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題名:婦女健康與「醫療化」:以停經期/更年期為例
書刊名:婦女與兩性學刊
作者:張玨張菊惠
作者(外文):Chang, ChuehChang, Chu-hui
出版日期:1998
卷期:9
頁次:頁145-185
主題關鍵詞:婦女健康更年期醫療化女性荷爾蒙補充治療Women's healthMenopauseMedicalizationHormone replacement therapy
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(24) 博士論文(1) 專書(1) 專書論文(2)
  • 排除自我引用排除自我引用:20
  • 共同引用共同引用:185
  • 點閱點閱:79
     健康照護是北美、紐澳、歐洲等國第二波女性主義思潮中備受關注的議題, 「醫 療化」則是婦女健康運動中最常被批判的議題。現今雖然婦女得以獲得健康照護,但卻無法 確保能否掌控自己的健康。醫療專家宰制女體,並否絕婦女有參與決定自身生活的權力。甚 而,醫療化的事件侵入婦女的日常生活,將健康婦女變成病人的角色。此外,大部分之衛生 資源亦投注於醫療處置之研發,鮮少公共經費支持婦女健康促進。 在臺灣,「醫療化」議題是受到忽視的。政府、民眾以及醫療界甚少提及此重要議題,甚至 宣稱透過醫療化而使得婦女獲得較好的健康照護。有鑑於臺灣醫療化議題所受到的忽視與研 究不足,作者嘗試以更年期為例,檢視其是否在現存的臺灣社會中有被醫療化的現象。 研究者以多元交叉檢視方法,使用下列之資料進行醫療化之檢視。(1)1993 年與 1997 年之 婦女更年期態度問卷調查。(2)1996 至 1997 年關於荷爾蒙之報紙報導的內容分析。(3) 深 入訪談兩位婦產科女醫師與兩位中年婦女,關於女性荷爾蒙之使用。 研究結果顯示更年期確實有醫療化的傾向,醫師大力倡導女性荷爾蒙補充治療之好處,而忽 略其禁忌與副作用之告知,婦女亦開始相信更年期是一種病。如果臺灣從現在開始從事婦女 健康運動,此議題仍有討論與爭辯之空間。我們需要有更多集體性的行動以改變社會,進而 促進婦女健康,亦需要更多醫療化之社會層面與文化層面的基礎研究。 
     Health care was a major concern of second wave feminists in Northern America, Australia, New Zealand and Europe. "Medicalization" has been one of most frequently critic issues in women's health movement. In nowadays, although women can obtain health care but they do not ensure to control over their health. The medical professional's domination denies of the right that women themselves should participate in important decisions about their own lives. Much worse, "medicalization" even invades into women' daily life, and makes all healty women become patients. Few public funding supports women's health promotion, most money goes to the medical treatment development. The issue of "medicalization" has been neglected in Taiwan. All the government, the public (women), and the medical field rarely mentioned about this important issue. They even claim that they provide better health care through medicalization. Due to the negligence and inadequacy on the issue of "medicalization" in Taiwan people, the authors took the new emerging issue "the menopause" to examine on whether it was medicalized or not in current Taiwan society. Based on the multimethods triangulation analysis, the authors used the following data to delineat the medicalization. (1) Two questionnaire surveys on the women's menopausal attitudes conducted in 1991-1992 and 1997. (2) Content analysis of the newsaper's titles reported on menopause and hormone during Jan, 1996 to Dec, 1997. (3) In-depth interview of two female gynecologists and two female patients. Results showed that there did have a tendency of "medicalization" on "menopause". The physicians were interested in promoting the effectiveness of hormone therapy but neglected the side effects. The women tended to believe that menopause was a disease. There are still rooms for discussion and debates, if we here in Taiwan do care for women's health and make it a significant political reality. We need to take more collective action to promote women's health through consciousness raising and policy reform. We need more studies on medicalization to avoid medical abuses.
