Road traffic injuries: social change and development.

Road traffic injuries: social change and development.
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DOI:
10.1017/mdh.2012.83
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发表时间:
2013-01
期刊:
影响因子:
1.4
通讯作者:
Borowy, Iris
Borowy, Iris
中科院分区:
人文科学3区
文献类型:
--
作者:
Borowy, Iris

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在二十世纪,道路交通伤害已成为公共卫生的一个主要负担。RTI死亡人数首先在高收入国家增加,在20世纪70年代后下降,从20世纪80年代起,在低收入和中等收入国家飙升。随着机动化在北美起飞,然后传播到欧洲和世界其他地区,关于RTI的讨论反映并影响了国际上对传统意义上的“发展”成本和收益的解释。使用话语分析,本文探讨了如何构建的方式,服务于区域和全球的发展议程,以及如何“发展”已经(重新)通过的RTIs的话语谈判,反之亦然。为此,本文分析了负责国际卫生或运输的组织的关键出版物的选择,并将其置于(a)该时期的周围科学讨论和(B)有关RTI死亡率,发展资金,道路和其他交通基础设施的相关数据的背景下。研究结果表明,建设区域贸易体系已经从发展的必要代价转变为发展处于早期阶段或协调发展不足的标志。近年来,关于信息权的讨论提出了发展方向错误和需要进行根本性反思的问题。目前,讨论被认为是在一个十字路口之间的不同评价的发展概念化的未来。
In the course of the twentieth century road traffic injuries (RTIs) became a major public health burden. RTI deaths first increased in high-income countries and declined after the 1970s, and they soared in low- and middle-income countries from the 1980s onwards. As motorisation took off in North America and then spread to Europe and to the rest of the world discussions on RTIs have reflected and influenced international interpretations of the costs and benefits of ‘development’, as conventionally understood. Using discourse analysis, this paper explores how RTIs have been constructed in ways that have served regional and global development agendas and how ‘development’ has been (re-)negotiated through the discourse of RTIs and vice versa. For this purpose, this paper analyses a selection of key publications of organisations in charge of international health or transport and places them in the context of (a) the surrounding scientific discussion of the period and (b) of relevant data regarding RTI mortality, development funding, and road and other transport infrastructure. Findings suggest that constructions of RTIs have shifted from being a necessary price to be paid for development to being a sign of development at an early stage or of an insufficiently coordinated development. In recent years, RTI discussions have raised questions about development being misdirected and in need of fundamental rethinking. At present, discussions are believed to be at a crossroads between different evaluations of developmental conceptualisations for the future.
DOI: 10.1002/hec.1020
发表时间: 2006-01-01
期刊: HEALTH ECONOMICS
影响因子: 2.1
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