1 University of Brighton, UK.
2 Brighton and Sussex Medical School, UK.
J Health Psychol. 2018 Feb;23(2):161-174. doi: 10.1177/1359105317743768. Epub 2017 Dec 5.
Critical approaches may benefit epidemiological studies of sexual health. This article proposes a critical approach, reconcilable with social epidemiological enquiry. Key aims of critical epidemiology for sexual health are identified, from which three criticisms of practice emerge: (1) lack of attention to socio-cultural contexts, (2) construction of 'risk' as residing in the individual and (3) enactment of public health agendas which privilege and pathologise certain behaviours. These reflect and construct an apolitical understanding of population health. This article proposes features of a critical epidemiology that represent a morally driven re-envisioning of the focus, analysis and interpretation of epidemiological studies of sexual health.
批判方法可能有益于性健康的流行病学研究。本文提出了一种批判方法,它与社会流行病学研究是一致的。确定了性健康批判流行病学的主要目标,从中产生了对实践的三个批评:(1)缺乏对社会文化背景的关注,(2)将“风险”构建为存在于个体中,以及(3)执行优先和病态化某些行为的公共卫生议程。这些反映并构建了对人口健康的非政治理解。本文提出了批判流行病学的一些特征,这些特征代表了对性健康流行病学研究的重点、分析和解释进行道德驱动的重新构想。