Abstract

Objective: To analyze the gender perspective in articles on community participation programs carried out with people affected by leprosy. Methodology: A critical literature review was carried out with an ad-hoc guide based on three documents related to the analysis of the gender perspective in scientific publications. Different variables related to the theoretical framework, methodology, results and discussion were analyzed in addition to two transversal variables related to gender biases and the use of terms related to sex/gender. Results: Thirty articles related to community intervention programs and leprosy were analyzed, identified in a prior scoping review. The results showed that, in general, a gender perspective was not taken into account in the majority of the sections analyzed. Although there was a tendency to disaggregate data based on sex, subgroups of men and women were not analyzed, nor was there discussion of the differences between the two. In all of the articles, there was evidence of the presence of gender biases, and in the majority there was a proper use of the terms sex and gender. Conclusions: Results show that in the case of the studies we analyzed, a gender perspective was not taken into account in the approach to community intervention programs related to leprosy. It is necessary to develop strategies to incorporate a gender approach in research related to leprosy in order to address the gap in inequalities between men and women affected by the disease.

Highlights

  • Gender, understood as socially constructed roles, behaviors and activities, and the attributes that a society considers appropriate to men, women and those with nonbinary identities,[1] may determine inequalities in the impoverished places where neglected tropical diseases occur.[2]

  • We understand the gender perspective as an approach that takes into account differences between men and women and that explores their interactions, taking into account the fact that inequality has repercussions on the health process

  • The results obtained indicate that these studies did not consider the inequalities in gender that are implicitly related to leprosy in the area of community intervention programs

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Summary

Introduction

Understood as socially constructed roles, behaviors and activities, and the attributes that a society considers appropriate to men, women and those with nonbinary identities,[1] may determine inequalities in the impoverished places where neglected tropical diseases occur.[2]. These discrepancies are greater in the case of women.[4,5] There is evidence that women who are less aware of the symptoms of leprosy have lower access to healthcare services This contributes to delays in seeking treatment, which may be accompanied by increases in deformities and other conditions due to the worsening of the disease.[6,7,8] the impact of the stigma associated with the disease tends to be greater among women than among men, because they suffer greater isolation and rejection both at the social and family levels.[9,10,11,12] The disabilities and deformities caused by leprosy have different impacts on the perceptions that men and women have of their own image, the way in which they relate to others, and the self-care habits they develop. This is in part due to the socialization processes that define the sexes.[13,14]

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