Health services should be affordable, accessible and acceptable to all, and they should be provided with quality, equity and dignity. The way that health services are organized and provided can either limit or enable a person’s access to healthcare information, support and services, and the outcome of those encounters. Gender influences people’s experience of and access to healthcare. Gender identity refers to a person’s deeply felt, internal and individual experience of gender, which may or may not correspond to the person’s physiology or designated sex at birth. Gender and sex are related to but different from gender identity. Gender interacts with but is different from sex, which refers to the different biological and physiological characteristics of females, males and intersex persons, such as chromosomes, hormones and reproductive organs. This is referred to as intersectionality. Gender-based discrimination intersects with other factors of discrimination, such as ethnicity, socioeconomic status, disability, age, geographic location, gender identity and sexual orientation, among others. Gender is hierarchical and produces inequalities that intersect with other social and economic inequalities. As a social construct, gender varies from society to society and can change over time. This includes norms, behaviours and roles associated with being a woman, man, girl or boy, as well as relationships with each other. Gender refers to the characteristics of women, men, girls and boys that are socially constructed.
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