Lupton Deborah
a Faculty of Arts & Design , News & Media Research Centre, University of Canberra , Canberra , Australia.
Cult Health Sex. 2015;17(4):440-53. doi: 10.1080/13691058.2014.920528. Epub 2014 Jun 11.
Digital health technologies are playing an increasingly important role in healthcare, health education and voluntary self-surveillance, self-quantification and self-care practices. This paper presents a critical analysis of one digital health device: computer apps used to self-track features of users' sexual and reproductive activities and functions. After a review of the content of such apps available in the Apple App Store and Google Play™ store, some of their sociocultural, ethical and political implications are discussed. These include the role played by these apps in participatory surveillance, their configuration of sexuality and reproduction, the valorising of the quantification of the body in the context of neoliberalism and self-responsibility, and issues concerning privacy, data security and the use of the data collected by these apps. It is suggested that such apps represent sexuality and reproduction in certain defined and limited ways that work to perpetuate normative stereotypes and assumptions about women and men as sexual and reproductive subjects. Furthermore there are significant ethical and privacy implications emerging from the use of these apps and the data they produce. The paper ends with suggestions concerning the 'queering' of such technologies in response to these issues.
数字健康技术在医疗保健、健康教育以及自愿自我监测、自我量化和自我保健实践中发挥着越来越重要的作用。本文对一种数字健康设备进行了批判性分析:用于自我跟踪用户性与生殖活动及功能特征的计算机应用程序。在对苹果应用商店和谷歌Play™商店中此类应用程序的内容进行审查之后,讨论了它们的一些社会文化、伦理和政治影响。这些影响包括这些应用程序在参与式监测中所起的作用、它们对性与生殖的建构、在新自由主义和自我责任背景下对身体量化的推崇,以及与隐私、数据安全和这些应用程序所收集数据的使用相关的问题。研究表明,此类应用程序以某些特定且有限的方式呈现性与生殖,这些方式有助于延续关于作为性与生殖主体的女性和男性的规范性刻板印象和假设。此外,使用这些应用程序及其产生的数据会引发重大的伦理和隐私问题。本文最后针对这些问题提出了关于此类技术“酷儿化”的建议。