Histories of 'a loathsome disease': Sexual health in modern Britain
Histories of 'a loathsome disease': Sexual health in modern Britain
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DOI：
10.1111/hic3.12716
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发表时间：
2022-02-22
期刊：
影响因子：
0.4
通讯作者：
Hanley，Anne
中科院分区：
文献类型：
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作者：
Hanley，Anne
从维多利亚时代对卖淫和堕落的关注，到我们今天的抗菌素耐药性和获得护理的不平等问题，性健康已经充斥着性别化、种族化、政治化和阶级化的含义。历史学家在越来越多样化的子领域中写作，探索了英国人对性健康的态度和干预在过去两个世纪中的变化。在这样做的过程中，他们还涉及了英国社会生活、政治、性别和性方面的广泛主题。本文对这一广泛的史学进行了调查，强调了重要的转变，并反思了历史学家下一步可能会取得丰硕成果的方向。不可避免地，在学术研究中存在有问题的沉默。历史学家绝大多数依赖于卫生当局和国家编制的记录，他们倾向于书写自上而下的性健康史。普通人的生活经历，尤其是那些处于社会边缘的人，仍然令人沮丧地难以捉摸。此外，历史上破坏医疗和剥夺患者发言权的不平等现象继续影响着健康结果。因此，这篇文章不仅调查了历史编纂，而且还说明了历史学家在支持对性健康的态度的积极变化和今天提供医疗保健方面可以发挥的重要作用。
From Victorian preoccupations with prostitution and degeneration to our present‐day problems with antimicrobial resistance and inequalities in access to care, sexual health has been riddled with gendered, racialised, politicised and class‐based meanings. Historians writing from within an increasingly diverse collection of subfields have explored how British attitudes towards, and interventions in, sexual health have changed over the past two centuries. In so doing, they have also addressed a wide range of themes in British social life, politics, gender and sexuality. This article surveys this extensive historiography, highlighting important shifts and reflecting on where historians might fruitfully turn next. Inevitably, there are problematic silences in the scholarship. Historians, overwhelmingly reliant on records compiled by health authorities and the state, have tended to write top‐down histories of sexual health. The lived experiences of ordinary people, especially those on the margins of society, remain frustratingly elusive. Moreover, the same sorts of inequalities that historically undermined care and denied patients a voice continue to shape health outcomes. As such, this article not only surveys the historiography but also makes the case for the important role that historians can play in supporting positive changes in attitudes towards sexual health and the delivery of healthcare today.