Understanding gender inequities in antimicrobial resistance: role of biology, behaviour and gender norms

Antimicrobial resistance (AMR) poses a critical public health threat, with gendered implications that are often overlooked. Key drivers of bacterial AMR include the misuse of antibiotics, inadequate water, sanitation and hygiene infrastructure and poor infection control practices. Persistent gender...

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Main Authors: Esmita Charani, Srishti Goel, Deepshikha Batheja
Format: Article
Language:English
Published: BMJ Publishing Group 2025-01-01
Series:BMJ Global Health
Online Access:https://gh.bmj.com/content/10/1/e016711.full
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author Esmita Charani
Srishti Goel
Deepshikha Batheja
author_facet Esmita Charani
Srishti Goel
Deepshikha Batheja
author_sort Esmita Charani
collection DOAJ
description Antimicrobial resistance (AMR) poses a critical public health threat, with gendered implications that are often overlooked. Key drivers of bacterial AMR include the misuse of antibiotics, inadequate water, sanitation and hygiene infrastructure and poor infection control practices. Persistent gender discrimination exacerbates these issues, resulting in disparities in healthcare access and outcomes. This review explores how biological, sociocultural and behavioural factors contribute to the differential incidence of AMR in women. We present a conceptual framework to understand how gender norms influence antibiotic use and AMR. Differences in infection susceptibility, health-seeking behaviours, the ability to access and afford essential antibiotics and quality healthcare and appropriate diagnosis and management by healthcare providers across genders highlight the necessity for gender-sensitive approaches. Addressing gender dynamics within the health workforce and fostering inclusive policies is crucial for effectively mitigating AMR. Integrating intersectional and life course approaches into AMR mitigation strategies is essential to manage the changing health needs of women and other vulnerable groups.
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issn 2059-7908
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series BMJ Global Health
spelling doaj-art-cecf525130af40dbb7680ceda759830c2025-01-22T08:05:10ZengBMJ Publishing GroupBMJ Global Health2059-79082025-01-0110110.1136/bmjgh-2024-016711Understanding gender inequities in antimicrobial resistance: role of biology, behaviour and gender normsEsmita Charani0Srishti Goel1Deepshikha Batheja2University of Cape Town, Rondebosch, South AfricaOne Health Trust, Bengaluru, Karnataka, IndiaIndian School of Business, Hyderabad, IndiaAntimicrobial resistance (AMR) poses a critical public health threat, with gendered implications that are often overlooked. Key drivers of bacterial AMR include the misuse of antibiotics, inadequate water, sanitation and hygiene infrastructure and poor infection control practices. Persistent gender discrimination exacerbates these issues, resulting in disparities in healthcare access and outcomes. This review explores how biological, sociocultural and behavioural factors contribute to the differential incidence of AMR in women. We present a conceptual framework to understand how gender norms influence antibiotic use and AMR. Differences in infection susceptibility, health-seeking behaviours, the ability to access and afford essential antibiotics and quality healthcare and appropriate diagnosis and management by healthcare providers across genders highlight the necessity for gender-sensitive approaches. Addressing gender dynamics within the health workforce and fostering inclusive policies is crucial for effectively mitigating AMR. Integrating intersectional and life course approaches into AMR mitigation strategies is essential to manage the changing health needs of women and other vulnerable groups.https://gh.bmj.com/content/10/1/e016711.full
spellingShingle Esmita Charani
Srishti Goel
Deepshikha Batheja
Understanding gender inequities in antimicrobial resistance: role of biology, behaviour and gender norms
BMJ Global Health
title Understanding gender inequities in antimicrobial resistance: role of biology, behaviour and gender norms
title_full Understanding gender inequities in antimicrobial resistance: role of biology, behaviour and gender norms
title_fullStr Understanding gender inequities in antimicrobial resistance: role of biology, behaviour and gender norms
title_full_unstemmed Understanding gender inequities in antimicrobial resistance: role of biology, behaviour and gender norms
title_short Understanding gender inequities in antimicrobial resistance: role of biology, behaviour and gender norms
title_sort understanding gender inequities in antimicrobial resistance role of biology behaviour and gender norms
url https://gh.bmj.com/content/10/1/e016711.full
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AT srishtigoel understandinggenderinequitiesinantimicrobialresistanceroleofbiologybehaviourandgendernorms
AT deepshikhabatheja understandinggenderinequitiesinantimicrobialresistanceroleofbiologybehaviourandgendernorms