Freedman L P
Center for Population and Family Health, Columbia University School of Public Health, USA.
J Am Med Womens Assoc (1972). 1997 Fall;52(4):165-8.
Recent debates about the "politicization" of public health obscure the ways in which epidemiological concepts of risk are routinely used in the legal and political systems to apportion blame and responsibility for poor health. This article uses the example of reproductive health and rights to argue that new understandings of the connection between socioeconomic conditions and poor health will only generate change when they are reframed into political claims and pressed by social movements. In this connection, human rights language, principles, and practice hold great potential for the US reproductive rights movement, which has sometimes been constrained by the narrow scope of court rulings.
近期关于公共卫生“政治化”的争论,掩盖了风险的流行病学概念在法律和政治体系中被常规用于归咎健康不佳的责任的方式。本文以生殖健康与权利为例,论证对社会经济状况与健康不佳之间联系的新理解,只有在被重新构建为政治诉求并由社会运动推动时,才会带来变革。就此而言,人权语言、原则和实践对美国生殖权利运动具有巨大潜力,该运动有时受到法院裁决范围狭窄的限制。