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Organ Naklinde Toplumsal Cinsiyetin Rolü: Eşitsizliği Anlamak

Year 2025, Volume: 17 Issue: 1, 211 - 249, 01.06.2025

Sezen Demirhan

https://doi.org/10.46655/federgi.1627414

Abstract

Tıp literatüründe yapılan çalışmalar, organ nakli sürecinde kadınların, organ yetmezliği tanısı alma, uzman hekime yönlendirilme, bekleme listesine dahil edilme, organ temini ve nakil sonrası izlem gibi hayati aşamalarda erkeklere kıyasla dezavantajlı konumda olduğunu göstermektedir. Öte yandan kadınların canlı organ bağışçısı olarak orantısız bir biçimde temsil edildiği de dikkat çekici bir bulgudur. Bu çalışma, söz konusu eşitsizlikleri, Risman’ın “bir yapı olarak toplumsal cinsiyet” teorisi çerçevesinde incelemektedir. Literatür tarama yöntemiyle yürütülen bu araştırma, organ nakli süreçlerindeki toplumsal cinsiyet temelli eşitsizlikleri bireysel, etkileşimsel ve kurumsal düzeylerde ele alarak değerlendirmektedir. Uluslararası alanda yapılmış ampirik araştırmalar doğrultusunda, kadınların organ nakli süreçlerinin çeşitli aşamalarında karşılaştığı dezavantajlar tartışılmaktadır

Keywords

Organ nakli cinsiyet eşitsizliği toplumsal cinsiyet sağlık

Thanks

Bu konudaki çalışmalarımın daha fazla insana ulaşması için beni sürekli destekleyen Karolina Barglowski'ye teşekkür ederim.

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Gender in Organ Transplantation: Unpacking Inequality

Year 2025, Volume: 17 Issue: 1, 211 - 249, 01.06.2025

Sezen Demirhan

https://doi.org/10.46655/federgi.1627414

Abstract

Studies in the medicine suggest that women are at a disadvantage compared to men at critical stages of organ transplantation. These stages include diagnosis of organ failure, referral to specialists, placement on waiting lists, access to organs and post-transplant follow-up. However, women are disproportionately represented among living organ donors. This study examines these gender-based inequalities through the lens of Risman’s theory of “gender as a social structure.” Through literature review, the research evaluates gender inequalities in organ transplantation processes at individual, interactional and institutional levels. Drawing on empirical studies conducted in various international contexts, it discusses in detail the disadvantages women encounter at different stages of the transplantation process.

