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[健康促进与“社区”作为一个范畴的认识论敏感性]

[Health promotion and the epistemological sensitivity of 'community' as a category].

作者信息

Castiel Luis David

机构信息

Departamento de Epidemiologia, Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, Brazil.

出版信息

Rev Saude Publica. 2004 Oct;38(5):615-22. doi: 10.1590/s0034-89102004000500001. Epub 2004 Oct 18.

Abstract

A discussion on the scope of "community" as a category in health promotion by means of its "epistemological sensitivity"--a reasoning tool based upon the epidemiological concept of "sensitivity", adjusted to the epistemological field--was carried out. A brief review of promotional health topics and a short description of the sociological usage of "community" according to Tönnies were performed. Issues regarding difficulties of defining contemporary communities are considered. Health promotion's leading approaches do not pay enough attention to crucial sociological concerns and philosophical standpoints. As a result, these approaches suffer from deep theoretical strain that weaken their premises and make corresponding interventions' results rather unsatisfactory.

摘要

通过“认识论敏感性”——一种基于流行病学“敏感性”概念并适用于认识论领域的推理工具,对“社区”作为健康促进范畴的范围进行了讨论。对健康促进主题进行了简要回顾,并根据滕尼斯对“社区”的社会学用法进行了简短描述。考虑了界定当代社区的困难问题。健康促进的主要方法没有充分关注关键的社会学问题和哲学观点。因此,这些方法存在严重的理论缺陷,削弱了它们的前提,使得相应干预措施的效果相当不尽人意。

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