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健康的社会生产:进化、生物和文化人类学的重要贡献。

The social production of health: critical contributions from evolutionary, biological, and cultural anthropology.

作者信息

Levin Betty Wolder, Browner C H

机构信息

Department of Health and Nutrition Sciences, Brooklyn, NY 11210, USA.

出版信息

Soc Sci Med. 2005 Aug;61(4):745-50. doi: 10.1016/j.socscimed.2004.08.048. Epub 2005 Feb 17.

Abstract

In 1946, the newly formed World Health Organization boldly sought to conceptualize "health" as wellbeing in the positive sense, "not merely the absence of disease or infirmity." Yet nearly six decades later, researchers are still principally concerned with pathology and its characteristics and consequences. This special issue is the result of an effort to broaden the focus. Anthropologists working from evolutionary, biological and sociocultural perspectives and in diverse geographic regions were asked to examine meanings associated with health and/or to identify social conditions and practices that have contributed to positive physiological and psychological states in particular cultures, times, or across time. Most notable, perhaps, was discovering how difficult it is for Western social scientists to move beyond pathology-based thinking; most authors represented here regard health primarily as the absence of disease. Still, these papers articulate and address questions key to understanding health in and of itself, including: How is health conceptualized? What kinds of social conditions lead to health? And, how do social inequalities affect health? This introduction critically discusses previous work on the subject to contextualize the original research papers offered here.

摘要

1946年,新成立的世界卫生组织大胆地试图将“健康”概念化为积极意义上的幸福,“而不仅仅是没有疾病或体弱”。然而,近六十年后,研究人员仍然主要关注病理学及其特征和后果。本期特刊就是为了拓宽关注点而做出努力的成果。我们邀请了从进化、生物学和社会文化角度开展研究且来自不同地理区域的人类学家,去探究与健康相关的意义,以及去识别在特定文化、时期或跨时期内有助于实现积极生理和心理状态的社会状况及实践。或许最值得注意的是,人们发现西方社会科学家很难超越基于病理学的思维模式;这里的大多数作者主要将健康视为没有疾病。尽管如此,这些论文阐述并探讨了理解健康本身的关键问题,包括:健康是如何被概念化的?什么样的社会状况会带来健康?以及,社会不平等如何影响健康?本引言批判性地讨论了此前关于该主题的研究,以便将这里提供的原创研究论文置于背景之中。

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