以健康的名义:影响理论和公共卫生风险在创建医疗空间中的作用

IF 1.8 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Sophie Lachapelle, Katarina Bogosavljević, J. Kilty
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引用次数: 0

摘要

公共卫生学科通常被认为是促进普遍利益,并经常被视为一项道德和伦理使命,旨在使个人能够为自己的健康负责。然而,热心促进公共卫生话语也可能导致对边缘化社区的过度监管和监督,在这些社区中,坚持风险管理所需的资本往往缺乏系统性或无法获得。在2019冠状病毒病大流行期间,这些后果变得更加明显,因为许多无法遵守公共卫生准则以减轻危险行为的人(例如,由于无家可归)受到越来越严厉的惩罚。在本文中,我们提出了殖民影响的概念,作为一种概念性工具,以理解公共卫生如何利用风险的情感语言来证明公民的拘留管理是合理的。我们列举了加拿大不列颠哥伦比亚省温哥华和安大略省金斯敦两个城市在2019冠状病毒病大流行期间为管理无家可归者而采取的战略实例,注意到公共卫生部门如何使用“风险”这一情感语言来达到目的。这样一个跨学科的公共卫生和癌症的分析,有助于揭示在我们当前的时代,癌症空间的明显的,但光滑的特征。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
In the name of health: affect theory and the role of public health risks in the creation of carceral spaces
The discipline of public health is generally considered to advance a universal good and is often discussed as a moral and ethical mission that aims to empower individuals to take responsibility for their own health. However, the ardent promotion of public health discourses can also result in the hyper-policing and surveillance of marginalised communities, where the capital required to adhere to risk management is often systemically lacking or unobtainable. These consequences have become more visible during the COVID-19 pandemic, as many people who are unable to follow public health guidelines to mitigate risky behaviours – for example, due to homelessness – are punished in increasingly carceral ways. In this article, we propose the notion of colonial affect as a conceptual tool to understand the ways in which public health deploys the affective language of risk to justify the carceral management of citizens. We mobilise examples of strategies invoked to manage unhoused people during the COVID-19 pandemic in two Canadian cities, Vancouver, British Columbia and Kingston, Ontario, noting how public health uses the affective language of risk to carceral ends. Such an interdisciplinary analysis of public health and carcerality helps reveal the palpable, yet slippery, characteristics of carceral spaces in our current epoch.
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来源期刊
CiteScore
3.30
自引率
14.30%
发文量
23
期刊介绍: Health Risk & Society is an international scholarly journal devoted to a theoretical and empirical understanding of the social processes which influence the ways in which health risks are taken, communicated, assessed and managed. Public awareness of risk is associated with the development of high profile media debates about specific risks. Although risk issues arise in a variety of areas, such as technological usage and the environment, they are particularly evident in health. Not only is health a major issue of personal and collective concern, but failure to effectively assess and manage risk is likely to result in health problems.
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