Nevertheless, widespread gender segregation continues to confine women to the lowest paid segments of the labour market. Gender inequalities with regard to earned income, wealth, time use and social security, documented in detail in Chapters 2 and 3, clearly indicate that something is terribly wrong: why are 'equal opportunities' not translating into equal outcomes? In some contexts patriarchal structures and practices constrain women's ability to seek paid work, or even health care, and to participate in social and political life.