The margins of medicalization: Diversity and context through the case of infertility
The margins of medicalization: Diversity and context through the case of infertility
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DOI：
10.1016/j.socscimed.2016.03.005
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发表时间：
2016-05-01
影响因子：
5.4
通讯作者：
Bell, Ann V.
中科院分区：
文献类型：
--
作者：
Bell, Ann V.
关于医学化有大量文献。虽然该研究强调了该过程的众多影响，但它才刚刚开始探索医疗化的复杂性。为了将医疗化理解为一个多样化的、背景化的过程，我利用了美国不孕症的案例，这是一种高度分层的医疗状况。我采访了 95 名处于主流生殖观念边缘的人——社会经济地位低下的女性、不孕夫妇的男性以及正在接受医疗协助受孕的同性关系女性——并将她们的经历与 17 名处于生殖保健中心、社会经济地位高的异性恋女性进行了比较。通过这样的比较，我研究了医疗不平等的性别、阶级和性维度。最终，医疗化排除了这种情况，但它的排除情况有所不同，并且根据个人的社会地位而产生不同的影响。这些发现表明，医疗化并不是一个固定的、普遍的过程。它是流动的、相关的，并且根据上下文而变化。 (C) 2016 Elsevier Ltd. 保留所有权利。
There is a prolific literature on medicalization. While that research highlights numerous effects of the process, it is just beginning to explore medicalization's complexity. In an effort to understand medicalization as a diverse, contextual process, I utilize the case of infertility in the U.S., a highly stratified, medicalized condition. I interviewed 95 individuals among those at the margins of mainstream understandings of reproduction-women of low socioeconomic status, men who were part of an infertile couple, and women in same-sex relationships who were accessing medical treatment to assist in conception-and compared their experiences to 17 straight women of high socioeconomic status who are at the center of reproductive care. Through such comparison, I examine the gender, class, and sexuality dimensions of inequality in medicalization. Ultimately, medicalization excludes, but it does so differentially and with different effects depending on an individual's social location. Such findings demonstrate that medicalization is not a fixed, universal process. It is fluid and relational and shifts depending on context. (C) 2016 Elsevier Ltd. All rights reserved.