Medicalization of female life stages: a qualitative research.

IF 3 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES BMC Health Services Research Pub Date : 2025-02-27 DOI:10.1186/s12913-024-12181-8
Gamze Kırlı, Şerife Didem Kaya
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Abstract

Background: Medicalization involves treating a normal biological process or behavior as a medical issue. Technological developments and media influence have accelerated the spread of medical discourse. All stages of a woman's life, from adolescence to old age, continue to be the subject of medical intervention. Therefore, it is important to obtain the views of physicians and women to uncover the underlying causes of medicalization. This study explores the realities and experiences surrounding medicalization, focusing on both conceptual insights and lived experiences. While traditional life stages such as menstruation, pregnancy, childbirth, menopause and aging are examined, medicalized practices such as anti-aging procedures, abortion and assisted reproductive technologies are also included.

Materials and methods: The study employs a phenomenological design, a qualitative research method, and utilizes maximum diversity sampling to ensure a broad range of perspectives. The sample comprises 15 specialist physicians in the field of women's health in Türkiye and 15 female participants aged 18 and over. Data were collected through in-depth interviews with these participants. Interviews were conducted between September 6, 2021, and December 7, 2022. The data was analyzed using the content analysis method and by the MAXQDA Analytics Pro 2022 program.

Results: The content analysis revealed findings organized into one main theme, two sub-themes, and sixteen categories. According to physician participants, they view the medicalization of women's lives as essential and attribute it to factors such as education, socio-cultural structures, societal beauty standards, and social media. In contrast, female participants identify social media as a major driver of medicalization, while also citing health concerns, aesthetic desires, and unnecessary examinations or treatment requests by physicians as contributing factors.

Conclusion: This study reveals multifaceted reasons for medicalization that affect women's life stages, and it can be attributed to both doctors and women. It also draws attention to how women's lives are medicalized through various channels like the health institutions, doctors, pharmaceutical industry, and the media.

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女性生命阶段医学化:一项质性研究。
背景:医学化涉及将正常的生物过程或行为视为医学问题。技术的发展和媒体的影响加速了医学话语的传播。妇女生命的各个阶段,从青春期到老年,都是医疗干预的对象。因此,重要的是获得医生和妇女的意见,以揭示医疗化的根本原因。本研究探讨了围绕医疗化的现实和经验,重点是概念见解和生活经验。在检查月经、怀孕、分娩、更年期和衰老等传统生命阶段的同时,也包括抗衰老程序、堕胎和辅助生殖技术等医疗化做法。材料与方法:本研究采用现象学设计,采用定性研究方法,并最大限度地利用多样性抽样,以确保广泛的视角。抽样对象包括基耶省妇女保健领域的15名专科医生和15名18岁及以上的女性参与者。通过对这些参与者的深度访谈收集数据。采访在2021年9月6日至2022年12月7日期间进行。使用内容分析法和MAXQDA Analytics Pro 2022程序对数据进行分析。结果:内容分析揭示了组织成一个主题,两个副主题,和十六个类别的发现。根据医生参与者的说法,他们认为女性生活的医学化是必不可少的,并将其归因于教育、社会文化结构、社会审美标准和社交媒体等因素。相比之下,女性参与者认为社交媒体是医疗化的主要驱动因素,同时也认为健康问题、审美欲望、医生不必要的检查或治疗要求是促成因素。结论:本研究揭示了影响女性生命阶段的医学化的多方面原因,这可以归因于医生和女性。它还提请注意如何通过保健机构、医生、制药业和媒体等各种渠道将妇女的生活医疗化。
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来源期刊
BMC Health Services Research
BMC Health Services Research 医学-卫生保健
CiteScore
4.40
自引率
7.10%
发文量
1372
审稿时长
6 months
期刊介绍: BMC Health Services Research is an open access, peer-reviewed journal that considers articles on all aspects of health services research, including delivery of care, management of health services, assessment of healthcare needs, measurement of outcomes, allocation of healthcare resources, evaluation of different health markets and health services organizations, international comparative analysis of health systems, health economics and the impact of health policies and regulations.
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