de Bessa Gina Hunter
Department of Sociology and Anthropology, Illinois State University, Normal, Illinois 61790-4660, USA.
Health Care Women Int. 2006 May;27(5):428-52. doi: 10.1080/07399330600629617.
Distrust and dissatisfaction with contraceptive methods among low-income Brazilian women contributes to incorrect contraceptive use, harmful health risks, and an extensive reliance on surgical sterilization. Data from ethnographic fieldwork in a low-income neighborhood in urban Brazil illustrate that women's concerns regarding contraception make sense in the context of their general health and illness beliefs and their understanding of reproductive physiology. Women interpret and experience biomedical concepts and contraceptive methods (such as "hormones" and oral contraceptives, respectively) according to an ethnophysiology of fecundity, menstruation, and conception. These popular representations of reproduction embody social relations and local experience and therefore persist despite the influence of biomedical models. Recognition of this ethnophysiology and greater emphasis on culturally appropriate counseling and education among health care professionals will improve women's experience and effective use of reversible contraception.
巴西低收入女性对避孕方法的不信任和不满导致了避孕方法的不当使用、有害健康风险以及对手术绝育的广泛依赖。来自巴西城市低收入社区的人种志实地调查数据表明，女性对避孕的担忧在她们的总体健康和疾病观念以及对生殖生理学的理解背景下是有道理的。女性根据生育、月经和受孕的人种生理学来解释和体验生物医学概念及避孕方法（分别如“激素”和口服避孕药）。这些关于生殖的通俗表述体现了社会关系和当地经验，因此尽管受到生物医学模式的影响仍持续存在。认识到这种人种生理学，并在医疗保健专业人员中更加强调文化上适当的咨询和教育，将改善女性使用可逆避孕方法的体验和效果。
