Anthropology in public health emergencies: what is anthropology good for?

Anthropology in public health emergencies: what is anthropology good for?
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DOI:
10.1136/bmjgh-2017-000534
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发表时间:
2018
期刊:
影响因子:
8.1
通讯作者:
Stringer B
Stringer B
中科院分区:
医学2区
文献类型:
--
作者:
Stellmach D;Beshar I;Bedford J;du Cros P;Stringer B

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最近埃博拉病毒病(2013-2016年)和寨卡病毒(2015-2016年)的爆发使人们重新认识到需要了解疾病传播的社会途径和护理障碍。社会科学家,特别是人类学家,被认为是应对疾病暴发的重要参与者,因为他们有能力评估当地的社会、经济和政治因素。然而,在紧急公共卫生反应中,与任何跨学科环境一样,不同的专业可能会在方法,道德和证据本身的性质上存在分歧。疾病爆发不是开始谈判纪律分歧的地方。鉴于人类学家在健康危机中与流行病学家、临床医生和公共卫生专业人员一起工作的需求越来越大,本文对人类学方法进行了基本介绍,并试图弥合紧急情况中学科期望的差距。它问:“人类学家在公共卫生危机中能做些什么,他们是如何做到的?”它主张对紧急情况采取跨学科的概念,并承认社会、心理和体制因素影响护理的各个方面。
Recent outbreaks of Ebola virus disease (2013–2016) and Zika virus (2015–2016) bring renewed recognition of the need to understand social pathways of disease transmission and barriers to care. Social scientists, anthropologists in particular, have been recognised as important players in disease outbreak response because of their ability to assess social, economic and political factors in local contexts. However, in emergency public health response, as with any interdisciplinary setting, different professions may disagree over methods, ethics and the nature of evidence itself. A disease outbreak is no place to begin to negotiate disciplinary differences. Given increasing demand for anthropologists to work alongside epidemiologists, clinicians and public health professionals in health crises, this paper gives a basic introduction to anthropological methods and seeks to bridge the gap in disciplinary expectations within emergencies. It asks: ‘What can anthropologists do in a public health crisis and how do they do it?’ It argues for an interdisciplinary conception of emergency and the recognition that social, psychological and institutional factors influence all aspects of care.
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