糖尿病前期的实践：糖尿病预防分层医学化的检验。

IF 5 2区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Social Science & Medicine Pub Date : 2025-08-27 DOI:10.1016/j.socscimed.2025.118513

Emily Vasquez

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引用次数: 0

摘要

本文利用在三个不同社会经济背景的诊所中检查前驱糖尿病诊断和治疗的多地点人种学数据，阐明了这种医学方法如何扩大了基于阶级和种族差异的护理不平等。虽然这三家诊所都坚持对疾病前期的标准定义，但由于它们不同的机构结构和对患者群体的假设，这些诊所的糖尿病前期治疗方式明显不同。这对患者对自己身体和健康未来的理解产生了不平等的后果，被诊断为前驱糖尿病的患者受到不同形式的纪律、授权甚至遗弃。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Prediabetes in practice: Examining the stratified medicalization of diabetes prevention

Drawing on multi-sited ethnographic data examining the diagnosis and treatment of prediabetes in three socioeconomically distinct clinics, this paper illuminates how this medicalized approach to diabetes prevention amplifies inequities in care across lines of class-based and racialized difference. While all three clinics adhere to a standard definition of the predisease, prediabetes is performed in markedly different ways across these clinics, patterned by their diverse institutional structures and assumptions about their patient populations. This has unequal consequences for patients' understandings of their bodies and their health futures, and patients diagnosed with prediabetes are subject to distinct forms of discipline, empowerment, and even abandonment.

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来源期刊

Social Science & Medicine PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

9.10

自引率

5.60%

发文量

762

审稿时长

38 days

期刊介绍： Social Science & Medicine provides an international and interdisciplinary forum for the dissemination of social science research on health. We publish original research articles (both empirical and theoretical), reviews, position papers and commentaries on health issues, to inform current research, policy and practice in all areas of common interest to social scientists, health practitioners, and policy makers. The journal publishes material relevant to any aspect of health from a wide range of social science disciplines (anthropology, economics, epidemiology, geography, policy, psychology, and sociology), and material relevant to the social sciences from any of the professions concerned with physical and mental health, health care, clinical practice, and health policy and organization. We encourage material which is of general interest to an international readership.