Krieger N, Gruskin S
Department of Health and Social Behavior, Center for Society and Health, Harvard School of Public Health, USA.
J Am Med Womens Assoc (1972). 2001 Fall;56(4):137-42.
Frameworks matter. To understand, intervene in, and improve the health of girls and women requires more than just good intentions and an eclectic list of "risk factors" or policy prescriptions, even if dressed up in notions of "gender." In this article, we present two frameworks-ecosocial and health and human rights-that, if considered singly and in combination, we believe could prove useful to furthering work on understanding and addressing societal patterns of health, disease, and well-being. After explicitly summarizing our theoretical stances, we sketch the kinds of questions these frameworks invite us to consider, with reference to a particular case example: women and tuberculosis. By taking on the challenge of articulating and applying our frameworks, separately and in relation to each other, we hope to deepen understanding and generate new ideas that can make a difference for the health of girls and women.
框架至关重要。要理解、干预并改善女孩和妇女的健康状况，仅靠良好的意愿以及一堆杂乱无章的“风险因素”或政策处方是不够的，即便这些都披上了“性别”的外衣。在本文中，我们提出了两个框架——生态社会框架以及健康与人权框架，我们认为，无论是单独考虑还是综合考虑，这两个框架都有助于推动我们在理解和应对健康、疾病及幸福的社会模式方面的工作。在明确总结我们的理论立场之后，我们结合一个具体案例——妇女与结核病，概述这些框架促使我们思考的各类问题。通过迎接分别阐述和应用这些框架以及相互关联地阐述和应用这些框架的挑战，我们希望加深理解并产生能够对女孩和妇女的健康产生影响的新想法。
