جنسیت، خشونت خانگی و بیماری در مکزیک
|کد مقاله||سال انتشار||تعداد صفحات مقاله انگلیسی||ترجمه فارسی|
|36056||1997||14 صفحه PDF||سفارش دهید|
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Publisher : Elsevier - Science Direct (الزویر - ساینس دایرکت)
Journal : Social Science & Medicine, Volume 45, Issue 8, October 1997, Pages 1147–1160
A vast social science literature exists devoted to women's health problems in developed nations..* A great deal has also been written about woraen's health in developing nations, but the majority of these investigations have centered around wo~aen's health in association with their reproductive ca- pacities.t Little attention has been paid, however, to women's sub-acute non-life threatening conditions in developing nations, impairments not directly re- lated to women's reproductive capacities and for which biomedicine lacks remedies.:~ In my study of patients seeking treatment from Spiritualist healers in Mexico I found, in a ran- *See Brown and Harris (1978), Doyal (1995), Freud (1990), and Freud in Young-Breuhl (1990), Gove (1978), Gove and Hughes (1979), Jack (1991), Kane (1991), Krieger and Fee (1994), Martin (1987), Nathanson (1975, 1979), Pandolfi (1990), Rosenfield (1980), Roskies (1978), Travis (1988), Verbrugge (1978, 1990), Weissman and Klerman (1977). An extensive bibliography can be found in Apple (1990). tBrowner (1989, 1990), Davis and Low (1989), MacCormack (1994), Martin (1987), Morsy (]978), Raymond (1993), Secretaria de Salud, 1990. :~However, see Finkler (1991, 1994b), Doyal (1995) and Morsy (1993). Brief discussion of women's depression and violence against women is noted in Secretaria de Salud (1990), but the major focus of this publication is on women's reproductive problems and their sequelae. §In addition to biological risks, intrinsic genetic and hormonal differences between men and women, Verbrugge (1990) identifies such reasons for the differ- ences as "psychosocial aspects of symptoms and care; called "illness behavior" in medical sociology, '~ and "health reporting behavior, this concerns how men and women talk about their health problems to others". ¶For a fine discussion of the different variables contri- buting to women's sickness see Verbrugge (1990). Verbrugge discusses the various factors that impact on women's health, but even taking into account the bio- logical differences, Verbrugge emphasizes that there still remains a "black box" which fails to o:plain women's non-life threatening conditions. IlSee also the compelling argument of this point by Kleinman (1988). domly selected sample of 1212 patients (Finkler, 1994a) that 58% were women. Similarly, out of a sample of 267 patients in an outpatient clinic of a government general hospital, 76.2% were women. At both sites the women sought treatments for non- life threatening disorders. We must, therefore, ask what lies behind these high frequencies of morbidity among women? A facile response would be to reduce the answer to biological factors and/or to an overall propensity to illness associated with sex sta- tus.§ However, biological explanations are unsatis- fying because they only partially explain women's non-life threatening disorders.¶ To address the issue of women's morbidity is to attend to theoretical issues about the nature of sick- ness, and to the interaction between sickness, gen- der and societ