Gillings School of Global Public Health-Maternal and Child Health University of North Carolina, USA.
Med Anthropol Q. 2011 Dec;25(4):479-98. doi: 10.1111/j.1548-1387.2011.01181.x.
Various theories exist for the ways in which social and material disparities are incorporated within human bodies and then expressed as health outcomes with uneven distributions. From a political economy perspective, one pathway involves processes of social exclusion that take place on articulating local and global fields of power. This study explores such situated processes as they produce and perpetuate embodied inequality at childbirth in the Kilombero Valley of South-Central Tanzania. Ethnographic narratives illustrate how these processes differentially affect the kind of care women seek and receive. Also described are women's complex yet pragmatic responses to potential exclusion in the attempt to secure a safe and otherwise positive outcome. In a culturally constructed world of childbirth, face-to-face claims on entitlement to biomedical services collide with enactments of discrimination at multiple levels, creating a space of contestation for social and material positioning as well as for physical well-being.
各种理论认为，社会和物质差距是如何融入人体的，然后以不平等分布的健康结果表现出来。从政治经济学的角度来看，一种途径涉及到社会排斥的过程，这些过程发生在地方和全球权力领域的表达上。本研究探讨了这些过程是如何在坦桑尼亚中南部基洛姆贝罗谷的分娩中产生和延续身体不平等的。民族志叙事说明了这些过程如何不同地影响妇女寻求和接受的护理类型。本文还描述了妇女在试图确保安全和积极的结果时，对潜在排斥的复杂但务实的反应。在一个文化构建的分娩世界中，面对面地要求获得生物医学服务的权利与在多个层面上实施歧视相冲突，为社会和物质定位以及身体福祉创造了一个竞争的空间。
