"To open oneself is a poor woman's trouble": embodied inequality and childbirth in South-Central Tanzania.
"To open oneself is a poor woman's trouble": embodied inequality and childbirth in South-Central Tanzania.
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“开放自己是一个贫穷女人的麻烦”：体现了坦桑尼亚中南部的不平等和生育问题。
DOI：
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发表时间：
2011
影响因子：
2.2
通讯作者：
Sydney A. Spangler
中科院分区：
文献类型：
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作者：
Sydney A. Spangler
关于社会和物质差异如何结合到人体内，然后表现为分布不均的健康结果，存在各种理论。从政治经济学的角度来看，一条道路涉及社会排斥进程，这些进程清楚地表明了当地和全球的权力领域。这项研究探讨了在坦桑尼亚中南部的基隆贝罗河谷，在分娩过程中产生和延续体现的不平等的情境过程。民族志叙述说明了这些过程如何不同地影响妇女寻求和接受的护理类型。还描述了妇女对潜在排斥作出的复杂而务实的反应，试图确保安全和其他积极的结果。在一个以文化构建的生育世界中，面对面地要求获得生物医疗服务的权利与多个层面上的歧视法规相冲突，创造了一个争夺社会和物质地位以及身体福祉的空间。
Various theories exist for the ways in which social and material disparities are incorporated within human bodies and then expressed as health outcomes with uneven distributions. From a political economy perspective, one pathway involves processes of social exclusion that take place on articulating local and global fields of power. This study explores such situated processes as they produce and perpetuate embodied inequality at childbirth in the Kilombero Valley of South-Central Tanzania. Ethnographic narratives illustrate how these processes differentially affect the kind of care women seek and receive. Also described are women's complex yet pragmatic responses to potential exclusion in the attempt to secure a safe and otherwise positive outcome. In a culturally constructed world of childbirth, face-to-face claims on entitlement to biomedical services collide with enactments of discrimination at multiple levels, creating a space of contestation for social and material positioning as well as for physical well-being.