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Time and Collective Biology: Relationships Between Individual and Societal Life Course Ideologies in Mexican Men’s Sexual Health Treatment 时间与集体生物学:墨西哥男性性健康治疗中个人与社会生命历程意识形态之间的关系
IF 1.1 Q4 GERONTOLOGY Pub Date : 2021-05-11 DOI: 10.5195/AA.2021.232
E. Wentzell
People may seek to embody cultural ideals of the life course through their use or rejection of medical interventions, including but not limited to anti-aging treatments. Here, I analyze this phenomenon via interviews with men engaging with two different forms of sexual health medicine in urban Mexico: erectile-dysfunction treatment and testing for sexually transmitted infections (STIs). I argue that, in contrast to the biomedical understanding of patients as individuals who change during their lives, my interlocutors understood themselves as components in broader “collective biologies” that change on a longer timeline. These are culturally-defined groups that people understand to be comprised of interrelated members whose behaviors concretely affect the group’s physical and social well-being over time. In both medical arenas discussed here, men used or rejected sexual health interventions in response to local narratives about the nature of the Mexican population as a collective biology, including ideas about how it should change over time away from its roots in the colonial past. They characterized predispositions to  machismo  and disinterest in preventative health care as embodied inheritances that the Mexican population should reject in order to achieve health-promoting modernity in the future. My analysis describes how these interlocutors sought to live out desirably modern forms of race and gender through their medical decisions in a way that they hoped would contribute to positive, embodied change in the Mexican social body over time. These findings show that, despite the assumptions of individualism generally naturalized in anti-aging treatment and biomedicine, people may make medical decisions in an effort to aid collective change over population-level timescales.
人们可能会通过使用或拒绝医疗干预,包括但不限于抗衰老治疗,来寻求体现生命过程的文化理想。在这里,我通过采访墨西哥城市中从事两种不同形式的性健康医学的男性来分析这一现象:勃起功能障碍治疗和性传播感染(STIs)检测。我认为,与生物医学将患者理解为在其一生中发生变化的个体不同,我的对话者将自己理解为更广泛的“集体生物学”的组成部分,这些生物生物学在更长的时间轴上发生变化。这些是文化上定义的群体,人们认为这些群体由相互关联的成员组成,这些成员的行为随着时间的推移具体影响着群体的身体和社会福祉。在这里讨论的两个医学领域中,男性使用或拒绝性健康干预措施,以回应当地关于墨西哥人口作为集体生物学性质的叙述,包括关于墨西哥人口应该如何随着时间的推移而改变其殖民历史根源的想法。他们认为,大男子主义倾向和对预防性保健不感兴趣是墨西哥人应该拒绝的具体遗传,以便在未来实现促进健康的现代化。我的分析描述了这些对话者如何试图通过他们的医疗决定来实现理想的现代种族和性别形式,他们希望这种方式将有助于墨西哥社会主体随着时间的推移产生积极的、具体的变化。这些发现表明,尽管在抗衰老治疗和生物医学中普遍存在个人主义的假设,但人们可能会做出医疗决定,以帮助在人口水平的时间尺度上实现集体变革。
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引用次数: 0
Between Care and Contract: Aging Muslim Immigrants, Self-appointed Helpers and Ambiguous Belonging in the Danish Welfare State 在关怀与契约之间:老龄化的穆斯林移民、自封的帮助者和丹麦福利国家的模糊归属
IF 1.1 Q4 GERONTOLOGY Pub Date : 2021-05-11 DOI: 10.5195/AA.2021.279
S. L. Sparre, Mikkel Rytter
In Europe, a growing population of aging citizens have migrant background, and many have their origin in non-Western countries. Often, care arrangements in these families are different from those of the majority populations. In Denmark, a growing number of immigrant families utilise an option in the Social Service Act, under which municipalities can contract a family member to take care of an elderly citizen at home. Due to the special construct of the ‘self-appointed helper arrangement’, the caregiver is both a professional care worker, formally employed by the municipality, and a close relative. As such, the arrangement provides a unique opportunity to examine ideas and practices of care at the intersection of the immigrant family and the state. Based on data from interviews with and observations among both immigrant families and municipal care managers, we explore consequences of this care scheme for aging citizens and their self-appointed helpers. Drawing on the concept of ‘lenticular subject positions’, we show how both the self-appointed helpers and the care managers adopt two different, often contradictory, perspectives or subject positions simultaneously. In all, we argue that the self-appointed helper arrangement constitutes a grey zone in the Danish public health care system, since both care managers and helpers seem to neglect the national legislation and standard procedures, in relation to the elders and the general work environment. The consequences are most severe for the self-appointed helpers who end up in a particular precarious position at the margins of the Danish labor market.
