Gordon L
Int J Health Serv. 1975;5(2):253-77. doi: 10.2190/BFW2-C705-25TE-F99W.
Before the 1920s, a birth control movement arose in the United States out of socialist, feminist, and other radical groups concerned with women's rights and sexual freedom. After 1920 the birth control movement became gradually transformed into a respectable, nonradical reform cause, the recipient of large grants from big business, with women's rights secondary to an overriding concern with medical health and population control. This transformation was achieved through the professionalization of the birth control movement-that is, its takeover by professional experts, almost all male, in place of the radical amateur women, fighting for their own interests, who initiated it. The article examines two groups of professionals who were particularly influential in this transformation: doctors and academic eugenists. The former made birth control a medical issue, held back the development of popular sex education, and stifled a previously developing feminist approach to women's birth control needs. The later contributed racism to the birth control movement, helping to transform it into a population control movement with racist and anti-feminist overtones. Both groups, while they made contributions to the technology of contraception, simultaneously held back the spread of birth control by transforming the campaign for it from a popular, participatory cause to a professional staff lobbying operation.
20世纪20年代以前,美国的节育运动源自社会主义者、女权主义者以及其他关注妇女权利和性自由的激进团体。1920年以后,节育运动逐渐转变为一项受人尊敬的、非激进的改革事业,接受大企业的巨额资助,妇女权利从属于对医疗健康和人口控制的首要关注。这种转变是通过节育运动的专业化实现的,也就是说,由几乎全是男性的专业专家取代为自身利益而奋斗的激进业余女性来主导该运动。本文考察了在这一转变过程中特别有影响力的两类专业人士:医生和学术优生学家。前者将节育变成一个医学问题,阻碍了大众性教育的发展,并扼杀了此前发展起来的、从女权主义角度满足妇女节育需求的方法。后者则将种族主义引入节育运动,促使其转变为一场带有种族主义和反女权主义色彩的人口控制运动。这两类人虽然都对避孕技术有所贡献,但同时也通过将节育运动从一场大众参与的事业转变为专业人员的游说活动,阻碍了节育的推广。