[前列腺癌社会表象中的男性脆弱性和陈规定型观念]。

IF 1.9 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Cadernos de saude publica Pub Date : 2024-10-11 eCollection Date: 2024-01-01 DOI:10.1590/0102-311XPT175123
Widson Davi Vaz de Matos, Iaci Proença Palmeira, Márcia de Assunção Ferreira, Mayara Del Aguilal Pacheco
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引用次数: 0

摘要

在社会中,癌症通常被认为是一种无法治愈的致残性疾病,它所造成的损害超出了生物范围,影响到癌症患者的心理和社会文化层面。从文化角度来看,男性根据自己的经历和社会背景构建了关于前列腺癌的叙事,表达了归因于这类癌症的道德、伦理和社会政治因素。我们试图了解前列腺癌男性患者所表达的前列腺癌病因及其对自我保健的影响。我们以社会表征理论为基础,对 31 名在复杂肿瘤科接受治疗的前列腺癌男性患者进行了描述性定性研究。数据收集时间为 2022 年 4 月至 6 月,采用了深入、个别和半结构化访谈的方式。语料库已插入 ALCESTE 软件。酒精摄入量、吸烟、性滥交和不照顾自己是被理解为致癌原因的主要行为,这些行为会产生自我责任感和对疾病的负罪感。这些病因的社会表征转化为不符合社会道德规范的行为,对将癌症视为惩罚的道德化观念产生了影响,在这种观念中,疾病表达了患者的性格,这种观念植根于犹太-基督教的宗教话语中,减轻了男性脆弱性的社会政治负担,强化了父权制社会的陈规定型观念。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Male vulnerabilities and stereotypes in the social representations of prostate cancer].

In society, cancer is commonly associated with an incurable and disabling disease that causes damage beyond the biological scope, impacting the psychological and sociocultural dimensions of cancer patients. From a cultural point of view, men construct narratives about prostate cancer based on their experiences and social contexts, expressing moral, ethical, and sociopolitical elements attributed to the cause of this type of cancer. We sought to understand the causes of prostate cancer as represented by men living with this type of cancer and its repercussions on self-care. A descriptive, qualitative study based on the Theory of Social Representations was conducted with 31 men diagnosed with prostate cancer treated at a High Complexity Oncology Unit. Data were collected from April to June 2022 by in-depth, individual, and semi-structured interviews. The corpus was inserted into the ALCESTE software. Alcohol intake, smoking, sexual promiscuity, and not taking care of oneself were the main behaviors understood as causes of cancer, which generates self-responsibility and guilt for the illness. Social representations of these causes, translated into behaviors not aligned with what social morality dictates as right, have repercussions on the moralizing notion of cancer as punishment, in which the disease expresses the patient's character, anchored in the Judeo-Christian religious discourse, which reduces the sociopolitical burden of male vulnerabilities and reinforces stereotypes from patriarchal society.

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来源期刊
Cadernos de saude publica
Cadernos de saude publica 医学-公共卫生、环境卫生与职业卫生
CiteScore
5.30
自引率
7.10%
发文量
356
审稿时长
3-6 weeks
期刊介绍: Cadernos de Saúde Pública/Reports in Public Health (CSP) is a monthly journal published by the Sergio Arouca National School of Public Health, Oswaldo Cruz Foundation (ENSP/FIOCRUZ). The journal is devoted to the publication of scientific articles focusing on the production of knowledge in Public Health. CSP also aims to foster critical reflection and debate on current themes related to public policies and factors that impact populations'' living conditions and health care. All articles submitted to CSP are judiciously evaluated by the Editorial Board, composed of the Editors-in-Chief and Associate Editors, respecting the diversity of approaches, objects, and methods of the different disciplines characterizing the field of Public Health. Originality, relevance, and methodological rigor are the principal characteristics considered in the editorial evaluation. The article evaluation system practiced by CSP consists of two stages.
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