期刊論文
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2.張珏、張菊惠、胡幼慧(19970200)。某醫學中心子宮切除婦女自述醫病溝通之探討。中華公共衛生雜誌,16(1),1-12。new window  延伸查詢new window
3.Chang, C.、Chang, C. H.(1996)。Menopause and hormone using experiences of Chinese women in Taiwan。Health Care for Women International,17(4),307-318。  new window
4.Rostosky, S. S.、Travis, C. B.(1996)。Menopause research and the dominance of the biomedical model 1984-1994。Psychology of Women Quarterly,20(2),285-312。  new window
5.林國明(19971200)。國家與醫療專業權力:臺灣醫療保險體系費用支付制度的社會學分析。臺灣社會學研究,1,77-136。new window  延伸查詢new window
6.Bowles, C.(1986)。Measure of attitude toward menopause using the semantic differential model。Nursing Research,35(2),81-85。  new window
7.Swartzman, L. C.、Leiblum, S. R.(1987)。Changing Perspectives on the Menopause。Journal of Psychosomatic Obstetrics and Gynaecology,6,11-24。  new window
8.Kaufert, P. A.、Gilbert, P.(1986)。Women, Menopause, and Medicalization。Culture, Medicine and Psychiatry,10,7-21。  new window
9.Bungay, G. T.、Vessey, M. P.、Mcpherson, C. K.(1980)。Study of Symptoms in Middle Life with Special Reference to the Menopause。British Medical Journal,19,181-183。  new window
10.胡幼慧(1997)。「大眾健康」的危機在台灣。醫望雜誌,18,77-80。  延伸查詢new window
11.張珏、張菊惠、毛家舲(19970400)。臺灣鄉鎮地區中年婦女「性」的研究。婦女與兩性學刊,8,169-198。new window  延伸查詢new window
12.張珏、陳芬苓(19930300)。女性更年期研究的回顧與展望。婦女與兩性學刊,4,263-294。new window  延伸查詢new window
13.Avis, E. N.、McKinly, S. M.(1995)。The Massachusetts Women's Health Study: an epidemiologic investigation of the menopause。Journal of American Medical Women's Association,50(2),45-49。  new window
14.廖慧英、龔文淑(1991)。更年期女性荷爾蒙補充療法。榮總護理,8(1),47-52。  延伸查詢new window
15.劉仲冬(19970300)。從人猿到昆蟲--性學批判分析。思與言,35(1),1-37。new window  延伸查詢new window
16.Bransen, Els(1992)。Has menstruation been medicalized? Or will it never happen。Sociology of Heath & Illness,14(1),89-110。  new window
17.Bell, S. E.(1987)。Changing ideas: The medicalization of menopause。Social Science and Medicine,24(6),535-542。  new window
18.Chu, C. M.(1990)。The need for a social impact assessment of reproductive technology: the case of cesarean birth in Taipei。Environmental Impact Assessment Review,10,165-174。  new window
19.Dennerstein, L.、Smith, A. M.、Mores, C.、Burger, H.、Green, A.、Hopper, J.、Ryan, M.(1993)。Menopausal symptoms in Australian women。Medical Journal of Australia,159(4),232-236。  new window
20.Davis, D. L.(1989)。The Newfoundland change of life: insights into the medicalization of menopause。Journal of Cross-Cultural Gerontology,4,49-73。  new window
21.Conrad, P.、Schneider, J. W.(1980)。Looking at levels of medicalization: A comment on strong's critique of the thesis of medical imperialism。Social Science and Medicine,14A,75-79。  new window
22.Guthrie, J. R.、Smith, A. M.、Dennerstein, L.、Mores, C.(1994)。Physical activity and the menopause experience: a cross-sectional study。Maturitas,20(2/3),71-80。  new window
23.Garton, M.、Reid, D.、Rennie, E.(1995)。The climacteric, osteoporosis and hormone replacement: views of women aged 45-49。Maturitas,21(1),7-15。  new window
