.Therootcausesofthegap––Increaseaccesstowomen-speci?ccareinallareas,frompreventiontotreatment.Therearefourprimaryareasthatneedtobeaddressedtoclosethehealthgap:Createincentivesforinvestmentinareasofwomen’s

healthinnovationanddevelopnew?nancingmodels.1.

Science:Thestudyofhumanbiologydefaultstothemalebody,whichhindersunderstandingofsex-basedbiologicaldifferencesandresultsinfeweravailableandlesseffectivetreatmentsforwomen.–Implementpoliciessupportingwomen’s

health,suchasacademicinstitutionsadaptingmedicalschoolcurriculaandemployerscreating2.

Data:Healthburdensforwomenarepregnancy-

andmenopause-friendlyworkspaces.systematicallyunderestimated,withdatasetsthatexcludeorundervalueimportantconditions.Anecosystemapproach,involvingmulti-sectoralstakeholders,isneededtoaccomplishthesegoals.Itispossibletocreatebetterhealthforwomen,allowinggreaterworkforceparticipationand,mostimportantly,theabilitytolivehealthierlives.3.

Caredelivery:Womenaremorelikelytofacebarrierstocare,andexperiencediagnosticdelaysand/orsuboptimaltreatment.ClosingtheWomen’s

HealthGap:A$1Trillion

OpportunitytoImproveLivesandEconomies4IntroductionWomenspend25%more

timein“poorhealth”thanmen.Overthepasttwocenturies,theriseinlifedegreesofdisability(the“healthspan”ratherthanthe“l(fā)ifespan”).Awomanwillspendanaverageofnineyearsinpoorhealth,affectingherabilitytobepresentand/orproductiveathome,intheworkforceandinthecommunity,andreducingherearningpotential.expectancy–forbothmenandwomen–hasbeenatremendoussuccessstory.Globallifeexpectancyincreasedfrom30yearsto73yearsbetween1800and2018.4Butthisisnotthefullpicture.WomenspendmoreoftheirlivesinpoorhealthandwithBOX1:

TerminologyThisreportre?ectswomen’s

healthasamarketsegment.Theauthorsacknowledgetheimportanceofhealthcaretothetransgender,non-binaryandgender-?uidcommunities,andthatnotallpeoplewhoidentifyaswomenarebornbiologicallyfemale.isinclusiveofthetransgender,non-binaryandgender-?uidcommunities.Theyalsoacknowledgetheprofounddifferencesforwomenbasedonfactorssuchasrace,ethnicity,socioeconomicstatus,disability,ageandsexualorientation.Additionalworkandresearchshouldre?ecthowtotacklethesebarriersalongsidetheoverallwomen’shealthgap.Inthisreport,theterm“woman”includesthoseunderage18.Theauthorshaveoftenusedtheterm“sexandgender”tore?ectinclusivelanguageandrecognizetheneedforfutureresearchintohealthissuesthatBuildingonprevious

workfrom

theMcKinseyHealthInstituteandtheMcKinseyGlobalInstitute,analystsquanti?edthishealthgapintermsofearlydeathperyear(Figure

1),theequivalentofsevendaysperwomanperyear.

Addressingthegapcouldgeneratetheequivalentimpactof137millionwomenaccessingfull-time5disability-adjustedlifeyears(DALYs),

andthe6extenttowhichthisdifference

isduetothestructural/systematicbarrierswomenface(Box2,“Research

methodology”).Addressing

the25%more

timespentin“poorhealth”bywomenversusmenwouldnotonlyimprove

thehealthandlivesofmillionsofwomen,butitcouldalsoboosttheglobaleconomybyatleast$1trillionannuallyby2040.Thisestimateisprobablyconservative,giventhehistoricalunder-reporting

anddatagapsonwomen’s

healthconditions,whichbothundercounttheprevalence

andundervaluethehealthburdenofmanyconditionsforwomen.positionsby2040.

Thishasthepotentialtolift7womenoutofpovertyandallowmore

womentoprovide

forthemselvesandtheirfamilies.Addressing

thedriversofthisgap,namelylowereffectiveness

oftreatments

forwomen,worsecare

deliveryandlackofdata,wouldrequiresubstantialinvestment,butalsore?ect

newmarketopportunities.Whileimproving

women’s

healthhaspositiveeconomicoutcomes,itisforemost

anissueofhealthequityandinclusivity.Addressing

thewomen’s

healthgapcouldimprove

thequalityoflifeforwomen,aswellascreating

positiveripplesinsociety,suchasimproving

future

generations’healthandboostinghealthyageing.Critically,betterhealthiscorrelated

witheconomicprosperity.

