滑动的知识:无知,生态和环境在子宫内膜异位症的框架
1Centre for Biomedicine, Self, and Society, University of Edinburgh, Edinburgh, UK.
Medical anthropology quarterly
|May 20, 2025
概括
与子宫内膜异位症相关的环境因素在讨论中经常被忽视. 这项研究引入了"滑动"的知识,即了解子宫内膜异位症的环境原因缺乏可行的途径,阻碍了进展.
科学领域:
- 环境健康 环境健康
- 健康和疾病的社会学
- 生殖健康 生殖健康
背景情况:
- 越来越多的证据将环境毒素与子宫内膜异位症联系起来.
- 在关于子宫内膜异位症的公共,患者和专家话语中,环境因素的代表性不足.
- 关于环境与子宫内膜异位症的联系的现有对话缺乏引力和可操作的见解.
研究的目的:
- 发展关于子宫内膜异位症的环境和生态病因的"滑动知识"概念.
- 探索为什么关于子宫内膜异位症环境原因的知识逃避了行动.
- 分析权力动态对理解和解决子宫内膜异位症环境因素的影响.
主要方法:
- 在英国进行的民族学研究.
- 对关于子宫内膜异位症的公众,患者和专家对话的分析.
- "滑动知识"的概念发展和环境疾病的两个模型.
主要成果:
- 关于子宫内膜异位症的环境或生态原因的知识被描述为"滑动",逃避具体行动.
- 缺乏行动的原因不是信息短缺,而是缺乏可采取行动的可能性.
- 介绍了两种环境疾病模型:暴露模型和体现生态模型.
结论:
- 在暴露和体内生态模型中,子宫内膜异位症的知识是"滑动的".
- 环境知识的可行性与权力动态 (殖民主义,性别,种族) 密切相关.
- 这些权力动态维持了认识和对子宫内膜异位症采取行动的有问题和持久的方式.
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