24.Fox, R. C.(1977)。The medicalization and demedicalization of American society。Daedalus, Journal of the American Academy of Arts and Sciences,106(1),409-413。  new window
25.Lock, M.(1991)。Contested meanings of the menopause。Lancet,337,1270-1272。  new window
26.Kaufert, P.、Lock, M.、Mickinlay, S.、Beyenne, Y.、Coope, J.、Davis, D.、Eliasson, M.、Gognalons-Nicolet, M.、Goodman, M.、Holte, A.(1986)。Menopause research: the korpliampi workshop。Social Science and Medicine,22(11),1285-1289。  new window
27.McKinlay, S. M.、Jefferys, M.(1974)。The menopausal syndrome。British Journal of Preventive & Social Medicine,28,108-115。  new window
28.McCrea, F. B.(1983)。The politics of menopause: the "discovery" of a deficiency disease。Social Problem,31,111-123。  new window
29.MacPherson, K. I.(1990)。Nurse-researchers respond to the medicalization of menopause。Annals of the New York Academy of Sciences,592,180-184。  new window
30.Ravnikar, V. A.(1993)。Diet, exercise, and lifestyle in preparation for menopause。Obstetrics & gynecology Clinics of North America,20(2),365-378。  new window
31.Nachtigall, L. E.(1990)。The medicalization of the menopause。Annals of the New York Academy of Sciences,592,179。  new window
32.Mitteness, L. S.(1983)。Historical change in public information about the menopause。Urban Anthropology,12(2),161-179。  new window
33.Schmeiser-Rieder, A.、Schoberberger, R.、Kunze, M.(1995)。Women and smoking。Wiener Medizinische Wochenschrift,145(4),73-76。  new window
34.Rother, M.、Rovner, D.、Holmes, M.、Schmitt, N.、Talarczyk, G.、Kroll, J.、Gogate, J.(1990)。Women's use of information regarding hormone replacement therapy。Research in Nursing and Health,13,355-366。  new window
35.Rosenberg, L.(1993)。Hormone replacement therapy: the need of reconsideration。American Journal of Public Health,83,1670-1672。  new window
36.Kirschstein, Ruth L.、Merritt, Dorris H.(1985)。Women's health: Report of the Public Health Service Task Force on Women's Health Issues。Public Health Reports,100(1),73-104。  new window
37.Zola, K.(1972)。Medicine as an institution of social control。Sociological Review,20,487-504。  new window
38.胡幼慧(19971200)。從「代理孕母」事件談婦女健康運動。醫望雜誌,23,120-122。  延伸查詢new window
39.張珏、陳芬苓、胡幼慧(19930300)。中老年婦女更年期態度的研究。中華民國公共衛生學會雜誌,12(1),26-39。  延伸查詢new window
40.張珏、周松男、陳芬苓、張菊惠(19950400)。一般經期與更年期自述症狀的研究。中華公共衛生雜誌,14(2),191-200。new window  延伸查詢new window
41.Riessman, Catherine Kohler(1983)。Women and Medicalization: A New Perspective。Social Policy,14(1),3-18。  new window
會議論文
1.張珏(1995)。婦女研究十年:婦女健康人權的回顧與展望。婦女研究十年:婦女人權的回顧與展望研討會。台大人口研究中心婦女研究室。  延伸查詢new window
2.Van Hall, E. V.(1995)。The Medicalization of Climacterium and Menopause。The Third Pan-Pacific Congress of Psychosomatic Obstetrics and Gynecology,(會議日期: October 5-8)。Taipei。  new window
研究報告
1.張珏、胡幼慧、周松男、陳寶雲、張菊惠(1993)。更年期前後婦女之調適與求醫障礙的研究:第二年研究報告 (計畫編號:DOH82-TD-002)。  延伸查詢new window
2.張珏、胡幼慧、周松男、陳芬苓(1992)。更年期前後婦女之調適與求醫障礙的研究初報:大台北地區更年期婦女研究 (計畫編號:DOH81-TD-007)。  延伸查詢new window
