The experience of risk as measured vulnerability': health screening and lay uses of numerical risk
The experience of risk as measured vulnerability': health screening and lay uses of numerical risk
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DOI：
10.1111/j.1467-9566.2011.01381.x
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发表时间：
2012-02-01
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
随着临床和流行病学研究越来越多地转向疾病识别和管理中的统计概率，出现了许多应用于个人健康监测的危险因素。然而，非专业人士对统计风险的应用与公共卫生或医疗专业人员的解释是不同的。这篇文章考察了被指定为严重健康状况风险的经历。具体地说，对血液胆固醇水平升高的人和前列腺特异性抗原(PSA)水平升高的男性的经历进行了检查，以确定风险体验的特征。本文主要讨论了处于危险中如何象征性地改变健康身份，并介绍了测量的脆弱性的概念。可衡量的脆弱性指的是以科学为基础的统计措施的能力，这些措施旨在驯服随机性，并在管理风险方面提供确定性，从而在统计数据的接受者中产生不确定性和焦虑。
As clinical and epidemiological research turns increasingly to statistical probabilities in the identification and management of disease, numerous risk factors have emerged that are applied to individual health surveillance. However, the application of statistical risk is interpreted differently by lay persons from the way it is by public health or medical professionals. This paper examines the experience of being designated as at risk of a serious health condition. Specifically, an examination of the experiences of people with elevated blood cholesterol levels and men with elevated prostate-specific antigen (PSA) levels is presented in order to characterise the risk experience. This paper deals primarily with how being at risk symbolically alters health identities, with an introduction to the concept of measured vulnerability. Measured vulnerability refers to the capacity for scientifically-derived statistical measures that are intended to tame randomness and provide certainty in managing risk to, instead, produce uncertainty and anxiety in those to whom the statistic is applied.