Examining the Operationalization of “Sex” and “Gender”: Definitions within a Healthcare Framework

By Elinton Lee '20

Thesis Advisor: Professor Khary Polk

Abstract: This thesis explores the terms “sex” and “gender” as they have been defined and operationalized within a healthcare context. The importance for more thorough discussions on how sex and gender are used is clarified by: (1) Analyzing studies that show health outcome disparities as a result of sex and gender influence and (2) looking at the NIH 2016 SABV policy as a locus for an overarching definition by a healthcare institution. Given the exclusion of transgender, nonbinary, and intersex individuals to name a few, there is a need to search for a better way to look at sex and gender. This thesis explores other theories and definitions, as well as considers the implications of how limited definitions of sex and gender can lead to harmful consequences that ultimately is a detriment to patient health. Focusing in the healthcare field, this thesis seeks to combine conversations from both the sciences and humanities with the goal of providing better approaches to healthcare policies.