Don't be the "Fifth Guy": Risk, Responsibility, and the Rhetoric of Handwashing Campaigns
Don't be the "Fifth Guy": Risk, Responsibility, and the Rhetoric of Handwashing Campaigns
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DOI：
10.1007/s10912-017-9470-4
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发表时间：
2019-06-01
影响因子：
0.9
通讯作者：
Brown, M. M.
中科院分区：
文献类型：
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作者：
Brown, M. M.
近年来，H1N1 流感等疫情的爆发促使人们加大力度控制感染风险。这些努力通常涉及认可个人对感染风险的责任，从而强化了公共卫生的个人主义模式。一些学者，例如 Peterson 和 Lupton（1996）将这种模式称为“新公共卫生”。在本文中，我描述了对感染风险的个人责任的关注如何影响手部卫生和其他形式疾病礼仪的促进。我的分析强调使用构成性和污名化的言论来将个人身体而不是环境描述为主要的感染源。这种言论在工作场所很常见，它为鼓励个人行为改变提供了动力，以对冲感染风险。不过，我认为，强制个人对感染风险承担责任会激起一种耻辱和指责文化，这可能不利于公共卫生的目标。
In recent years, outbreaks such as H1N1 have prompted heightened efforts to manage the risk of infection. These efforts often involve the endorsement of personal responsibility for infection risk, thus reinforcing an individualistic model of public health. Some scholars-for example, Peterson and Lupton (1996)-term this model the "new public health." In this essay, I describe how the focus on personal responsibility for infection risk shapes the promotion of hand hygiene and other forms of illness etiquette. My analysis underscores the use of constitutive and stigmatizing rhetoric to depict individual bodies, rather than environments, as prime sources of infection. Common among workplaces, this rhetoric provides the impetus for encouraging individual behavior change as a hedge against infection risk. I argue, though, that the mandating of personal responsibility for infection risk galvanizes a culture of stigma and blame that may work against the aims of public health.