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[对抗埃博拉的人类学研究(2014 - 2016年):方法、贡献与新问题]

[Anthropology engaged against Ebola (2014-2016): approaches, contributions and new questions].

作者信息

Desclaux Alice, Anoko Julienne

出版信息

Sante Publique. 2017 Oct 2;29(4):477-485. doi: 10.3917/spub.174.0477.

Abstract

Anthropologists contributed to the response to the 2014-2016 Ebola outbreak in three ways : as Ebola experts, cultural mediators between populations and caregivers, and researchers. This article presents a preliminary review of approaches, contributions and related issues based on a literature review, case studies and debates. The anthropological research discussed in this article concerns four themes : epidemiological contexts of transmission ; cultural interpretation of illness and social responses ; social construction of stakeholders' experience ; critical analysis of public health interventions. In addition to insightful contributions, particularly regarding the socio-political contexts and their interfaces with global public health measures, anthropologists tested forms of communication to facilitate access of public health actors to their results. However, these heterogeneous forms of engagement raise a number of questions, especially when they reflect anthropological interpretations that exclude any critical or reflexive dimension, or when anthropology is considered to be similar to social intervention. Nevertheless, anthropological research provides a major contribution, which could be even greater if transnational networks set up by researchers to analyse the socio-political, economic and biocultural dimensions of emerging epidemics are supported in order to improve ?preparedness? for future health crises.

摘要

人类学家通过三种方式为应对2014 - 2016年埃博拉疫情做出了贡献:作为埃博拉专家、人群与护理人员之间的文化调解人以及研究人员。本文基于文献综述、案例研究和辩论,对相关方法、贡献及相关问题进行了初步回顾。本文所讨论的人类学研究涉及四个主题:传播的流行病学背景;疾病的文化解读与社会反应;利益相关者经历的社会建构;对公共卫生干预措施的批判性分析。除了有深刻见解的贡献,特别是在社会政治背景及其与全球公共卫生措施的交叉方面,人类学家还尝试了多种传播形式,以方便公共卫生行动者获取他们的研究成果。然而,这些不同形式的参与引发了一些问题,尤其是当它们反映出人类学解释中排除了任何批判性或反思性维度时,或者当人类学被认为类似于社会干预时。尽管如此,人类学研究做出了重大贡献,如果研究人员建立的跨国网络能够得到支持,以分析新出现疫情的社会政治、经济和生物文化维度,从而提高对未来健康危机的“准备程度”,那么其贡献可能会更大。

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