Taking matters into our own hands? Hierarchies of power and knowledge in online framings of IUD self-removal.
Cult Health Sex
; : 1-16, 2024 Jun 07.
Article
en En
| MEDLINE
| ID: mdl-38847793
ABSTRACT
This article examines how intrauterine device (IUD) self-removal is framed in online sources containing the views of contraceptive providers. While research has explored power and knowledge hierarchies in clinical interactions between contraceptive users and providers, and has highlighted the safety of IUD self-removal, little is known about how self-removal is represented by providers in accessible online sources that may be relied upon by contraceptive users for information. A discourse analysis of 42 provider-generated online sources found that provider authority over contraception is reinforced through biomedical constructions of risk and safety in framings of self-removal. The data reveal how the sharing of self-removal experiences between IUD users via online platforms was perceived to threaten contraceptive provider expertise, resulting in the dismissal of users' experiential knowledge. While some sources were supportive, the framings of self-removal discussed in this paper typically mirror the unequal power relations of in-person contraceptive user/provider interactions. The sources analysed therefore demonstrate how power and knowledge hierarchies are reproduced and extend beyond clinical interactions to the digital context, reflecting broader socio-structural controls over bodies, knowledge, and reproductive decision-making.
Texto completo:
1
Base de datos:
MEDLINE
Idioma:
En
Revista:
Cult Health Sex
Asunto de la revista:
CIENCIAS DO COMPORTAMENTO
/
CIENCIAS SOCIAIS
Año:
2024
Tipo del documento:
Article
País de afiliación:
Reino Unido