Dudgeon Matthew R, Inhorn Marcia C
Department of Anthropology, 1557 Pierce Drive, Emory University, Atlanta, GA 30322, USA.
Soc Sci Med. 2004 Oct;59(7):1379-95. doi: 10.1016/j.socscimed.2003.11.035.
Reproductive health has emerged as an organizational framework that incorporates men into maternal and child health (MCH) programs. For several decades, medical anthropologists have conducted reproductive health research that explores male partners' effects on women's health and the health of children. This article summarizes exemplary research in this area, showing how ethnographic studies by medical anthropologists contribute new insights to the growing public health and demographic literature on men and reproductive health. The first half of the article begins by exploring reproductive rights, examining the concept from an anthropological perspective. As part of this discussion, the question of equality versus equity is addressed, introducing anthropological perspectives on ways to incorporate men fairly into reproductive health programs and policies. The second half of the article then turns to a number of salient examples of men's relevance in the areas of contraception, abortion, pregnancy and childbirth, infertility, and fetal harm. Medical anthropological research--as well as prominent gaps in that research--is highlighted. The article concludes with thoughts on future areas of anthropological research that may improve understandings of men's influences on women's reproductive health.
生殖健康已成为一个将男性纳入母婴健康(MCH)项目的组织框架。几十年来,医学人类学家开展了生殖健康研究,探讨男性伴侣对女性健康和儿童健康的影响。本文总结了该领域的典范性研究,展示了医学人类学家的人种志研究如何为关于男性与生殖健康的不断增长的公共卫生和人口统计学文献贡献新的见解。文章前半部分首先探讨生殖权利,从人类学角度审视这一概念。作为该讨论的一部分,涉及了平等与公平的问题,介绍了关于如何将男性公平纳入生殖健康项目和政策的人类学观点。文章后半部分接着转向男性在避孕、堕胎、怀孕与分娩、不孕以及胎儿伤害等领域相关性的一些突出例子。突出了医学人类学研究以及该研究中存在的显著空白。文章最后思考了人类学未来的研究领域,这些领域可能会增进对男性对女性生殖健康影响的理解。