Fit to conceive? Representations of preconception health in the UK press
Fit to conceive? Representations of preconception health in the UK press
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DOI：
10.1177/0959353520972253
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发表时间：
2020-12-06
影响因子：
5.4
通讯作者：
Budds, Kirsty
中科院分区：
文献类型：
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作者：
Budds, Kirsty
越来越多的人声称，怀孕前的这段时间对怀孕和生育结果至关重要，这促使人们呼吁针对妇女怀孕前而不是怀孕期间提供公共卫生咨询和干预措施。利用福柯的自我治理和技术的概念，本文探讨了孕前健康信息对育龄妇女的影响。经过对57篇英国报纸文章的批判性话语分析，确定了孕前健康的三种主要表现形式：孕前健康作为优化生育率，确定婴儿健康，并作为干预点。我认为，这些表述反映了新自由主义的健康议程，将妇女定位为控制和负责自己的生育，未来孩子的健康，后代，以及更广泛的人口，所有这些都是通过仔细的自我监督他们的生活方式。通过这种方式，“良好的”孕前健康被强调为一种日益重要的健康公民形式。此外，分析强调了这些期望的性别性质，对妇女孕前健康的潜在影响给予了不成比例的关注。对这些主要信息的挑战很少，人们对育龄妇女的自主权和主观性的潜在影响表示关切，无论怀孕意图如何。
The period before conception is increasingly claimed to be of critical importance for pregnancy and birth outcomes, prompting calls for public health advice and interventions to be targeted at women before rather than during pregnancy. Drawing on Foucault's concepts of governmentality and technologies of the self, this article explores the implications of preconception health messages for women of reproductive age. Following a critical discursive analysis of 57 UK newspaper articles, three dominant representations of preconception health were identified: preconception health as optimizing fertility, as determining infant health, and as point of intervention. I suggest that these representations reflect neoliberal health agendas, positioning women as in control of and responsible for their fertility, the health of their future children, future generations, and of the wider population, all through careful self-policing of their lifestyles. In this way, "good" preconception health is emphasized as an increasingly important form of health citizenship. Furthermore, the analysis highlights the gendered nature of these expectations, with a disproportionate focus on the potential impact of women's preconception health. Few challenges to these dominant messages were identified, and concerns are raised about the potential impacts on the autonomy and subjectivities of women of reproductive age, regardless of pregnancy intentions.