Diagnostic controversy: gestational diabetes and the meaning of risk for pima Indian women.
Diagnostic controversy: gestational diabetes and the meaning of risk for pima Indian women.
复制标题
诊断争议：妊娠期糖尿病和皮马印第安妇女的风险意义。
DOI：
10.1080/01459740590933902
复制
发表时间：
2005
影响因子：
2.3
通讯作者：
Smith-Morris,CarolynM
中科院分区：
文献类型：
--
作者：
Smith-Morris,CarolynM
妊娠糖尿病是这种众所周知的慢性发育疾病的一种消失形式。孩子出生后，母亲的葡萄糖水平通常会恢复正常。作为未来的预兆，妊娠期糖尿病在母亲和孩子中传递了更大的晚期2型（以前是“非胰岛素依赖型”）糖尿病的风险。因此，孕妇已成为整个皮马人预防这一疾病的主要目标。基于1999年和2000年之间进行的民族志访谈，我讨论了谈判的意义的风险，“边缘”糖尿病，和妇女的个人知识和糖尿病的经验，特别是在高度监控的怀孕期间。我还强调了与妊娠糖尿病有关的专业话语的异质性，最值得注意的是围绕其诊断的争论。值得注意的是，妇女的叙述揭示了与专业辩论中提出的相同的一系列问题。还讨论了糖尿病预防和平衡增加监测孕妇的临床策略，特权他们的经验和观点的影响。
Gestational diabetes is the one form of this well known, chronic disease of development that disappears. After the birth of the child, the mother's glucose levels typically return to normal. As a harbinger of things to come, gestational diabetes conveys greater risk for later type 2 (previously “non-insulin dependent”) diabetes in both the mother and child. Thus, pregnant women have become a central target for prevention of this disease in the entire Pima population. Based on ethnographic interviews conducted between 1999 and 2000, I discuss the negotiated meanings of risk, “borderline” diabetes, and women's personal knowledge and experiences of diabetes, particularly during the highly surveilled period of pregnancy. I also highlight the heterogeneity of professional discourse pertaining to gestational diabetes, most notably the debate surrounding its diagnosis. Significantly, women's narratives reveal the same set of questions as is raised in the professional debate. Implications for diabetes prevention and for balancing the increased surveillance of pregnant women with clinical strategies that privilege their experience and perspectives are also discussed.