作为话语的流行病学：萨尔瓦多流行病学概况中发展机构的政治
Epidemiology as discourse: the politics of development institutions in the Epidemiological Profile of El Salvador.
作者信息
Avilés L A
机构信息
Departamento de Ciencias Sociales, Universidad de Puerto Rico-Mayagüez, Apartado Postal 9010, Mayagüez, Puerto Rico 00681-9010, USA.
出版信息
J Epidemiol Community Health. 2001 Mar;55(3):164-71. doi: 10.1136/jech.55.3.164.
STUDY OBJECTIVE
To determine the ways in which institutions devoted to international development influence epidemiological studies.
DESIGN
This article takes a descriptive epidemiological study of El Salvador, Epidemiological Profile, conducted in 1994 by the US Agency for International Development, as a case study. The methods include discourse analysis in order to uncover the ideological basis of the report and its characteristics as a discourse of development.
SETTING
El Salvador.
RESULTS
The Epidemiological Profile theoretical basis, the epidemiological transition theory, embodies the ethnocentrism of a "colonizer's model of the world." This report follows the logic of a discourse of development by depoliticising development, creating abnormalities, and relying on the development consulting industry. The epidemiological transition theory serves as an ideology that legitimises and dissimulates the international order.
CONCLUSIONS
Even descriptive epidemiological assessments or epidemiological profiles are imbued with theoretical assumptions shaped by the institutional setting under which epidemiological investigations are conducted.
研究目的
确定致力于国际发展的机构影响流行病学研究的方式。
设计
本文以美国国际开发署于1994年开展的对萨尔瓦多的一项描述性流行病学研究《流行病学概况》为例进行研究。方法包括话语分析，以揭示该报告的意识形态基础及其作为一种发展话语的特征。
背景
萨尔瓦多。
结果
《流行病学概况》的理论基础，即流行病学转变理论，体现了“殖民者的世界模式”的民族中心主义。该报告遵循发展话语的逻辑，通过将发展去政治化、制造异常情况以及依赖发展咨询行业来实现。流行病学转变理论作为一种意识形态，使国际秩序合法化并加以掩饰。
结论
即使是描述性流行病学评估或流行病学概况也充满了由进行流行病学调查的机构环境所塑造的理论假设。
Zotero 插件