Thewomen’s

healthgapequatesto75millionyearsoflifelostduetopoorhealthorClosingtheWomen’s

HealthGap:A$1Trillion

OpportunitytoImproveLivesandEconomies5FIGURE1:

Thewomen’s

healthgap2040Genderhealthgapof75millionDALYsEquivalenttosevendaysperwomanperyearofadditionalhealthburden58%7534%8%GenderhealthgapEffectivenessgapCaredeliverygapDatagapNote:Missedvaluefromundercountingwascalculatedbyaddingtheunderestimateddiseaseburdenforendometriosis(differencebetweenrealendometriosisdiseaseburdenbasedonWHOprevalenceandIHMEdiseaseweightandIHMEreportedendometriosesburden)andmenopause(differencebetweenrealdiseaseburdenbasedonprevalencesizingandPMSdiseaseweight).Source:

UniversityofWashington'sInstituteforHealthMetricsandEvaluation,“GlobalBurdenofDiseaseStudy2019”,women'shealthmodel,usedwithpermissionThechallengeswomenfacewhenseekinghealthcareplayoutinmultipledifferentwaysandindifferentdiseasesandsectorsofsociety.Whenlookingatthepotentialeconomicimpactofaddressingthesechallenges,allagegroupsandgeographiescouldbene?t,withmostofthepotentialcomingfromwomenintheworkingagegroup(Figure2).FIGURE2:

Women’s

healthgapandGDPimpactbyagegroupsAgegroupAdditionalhealthylifeyears1livedin2040,Women’s

GDPimpactbyagegroup,inDALY

millionsGDPimpactin$billions08.601020303.1467.21651839.09.39.710.2Around60%of~80%oftheGDPimpactgeneratedinworkingagegroupadditionalhealthylifeyearsgainedinworkingage402065014260105709.16172806.790+Total2.14574.91,0251.Additionalhealthylifeyearsofwomenbyclosingthegenderhealthgapby2040.Source:UniversityofWashington’s

InstituteforHealthMetricsandEvaluation,usedwithpermission;OxfordEconomics;InternationalLabourOrganizationILOSTATdatabase;OrganisationforEconomicCo-operationandDevelopment(OECD);Eurostat;NationalTransfer

Accountsproject;McKinseyGlobalInstituteanalysisClosingtheWomen’s

HealthGap:A$1Trillion

OpportunitytoImproveLivesandEconomies6Embracingthefullde?nitionofwomen’s

healthResearchshowsthatSRHandmaternal,

newbornandchildhealth(MNCH)accountforapproximately5%ofwomen’shealthburden,

althoughthisis9probablyanunderestimate.Anadditionalestimated56%oftheburdenisduetohealthconditionsthatare

more

prevalentand/ormanifestdifferentlyinwomen.Theremaining43%are

fromconditionsthatdonotaffectwomendisproportionatelyordifferently(Figure3).Women

aremostlikelytobeaffectedbya

sex-speci?cconditionbetweentheagesof15and50.Otherconditionsoccurthroughout

women’slives,butnearlyhalfofthehealthburden

affectswomenintheirworkingyears,whichoftenhasanimpactontheirabilitytoearn

moneyandsupportthemselvesandtheirfamilies(Figure4).Women’s

healthisoftensimpli?edtoincludeonlysexualandreproductivehealth(SRH),whichmeaningfullyunder-representswomen’s

healthburden.Thisreportde?neswomen’s

health8ascoveringbothsex-speci?cconditions(forexample,endometriosisandmenopause)andgeneralhealthconditionsthatmayaffectwomendifferently(higherdiseaseburden)ordisproportionately(higherprevalence).FIGURE3:

Total

globalwomen’s

healthburdenBreakdownofconditions,%43%areconditionsthatneitheraffectwomendisproportionatelynordifferently(e.g.ischaemicheartdisease,tuberculosis)47%arerelatedtoconditionsthataffectwomendisproportionately(e.g.headachedisorders,autoimmune4%arerelatedtoconditionsthataffectwomendifferently(e.g.5%arerelatedtowomen–speci?cconditions(maternalandgynaecological)atrial?brillation,coloncancer)23disease,depression)143%47%4%

