Merrild Camilla Hoffmann, Risør Mette Bech, Vedsted Peter, Andersen Rikke Sand
a Research Centre for Cancer Diagnosis in Primary Care , Research Unit for General Practice, Aarhus University , Aarhus , Denmark.
b General Practice Research Unit, Department of Community Medicine , UiT, The Arctic University of Norway , Tromsø , Norway.
Med Anthropol. 2016 Nov-Dec;35(6):517-528. doi: 10.1080/01459740.2015.1102248. Epub 2015 Oct 12.
In recent years an extensive social gradient in cancer outcome has attracted much attention, with late diagnosis proposed as one important reason for this. Whereas earlier research has investigated health care seeking among cancer patients, these social differences may be better understood by looking at health care seeking practices among people who are not diagnosed with cancer. Drawing on long-term ethnographic fieldwork among two different social classes in Denmark, our aim in this article is to explore the relevance of class to health care seeking practices and illness concerns. In the higher middle class, we predominantly encountered health care seeking resembling notions of health consumerism, practices sanctioned and encouraged by the health care system. However, among people in the lower working class, health care seeking was often shaped by the inseparability of physical, political, and social dimensions of discomfort, making these practices difficult for the health care system to accommodate.
近年来，癌症治疗结果方面广泛存在的社会梯度引起了广泛关注，晚期诊断被认为是造成这种情况的一个重要原因。早期研究调查了癌症患者寻求医疗保健的情况，而通过观察未被诊断出患有癌症的人群的求医行为，或许能更好地理解这些社会差异。基于在丹麦两个不同社会阶层中进行的长期人种志实地调查，我们在本文中的目的是探讨阶层与求医行为及疾病担忧之间的关联。在中上层阶级中，我们主要遇到的求医行为类似于健康消费主义的观念，这些行为得到了医疗保健系统的认可和鼓励。然而，在下层工人阶级人群中，求医行为往往受到身体不适、政治和社会层面不可分割性的影响，这使得这些行为难以被医疗保健系统所接纳。