Keywords

Organ transplantation gender inequality organ donation sex disparity health

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  • Çifcibaşı Örmeci, Aslı. “Karaciğer Nakil Sırasında Bekleyen Hastalarda Kadın Cinsiyet Dezavantaj mı?” Gastroenterohepatolojide Cinsiyet Farklılığının Önemi, ed. Ömer Şentürk (Ankara: Türkiye Klinikleri, 2021), 37–40.
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  • Cozzi, Emanuele vd. “An Analysis by the European Committee on Organ Transplantation of the Council of Europe Outlining the International Landscape of Donors and Recipients Sex in Solid Organ Transplantation.” Transplant International: Official Journal of the European Society for Organ Transplantation 35 (2022): 10322.
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  • Doğan, Runida vd. “Bakım Verici Rolü Olan Karaciğer Nakli Donörlerinde Bakım Yükü ve Depresyon Arasındaki İlişki.” ADYÜ Sağlık Bilimleri Derg 7, no.3 (2021): 277-285.
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  • Fallahzadeh, Mohammad Kazem. “Comparison of Health Status and Quality of Life of Related Versus Paid Unrelated Living Kidney Donors.” American Journal of Transplantation 13, no.12 (2013): 3210–3214.
  • Fausto-Sterling, Anne. “The Five Sexes: Why Male and Female Are Not Enough.” The Sciences 33 (2007): 20-24
  • Federici, Silvia. Caliban and the Witch: Women, the Body and Primitive Accumulation. (New York: Autonomedia, 2004).
  • Foucault, Michel. The Birth Of Biopolitics. (New York: Palgrave Macmillan, 2008).
  • Gameiro, Cátia Morgado vd. “Menopause and Aging: Changes in the Immune System-A Review.” Maturitas vol. 67,4 (2010): 316-20.
  • Gezici, Armağan ve Özge Özay. “An Intersectional Analysis of COVID-19 Unemployment.” Journal of Economics, Race, and Policy 3 (2020): 213–224.
  • Gilligan, Carol. Kadının Farklı Sesi: Psikolojik Kuram ve Kadının Gelişimi (İstanbul: Pinhan Yayıncılık, 2017).
  • Godara, Suraj ve Jitesh Jeswani. “Women Donate, Men Receive: Gender Disparity Among Renal Donors.” Saudi J Kidney Dis Transpl 30 no.6 (2019): 1439-1441.
  • Gordon, Elisa J. vd. “Implementing Culturally Competent Transplant Care and Implications for Reducing Health Disparities: A Prospective Qualitative Study.” Health Expectations 23, no.6 (2020): 1450-1465.
  • Hamilton, David. A History of Organ Transplantation: Ancient Legends to Modern Practice (Pittsburgh: University of Pittsburgh Press, 2012).
  • Harding, Jessica L vd. “Sex/Gender Disparities in Preemptive Referrals for Kidney Transplantation.” Kidney International Reports 9, no.7 (2024): 2134-2145.
  • Harding, Sandra. “Introduction: Standpoint Theory as a Site of Political, Philosophic, and Scientific Debate.” The Feminist Standpoint Theory Reader: Intellectual and Political Controversies ed. Sandra G Harding, (New York: Routledge, 2001), 1-15.
  • Harper, Ann vd.“The UNOS OPTN Waiting List and Donor Registry.” Clinical Transplantats (1998): 73–90. Hödlmoser, Sebastian vd. “Sex Differences in Kidney Transplantation: Austria and the United States, 1978–2018” Frontiers in Medicine 8 (2021): 800933.
  • John S. Gill vd. “Differential Association of Body Mass Index with Access to Kidney Transplantation in Men and Women.” Clinical Journal of the American Society of Nephrology 5, no. 9 (2014): 951-959
  • Juliato, Cássia Raquel Teatin vd. “Women After Solid Organ Transplantation: An Overview of Gynecological Health.” BJT 26, no. 01 (2023): e3923
  • Katz-Greenberg, Goni, ve Silvi, Shah. “Sex and Gender Differences in Kidney Transplantation.” Seminars in Nephrology 42, no. 2 (2022): 219–229.
  • Kurnikowski, Amelie vd. “Country-Specific Sex Disparities in Living Kidney Donation.” Nephrol Dial Transplant 37, no. 3 (2022): 595-598.
  • Lai, Jennifer vd. “Height Contributes to the Gender Difference in Wait-List Mortality Under the MELD-Based Liver Allocation System.” American Journal of Transplantation 10, no.12 (2010): 2658–2664.
  • Lai, S. Feng vd. “Gender Differences in Liver Donor Quality Are Predictive of Graft Loss.” American Journal of Transplantation 11, no. 2 (2011): 296-302.
  • Levinsky, Norman G. “Organ Donation by Unrelated Donors.” New England Journal of Medicine 343 (2000): 430–432.
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There are 94 citations in total.

Details

Primary Language Turkish
Subjects Women's Studies
Journal Section Research Articles
Authors

Sezen Demirhan 0000-0002-8999-8318

Publication Date June 1, 2025
Submission Date January 26, 2025
Acceptance Date May 9, 2025
Published in Issue Year 2025 Volume: 17 Issue: 1

Cite

Chicago Demirhan, Sezen. “Organ Naklinde Toplumsal Cinsiyetin Rolü: Eşitsizliği Anlamak”. Fe Dergi 17, no. 1 (June 2025): 211-49. https://doi.org/10.46655/federgi.1627414.
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