Faculty of Education and Social Work, Education Building A35, University of Sydney, Sydney NSW 2006, Australia.
Soc Sci Med. 2012 Jun;74(11):1675-83. doi: 10.1016/j.socscimed.2011.06.006. Epub 2011 Jun 29.
Public policy documents on gender and health mostly rely on categorical understandings of gender that are now inadequate. Poststructuralist thought is an advance, but relational theories of gender, treating gender as a multidimensional structure operating in a complex network of institutions, provide the most promising approach to gendered embodiment and its connection with health issues. Examples are discussed in this article. A crucial problem is how to move the analysis beyond local arenas, especially to understand gender on a world scale. A relational approach to this question is proposed, seeing gendered embodiment as interwoven with the violent history of colonialism, the structural violence of contemporary globalization, and the making of gendered institutions on a world scale, including the corporations, professions and state agencies of the health sector. Gender is seen as the active social process that brings reproductive bodies into history, generating health consequences not as a side-effect but in the making of gender itself.
公共政策文件中关于性别与健康的内容大多依赖于对性别的分类理解，而这种理解现在已经不够充分了。后结构主义思想是一种进步，但性别关系理论将性别视为在复杂的制度网络中运作的多维结构，为性别体现及其与健康问题的联系提供了最有前途的方法。本文讨论了一些例子。一个关键问题是如何将分析从局部领域推进，特别是要从全球范围理解性别问题。本文提出了一种关系方法来解决这个问题，将性别体现视为与殖民主义的暴力历史、当代全球化的结构性暴力以及全球范围内性别制度的形成（包括卫生部门的公司、专业和国家机构）交织在一起。性别被视为将生殖体带入历史的积极社会过程，它产生的健康后果不是副作用，而是性别本身的形成。
