Preventive health care use can reduce the risk of disease, disability, and death. Thus, it is critical to understand factors that shape preventive care use. A growing body of research identifies structural sexism as a driver of population health, but it remains unknown if structural sexism is linked to preventive care use and, if so, whether the relationship differs for women and men. Gender performance and gendered power and resource allocation perspectives lead to competing hypotheses regarding these questions. This study explores the relationship between structural sexism and preventive care in gender-stratified, multilevel models that combine data from the Behavioral Risk Factor Surveillance System with state-level data (N = 425,454). We find that in states with more structural sexism, both men and women were less likely to seek preventive care. These findings support the gender performance hypothesis for men and the gendered power and resource allocation hypothesis for men and women.

中文翻译：

---

美国的结构性性别歧视和预防性医疗保健的使用。

预防性医疗保健的使用可以降低疾病、残疾和死亡的风险。因此，了解影响预防性护理使用的因素至关重要。越来越多的研究将结构性性别歧视视为人口健康的驱动因素，但仍不清楚结构性性别歧视是否与预防性护理的使用有关，如果是的话，这种关系对于女性和男性是否有所不同。性别表现、性别权力和资源分配观点导致了关于这些问题的相互竞争的假设。本研究探讨了性别分层、多层次模型中的结构性性别歧视与预防保健之间的关系，该模型将行为风险因素监测系统的数据与州级数据相结合 (N = 425,454)。我们发现，在结构性性别歧视较多的州，男性和女性寻求预防性护理的可能性较小。这些发现支持男性的性别绩效假说以及男性和女性的性别权力和资源分配假说。