The risk experience: the social effects of health screening and the emergence of a proto-illness
The risk experience: the social effects of health screening and the emergence of a proto-illness
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DOI：
10.1111/1467-9566.12257
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发表时间：
2015-09-01
影响因子：
2.9
通讯作者：
Gillespie, Chris
中科院分区：
文献类型：
--
作者：
Gillespie, Chris
那些接受健康检查的人经常会因为检查过程而经历身体和情绪上的影响。然而，健康筛查的影响超出了这些身体和精神并发症，往往对那些谁是筛选具有深远的社会影响。这项研究探讨了健康筛查的社会影响，这些人接受了健康筛查，并被指定为有潜在疾病的风险。通过对胆固醇水平升高的个体和前列腺特异性抗原（PSA）水平升高的男性的经验进行定性分析，这项研究提供了对处于风险中的经验的描述，确定了三个主要组成部分：增加医疗接触，日常生活的重组和社会关系的改变。鉴于目前的临床方法筛选和监测所产生的风险健康状况已被定性为原疾病，本研究开发了一个配套的原疾病的定义，以识别具有确定的健康风险的社会生活经验。那些处于危险中的人的行为方式与那些生病的人相似。原型疾病的概念意味着风险的经验是平行的疾病的经验，并有助于社会学的医疗筛查之间建立一个急需的桥梁两种经验。
Those who undergo health screening often experience physical and emotional effects as a result of the screening process. However, the effects of health screening go beyond these physical and mental complications, often having profound social effects for those who are screened. This study explores the social implications of health screening for people who undergo it and are designated as being at risk for potential disease. Through a qualitative analysis of the experiences of individuals with elevated cholesterol levels and men with elevated prostate-specific antigen (PSA) levels, this research offers a description of the experience of being at risk, identifying three primary components: increased medical contact, a restructuring of everyday routines and altered social relationships. Whereas the at-risk health status engendered by current clinical approaches to screening and surveillance has been characterised as proto-disease, this study develops a companion definition of proto-illness to characterise the social experience of life with an identified health risk. Those who are at risk act in ways that are similar to those who are ill. The concept of proto-illness implies that the experience of risk is parallel to the experience of illness and contributes to the sociology of medical screening by establishing a much needed bridge between the two experiences.