在欧洲,越来越多的老年公民有移民背景,许多人的原籍是非西方国家。这些家庭的护理安排往往与大多数人口的护理安排不同。在丹麦,越来越多的移民家庭利用《社会服务法》中的一项选择,根据该法,市政当局可以与家庭成员签订合同,在家照顾老年公民。由于“自我任命的帮助者安排”的特殊结构,照顾者既是市政当局正式雇用的专业护理人员,也是近亲。因此,这一安排提供了一个独特的机会,可以审视移民家庭和国家之间的护理理念和实践。基于对移民家庭和市政护理管理人员的采访和观察数据,我们探讨了这种护理计划对老年公民及其自封的助手的影响。根据“透镜状主题位置”的概念,我们展示了自封的助手和护理经理如何同时采用两种不同的、往往相互矛盾的观点或主题位置。总之,我们认为,自我任命的助手安排构成了丹麦公共卫生保健系统的灰色地带,因为护理经理和助手似乎都忽视了与老年人和一般工作环境有关的国家立法和标准程序。对于那些自封的助手来说,后果最为严重,他们最终在丹麦劳动力市场的边缘处于一个特别危险的境地。
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引用次数: 10
Film Review: Mother 电影评论:《母亲》
IF 1.1 Q4 GERONTOLOGY Pub Date : 2021-05-11 DOI: 10.5195/AA.2021.351
Karen Lok Yi Wong
n/a
没有
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引用次数: 0
Knowing and Not Knowing about Fertility: Childless Women and Age-Related Fertility Decline 知道和不知道生育能力:无子女妇女与年龄相关的生育能力下降
IF 1.1 Q4 GERONTOLOGY Pub Date : 2021-05-11 DOI: 10.5195/AA.2021.259
L. Martin
Knowledge claims may play an essential role in reproductive decision-making, as individuals seek out, assess, reject, and use information about health and fertility gathered from numerous sources. This paper focuses specifically on childless women’s self-perceptions of knowledge about infertility and age-related fertility decline. How knowledgeable do childless women perceive themselves to be about fertility and infertility in general, and from where they do they obtain this knowledge? Furthermore, how knowledgeable do childless women perceive themselves to be about their own fertility and ability to conceive, and to what do they attribute this knowledge? Data for this project was gathered through semi-structured interviews with 72 childless American women; the interviews were inductively and thematically coded using qualitative-analysis software. Childless women assessed their general knowledge of fertility as  confident ,  self-doubting , or  novices , and they claimed multiple sources as the basis of this knowledge, including formal education and training, media and popular culture, and family members and peers. When assessing knowledge about their own fecundity, the women tended to rely on two additional sources: biomedical diagnostics and embodied knowledge. Childless women’s awareness of average statistics of age-related fertility decline did not necessarily translate to individual self-knowledge about their own bodies and fecundity. Because knowledge claims were based on multiple information sources given unequal weight, this raises questions about authoritative knowledge—that is, the knowledge that “counts” for women as they make decisions regarding their future childbearing.
知识主张可能在生殖决策中发挥重要作用,因为个人寻求、评估、拒绝和使用从众多来源收集的有关健康和生育的信息。本文特别关注无子女妇女对不孕不育知识的自我认知和与年龄相关的生育能力下降。没有孩子的妇女认为自己对生育和不孕症有多了解?她们从哪里获得这些知识?此外,没有孩子的女性认为自己对自己的生育能力和怀孕能力了解多少?她们把这些知识归功于什么?这个项目的数据是通过对72名没有孩子的美国妇女的半结构化访谈收集的;使用定性分析软件对访谈进行归纳和主题编码。没有孩子的妇女认为她们对生育的一般知识是自信的、自我怀疑的或新手的,她们声称有多种来源作为这些知识的基础,包括正规教育和培训、媒体和流行文化、家庭成员和同龄人。在评估关于自己生育能力的知识时,女性倾向于依赖两个额外的来源:生物医学诊断和具体化知识。没有孩子的妇女对与年龄有关的生育率下降的平均统计数据的认识并不一定转化为对自己身体和生育能力的个人自我认识。因为知识主张是建立在多重信息来源的基础上的,而这些信息的权重是不平等的,这就提出了关于权威知识的问题——也就是说,女性在决定未来生育时“重要”的知识。
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引用次数: 0
Book Review: Intergenerational Contact Zones: Place-based Strategies for Promoting Social Inclusion and Belonging 书评:代际接触区:促进社会包容和归属的基于地点的战略
IF 1.1 Q4 GERONTOLOGY Pub Date : 2021-05-11 DOI: 10.5195/AA.2021.345
Meghan Joy
n/a
N/A
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引用次数: 1
Book Review: The Cultural Context of Aging: Worldwide Perspectives, 4th Edition 书评:老龄化的文化背景:全球视角,第4版
IF 1.1 Q4 GERONTOLOGY Pub Date : 2021-05-11 DOI: 10.5195/AA.2021.348
Bjarke Oxlund
n/a
N/A
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引用次数: 1
Book Review: Older Women Who Work: Resilience, Choice, and Change 书评:工作的老年女性:韧性、选择和改变
IF 1.1 Q4 GERONTOLOGY Pub Date : 2021-05-11 DOI: 10.1037/0000212-000
Urša Bratun
n/a
没有
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引用次数: 2
Book Review: Elderly Care, Intergenerational Relationships and Social Change in Rural China 《中国农村的养老、代际关系与社会变迁》
IF 1.1 Q4 GERONTOLOGY Pub Date : 2021-05-11 DOI: 10.5195/AA.2021.346
Mengxin Ma
n/a
N/A
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引用次数: 1
Book Review: Creative Care: A Revolutionary Approach to Dementia and Elder Care 书评:创造性护理:痴呆症和老年护理的革命性方法
IF 1.1 Q4 GERONTOLOGY Pub Date : 2021-05-11 DOI: 10.5195/AA.2021.341
Joy M Ciofi
n/a
没有
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引用次数: 0
Book Review: Caring for the People of the Clouds: Aging and Dementia in Oaxaca 书评:《照顾云端的人:瓦哈卡的老龄化和痴呆症》
IF 1.1 Q4 GERONTOLOGY Pub Date : 2021-05-11 DOI: 10.5195/AA.2021.343
Cíntia Engel
n/a
N/A
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引用次数: 0
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