Womens health care is so important why? The almost universal coverage, in most developed countries, of health insurance systems have not prevented, as we know, the maintenance and sometimes the increase of inequalities of health and access to care between different categories, in particular, according to their social situation or level of education. This concern about the persistence of important social inequalities, even if it was later in France than in other countries, occupies a growing place in the public debate; these inequalities are documented, reflections develop on their determinants and on the levers to reduce them.
2 Gender inequalities, on the other hand, are less often discussed and less documented. This is undoubtedly due to the fact that in many sectors (education, salary, professional or political responsibilities, violence suffered …) women are in an unfavorable situation, they seem on the contrary, at first sight, to enjoy an advantage obvious comparison in health, since their life expectancy is higher than that of men, with more than six years gap in 2015 for France. Nevertheless, this does not fully explain the weak development of research incorporating gender perspectives in our country, as these are much more developed in the Anglo-American and European countries where these longevity gaps also exist.
3 Furthermore, life expectancy alone does not summarize health status, and if women live longer than men, they report worse health and live with more illness, disability, and disability. dependent situations. This paradox, which is now well evidenced on an international scale, will be developed in the first part. Womens health care is so important for a family
4 The next step is to analyze the differences in terms of seeking care, again with a nuanced observation: overall, women appear to be more health-conscious and consult more frequently, without having to spend more money on overall health care. When analyzing particular pathologies, there are inequalities in both directions, often related to the fact that the detection and management of diseases are influenced by gender stereotypes that can induce differences in treatment.
I – Women live longer but spend those extra years in poor health
5 In 2015, life expectancy at birth is 85.0 years for women, 78.9 years for men, a difference of 6.1 years. At age 60, he is still 4.4 years old: a woman can expect to live an average of 27.3 years, a 22.9-year-old man. Many factors explain this female advantage, including biological differences, but also more favorable health behaviors (smoking, alcoholism, risk behavior) and less exposed jobs, at least in terms of physical hardship.
6 This gap in life expectancy, which is particularly important in France (although the favorable situation of women is observed in most countries), widened until the 1990s when it reached 8.3 years. The trend has since been reversed, influenced in particular by changes in behavior, with attitudes that are more favorable to men’s health and, conversely, the spread of previously risky male behaviors in women. For example, while daily smoking remained almost stable among men between 2005 and 2010 (a little over 30%), it rose by three percentage points among women (23% to 26%) 
.7 Paradoxically, while they have better mortality outcomes, womens health report poorer health surveys than men at the same age. Beyond the greater attention that can be paid by women to their health problems, this paradox can be explained when we analyze in more detail the pathologies and functional disabilities declared: men report more diseases and disorders associated with significant vital risk and women more illnesses and symptoms associated with low vital risk.
The pathologies can be identified by the diagnoses … confirm it. For all age groups, cardiovascular diseases, diabetes, cancers, chronic respiratory diseases, diseases of the liver and pancreas,