5%Total

globalwomen’s

suffering1.Conditionsthataffectwomendisproportionatelyarede?nedasconditionswithahigherprevalenceinwomencomparetomenbutnotahigherdiseaseburdenpercase.2.Conditionsthataffectwomendifferentlyarede?nedasconditionswithahigherdiseaseburdenpercaseinwomencomparedtomen.3.Includingmaternalconditionssuchasmaternalhaemorrhage,maternalsepsisandothermaternalinfections,hypertensivedisordersofpregnancy,obstructedlabouranduterinerupture,abortionandmiscarriage,ectopicpregnancy,indirectmaternaldeaths,latematernaldeaths,maternaldeathsaggravatedbyHIV/AIDS,gynaeco-logicaldiseasessuchasuterine?broids,polycysticovariansyndrome,women’s

infertility,endometriosis,genitalprolapse,premenstrualsyndromeandwomen’s-speci?ccancerssuchasuterinecancer,

ovariancancerandcervicalcancer.Source:McKinseyanalysisbasedontheUniversityofWashington'sInstituteforHealthMetricsandEvaluation,“GlobalBurdenofDiseaseStudy2019”,women'shealthmodel,usedwithpermissionFIGURE4:

HowhealthburdensaffectwomenovertheirlivesNearly50%ofburdenaffectswomenofworkingage4252752450–1920–6465+11.In2016theaveragepensionageforawomanretiringthatyearwas63.7years.Source:DiseaseburdenfromUniversityofWashington'sInstituteforHealthMetricsandEvaluation,“GlobalBurdenofDiseaseStudy2019”,usedwithpermission;OECD,“CurrentRetirementAges”,PensionsataGlance,OECDandG20Indicators,OECDPublishing,2017Pregnancycomplicationscanincreaseriskforchronicillnesses(forexample,gestationalhypertensioncanportendchronichypertension,10andwomenwhohavehadgestationaldiabeteshavea50%riskofdevelopingtype2diabetes7–10yearsafterthebirthofthechild).11

Goodmaternalhealthhelpsthemotherandbaby,withbene?tsextendingbeyondpregnancyandbirth.HealthClosingtheWomen’s

HealthGap:A$1Trillion

OpportunitytoImproveLivesandEconomies7equityencompassesaccesstotheinterventionsandoptionsthatarerightforeachindividual,regardlessoftheirgender,

sex,sexualidentity,sexualorientation,age,race,ethnicity,religion,disability,education,incomeleveloranyotherdistinguishingcharacteristic.Forwomen,thiscanstartwithabetterunderstandingofandaccesstointerventionsthatleadtothebestoutcomes.BOX2:

ResearchmethodologyAssessmentofthewomen’s

healthgapandthepotentialtoreduceit:2040.Thesehealthgainswere

convertedintolabourforceinvolvement,productivityandeconomicgainsthroughfouravenues:fewerearlydeaths;fewerhealthconditions;extendedeconomiccapacitytocontribute;andincreasedproductivity.Theassumptionsforestimatingtheimpactswere

basedonacademicstudiesandveri?edbyexperts.AnalystsusedtheGlobalBurdenofDiseasedatafromtheUniversityofWashington’sInstituteforHealthMetricsandEvaluation(IHME)toforecastdiseaseburdensupto2040.Thisincludesdiseasesleadingtodeathandpoorhealthconditionssuchasinfectiousdiseasesandchronicconditions.Thisanalysisacknowledges:To

gaugehowmuchthediseaseburdencouldbereduced,McKinseythoroughly

reviewedclinicalevidenceforthetop64diseasesaffectingwomen,whichaccountfornearly86%oftheglobaldiseaseburden.12

