Hill P E
Department of Social Science, San Jose State University, CA 95192-0121, USA.
Soc Hist Med. 1996 Aug;9(2):235-51. doi: 10.1093/shm/9.2.235.
With an almost total lack of access to contraceptive information before the mid 1930s, a high percentage of married women working in the textile mills of the American south were or rapidly became mothers. Without the financial resources to provide their families with wholesome food, medical care, and adult supervision, these women, who bore many children and shouldered most domestic duties in addition to their mill jobs, presumably had particular health care needs. This essay intially questions the usefulness of traditional categories that label physical ailments and accidents as either job-related or lifestyle-related. A group of female physicians in Greenville and Spartanburg Counties in South Carolina, all of them southern natives, worked during the 1930s to address some of the most immediate medical needs of the region's working women. These physicians had no appreciable effect, however, on workplace conditions and did not question the social and economic relationships that led so many working mothers to depend on their services. This essay also provides a partial analysis of public health services available to working mothers in Carolina mill villages during the Depression decade and explores reasons why the region's female medical professionals failed to challenge a form of social organization that left working mothers' particular health care needs unaddressed.
在20世纪30年代中期之前,美国南部纺织厂的已婚女性几乎完全无法获取避孕信息,因此很大比例的在职女性已经生育或很快就会生育。这些女性除了在工厂工作外,还要生育多个孩子并承担大部分家务,却没有经济资源为家人提供健康的食物、医疗护理和成人监管,她们大概有着特殊的医疗保健需求。本文首先质疑了将身体疾病和事故归类为与工作相关或与生活方式相关的传统分类方式的实用性。20世纪30年代,南卡罗来纳州格林维尔县和斯巴达堡县的一群女医生,她们都是南方本地人,努力满足该地区职业女性的一些最紧迫的医疗需求。然而,这些医生对工作场所条件没有产生明显影响,也没有质疑导致众多职业母亲依赖她们服务的社会和经济关系。本文还对大萧条时期卡罗来纳州工厂村职业母亲可获得的公共卫生服务进行了部分分析,并探讨了该地区女性医疗专业人员未能挑战一种使职业母亲的特殊医疗保健需求得不到满足的社会组织形式的原因。