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Gender and the hygiene hypothesis

ScholarsArchive at Oregon State University

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Title Gender and the hygiene hypothesis
Names Clough, Sharyn (creator)
Date Issued 2011-02 (iso8601)
Note This is an author's peer-reviewed final manuscript, as accepted by the publisher. The published article is copyrighted by Elsevier and can be found at: http://www.sciencedirect.com/science/journal/02779536.
Abstract The hygiene hypothesis offers an explanation for the correlation, well-established in the industrialized
nations of North and West, between increased hygiene and sanitation, and increased rates of asthma and
allergies. Recent studies have added to the scope of the hypothesis, showing a link between decreased
exposure to certain bacteria and parasitic worms, and increased rates of depression and intestinal auto-immune
disorders, respectively. What remains less often discussed in the research on these links is that
women have higher rates than men of asthma and allergies, as well as many auto-immune disorders, and
also depression. The current paper introduces a feminist understanding of gender socialization to the
epidemiological and immunological picture. That standards of cleanliness are generally higher for girls
than boys, especially under the age of five when children are more likely to be under close adult
supervision, is a robust phenomenon in industrialized nations, and some research points to a cross-cultural
pattern. I conclude that, insofar as the hygiene hypothesis successfully identifies standards of
hygiene and sanitation as mediators of immune health, then attention to the relevant patterns of gender
socialization is important. The review also makes clear that adding a feminist analysis of gender
socialization to the hygiene hypothesis helps explain variation in morbidity rates not addressed by other
sources and responds to a number of outstanding puzzles in current research. Alternative explanations
for the sex differences in the relevant morbidity rates are also discussed (e.g., the effects of estrogens).
Finally, new sources of evidence for the hygiene hypothesis are suggested in the form of cross-cultural
and other natural experiments.
Genre Article
Topic Gender
Identifier Clough, S. (2011). Gender and the hygiene hypothesis. Social Science & Medicine, 72(4), 486-493. doi:10.1016/j.socscimed.2010.11.021

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