Itfocusedonaround180interventions,basedonguidelinesfrom

leadinginstitutionssuchastheWorld

HealthOrganization(WHO)andTheLancet.––Diseaseburdenevolution:UnexpectedeventssuchasCOVID-19canchangeprojections.TheIHME’s

diseaseburdendatare?ectsthebestavailabledata.Interventioneffectiveness:Giventhatevolvingscienti?cevidencemaybeinconclusive,theresearchincludedinputfromacademicandclinicalexperts.Foreachinterventionrelatedtothe64diseases,McKinseyexaminedthefollowingfactors:––Futureinnovations:McKinseyfocusedonadvanced-stagetechnologiesandconsulted?eldexperts.–––Identi?cationofpotentialreductionofmorbidityandmortality,13scaleduptoalldiseases,consideringthedifferencesbetweenmenandwomentoidentifythewomen’s

healthgapAddressingthewomen’s

healthgap:Analystsassumedthatifexistinginterventionsaremoreeffectiveforormorefrequentlyadoptedbymen,thesameratescouldbeachievedforwomen.Ifgender-basedef?cacywasn’tmonitored,itwasassumedasimilargendergaptotheonesforwhichdatawasavailable.Projectionoftotalpopulationandworkingpopulationbaselineswiththeexpansionfromhealthinterventionsandlabour-forcecapacityinterventionsEstimationofthedurationtorealizethefullbene?ts,consideringbothimplementationtimeandthelagbeforehealthbene?tsappear––Economicimplications:Thiseconomicanalysismakesassumptionsaboutlabourmarketchoices.Forinstance,howageandhealthaffectlabourforceparticipation.Evidencesuchascurrentlabourforcestatisticsandpotentiallabourmarketchangeswereconsidered.Caseswithlimitedadoptiondataandcorrelatedassumptionsare

detailedinthetechnicalappendix.Quanti?cationoftheeconomicimpact:Datagap:Undercountingandundervaluingofdiseasesandtheirhealthburdenonwomenlikelyleadstoanunderestimationofthewomen’s

healthgap.To

determinethepotentialeconomiceffects

oftheproposed

healthinterventions,analystsusedpopulation14

andlabourforce15

predictions

uptoHowtoreadthisreportTheanalysispresentedinthisreportincludesanassessmentofthehealthburdenassociatedwiththewomen’s

healthgapasmeasuredinpotentialyearsofhealthylife.16

Thishealthimprovementpotentialwasthentranslatedtoeconomicpotential,measuredascontributiontogrossdomesticproduct(GDP).Sections2–4ofthisreportarefocusedonhealthimprovementpotential(measuredinDALYs),

brokendownbythreerootcausesrelatedtodisparitiesinscience,dataandcaredelivery.Theeconomicvalueofthiscombinedhealthimprovementpotentialispresentedinsection6,whereeconomicimpactismeasuredinadditionalGDP.

Whilethisreportfocusesonthepotentialeconomicbene?tsofclosingthewomen’s

healthgap,thereisalsoamoralimperativetoclosethewomen’s

healthgapandtoimprovethelivesofmillionsofwomenworldwide.ClosingtheWomen’s

HealthGap:A$1Trillion

OpportunitytoImproveLivesandEconomies8Therole

ofscienceinaddressing

healthdisparities1Inequalityhindersknowledge.ClosingtheWomen’s

HealthGap:A$1Trillion

OpportunitytoImproveLivesandEconomies9EffectivenessofandaccesstomedicaltherapiesmayvaryBiomedicalinnovationbuildsonthebasicunderstandingofsciencearoundbodyfunctionandthecellularandmolecularpathwaysinvolvedindiseasedevelopmentandprogression.Historically,menhavebothledandbeenthesubjectofthestudyofmedicineandbiology.17Themajorityofanimalmodelshavebeenbasedonmalespecimens.18

Questionsaboutsex-baseddifferenceswererarelyinvestigatedorrecorded,withtheassumption–nowknowntobefalse–thattherearefewimportantdifferencesinthefunctioningoforgansandsystemsinmenandwomenbeyondreproduction.To

understandbasicfemalebiologybetter,

fundamentallynewresearchtoolsshouldbedeveloped(forexample,animalmodels,computationalmodels,patientavatarsandhumanizedmodels)thatbetterclassifywomen’ssymptomsandmanifestationsofdisease(asopposedtocallingthose“atypical”).19There

are

well-knowncaseswhere

womenandmenexperienceimportantdifferencesintheuptakeoreffectiveness

ofa

medicinedesignedandapproved

foruseforboth.Thisistrue,forexample,forsometherapiestotreat

asthmaandcardiovascular

disease.Analystslookedat183ofthemostwidelyusedinterventionsacross

64healthconditions,representing

roughly

90%ofthehealthburden

forwomen,reviewing

more

than650academicpaperstoassesstheextentofthisphenomenon.Oftheinterventionsstudied,only50%reported

sex-disaggregated

data.Incaseswhere

sex-disaggregated

datawasavailable,64%oftheinterventionsstudiedwere

foundtoputwomenata

disadvantage,eitherduetoloweref?cacy

oraccess,orboth,whileformenthiswasthecaseforonly10%ofThereisatremendousopportunityforthehealthcareandlifesciencescommunitytoimprovethelivesofwomenaroundtheworld.interventions.(Figure