3.張珏、宋丕錕、孫大威、徐黎玲、李旻貞、張菊惠、吳佩樺(1997)。中老年婦女健康之研究調查I--更年期保健研究。  延伸查詢new window
學位論文
1.江妮娜(1996)。停經婦女荷爾蒙替代療法不同給藥方式之評估(碩士論文)。國立臺灣大學。  延伸查詢new window
2.蕭聖音(1986)。婦女停經症狀之研究與分析(碩士論文)。高雄醫學院。  延伸查詢new window
3.李逸(1995)。婦女因應停經之自我照顧行為(碩士論文)。高雄醫學院。  延伸查詢new window
圖書
1.Voda, A. M.(1997)。Menopause, Me and You: The Sound of Women Pausing。New York, NY:Harrington Park Press。  new window
2.Davis, Kathy、張君玫(1997)。重塑女體--美容手術的兩難。臺北:巨流。  延伸查詢new window
3.Tarvis, C. B.(1988)。Women and health psychology: Biomedical issues。Hillsdale, NJ:Lawrence Erlbaum。  new window
4.胡幼慧(1996)。質性研究。台北:巨流圖書公司。  延伸查詢new window
5.Goldstein, M. S.(1992)。The Health Movement: Promoting Fitness in America。New York:Twayne Publishers。  new window
6.National Women's Health Network(1993)。Taking Hormones and Women's Health: Choices, Risks and Benefits。Washington, D.C.:National Women's Health Network。  new window
7.官舒妍(1992)。女性的更年期。台北:大展。  延伸查詢new window
8.陳長安(1993)。常用藥物治療手冊:1993-94年全國藥品年鑑。台北市:全國藥品年鑑雜誌社。  延伸查詢new window
9.Boston Women's Health Book Collective(1992)。The New Our Bodies, Our Selves。New York:Simon & Schuster。  new window
10.Boston Women's Health Book Collective(1973)。Our Bodies, Our Selves。New York:Simon & Schuster。  new window
11.Commomwealth of Australia(1989)。National Women's Health Policy。Canberra。  new window
12.Chu, C.、Simpson, R.(1994)。Ecological Public Health: From Vision to Practice。Public Health Association of Australia。  new window
13.Doyal, L.(1997)。What Makes Women Sick。New Jersey:Rutgers University。  new window
14.Coney, S.(1994)。The Menopause Industry。Alameda, CA:Hunter House。  new window
15.Illich, I.(1976)。Medical Nemesis: the Expropriation of Health。New York:Pantheon Books。  new window
16.Lorber, J.(1997)。Gender and the Social Construction of Illness。Sage。  new window
17.Martin, E.(1987)。The Women in the Body: A Cultural Analysis of Reproduction。  new window
18.Love, S.(1997)。Dr. Susan Love's Hormone Book: Making Informed Choices about Menopause。New York:Random House。  new window
19.Queensland Health(1993)。Women's Health Policy: Queensland Health Policy Document。Queenslnd Government Australia。  new window
20.WHO。Women's Health: Toward a Better World: Issues Paper for the Global commission on women's Health。Geneva。  new window
21.Zola, K.(1983)。Social-medical inquires: Recollections, reflections, and reconsiderations。Philadelphia:Temple University Press。  new window
22.張苙雲(1998)。醫療與社會:醫療社會學的探索。台北:巨流。new window  延伸查詢new window
圖書論文
1.胡幼慧(1995)。婦女健康政策。國家婦女政策白皮書。中國國民黨中央婦工會。  延伸查詢new window
2.Kaufert, P. A.、McKinlay, S. M.(1985)。Estrogen-replacement therapy: the production of medical knowledge and the emergence of policy。Women, Health, and Healing: Toward a New Perspective。New York:Tavistock。  new window
3.Whatley, M. H.(1988)。Beyond compliance: Towards a feminist health education。Feminism Within the Science and Health Care Professions: Overcoming Resistance。Pergamon。  new window
 
 
 
 
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