5).FIGURE5:

EffectivenessofandaccesstointerventionsvarybetweenmenandwomenFromtheinterventionsthathavesex-disaggregateddata,64%werefoundtoputwomenatadisadvantageduetoloweref?cacy,lackofaccessorbothNosex-disaggregateddata50%50%64%Withsex-disaggregateddata10%26%ResearchedinterventionsWomendisadvantagedMendisadvantagedEqualresultsSource:

McKinseyanalysisExamplesinclude:–Cardiovascularandcerebrovasculardisease–particularlyischaemicheartdiseaseandstroke–isthebiggestsinglecontributortodiseaseburdengloballyforbothmenandwomen,accountingfor16%ofDALYs

globallyformenand14%forwomen.22

OneGermanstudyfoundthatdespiteidenticaltechnicalsuccessofapercutaneouscardiacinterventionformenandwomen,therewasa20%higherage-adjustedriskofdeathorofcardiaceventsinwomencomparedtomen.23–Asthmaisacommonrespiratoryconditionaffectingmenandwomenatsimilarprevalencerates,whereacuteasthmaexacerbationspresentassymptomssuchasshortnessofbreath,wheezing,coughorchesttightness.20Inhalertherapywithbronchodilatorsandcorticosteroidsisamainstayoftreatment.Butstudiesindicatethatthistreatmentisaround20percentagepointslesseffectiveinreducingexacerbationsinwomencomparedtomen.21ClosingtheWomen’s

HealthGap:A$1Trillion

OpportunitytoImproveLivesandEconomies

10Researchinwomen’s

healthprimarilyfocusesondiseaseswithhighmortality,

overlookingdiseasesleadingtodisabilityandpolycysticovarysyndrome.Additionally,maternalconditionsshouldreceivemoreattention:whiletheycontributeasimilarsharetooverallsufferingamongwomencomparedtowomen-speci?ccancers,thereisalargediscrepancyinthepipelineoftherapiesindevelopment.Forexample,eventhoughpostpartumhaemorrhage(PPH)istheleadingdirectpreventablecauseofmaternalmortalityinlow-incomecountries(LICs)andlow-ormiddle-incomecountries(LMICs),onlytwonewmedicinesshowntobeeffectiveinPPHmanagementhavebeendevelopedoverthepast30years.24Onewaytoassessresearchprioritiesisthroughpipelineassets.Thereisuptoa10-fold

溫馨提示

  • 1. 本站所有資源如無特殊說明,都需要本地電腦安裝OFFICE2007和PDF閱讀器。圖紙軟件為CAD,CAXA,PROE,UG,SolidWorks等.壓縮文件請(qǐng)下載最新的WinRAR軟件解壓。
  • 2. 本站的文檔不包含任何第三方提供的附件圖紙等,如果需要附件,請(qǐng)聯(lián)系上傳者。文件的所有權(quán)益歸上傳用戶所有。
  • 3. 本站RAR壓縮包中若帶圖紙,網(wǎng)頁內(nèi)容里面會(huì)有圖紙預(yù)覽,若沒有圖紙預(yù)覽就沒有圖紙。
  • 4. 未經(jīng)權(quán)益所有人同意不得將文件中的內(nèi)容挪作商業(yè)或盈利用途。
  • 5. 人人文庫網(wǎng)僅提供信息存儲(chǔ)空間,僅對(duì)用戶上傳內(nèi)容的表現(xiàn)方式做保護(hù)處理,對(duì)用戶上傳分享的文檔內(nèi)容本身不做任何修改或編輯,并不能對(duì)任何下載內(nèi)容負(fù)責(zé)。
  • 6. 下載文件中如有侵權(quán)或不適當(dāng)內(nèi)容,請(qǐng)與我們聯(lián)系,我們立即糾正。
  • 7. 本站不保證下載資源的準(zhǔn)確性、安全性和完整性, 同時(shí)也不承擔(dān)用戶因使用這些下載資源對(duì)自己和他人造成任何形式的傷害或損失。

評(píng)論

0/150

提交評(píng)論