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1.
Appetite ; 196: 107269, 2024 05 01.
Artigo em Inglês | MEDLINE | ID: mdl-38360400

RESUMO

Meat and dairy production and consumption are the subject of ongoing public debates that touch on various sustainability issues such as biodiversity loss, climate change, animal welfare, and social and health aspects. Despite extensive discussions specifically relating to the environmental impacts of livestock farming in conjunction with animal welfare aspects, there have been no substantial changes in production or consumption patterns. Moreover, the focus of extant research is usually on consumers' responses to public concerns around livestock production. In this study, we shed light on the discrepancy between the normative discourse and action of relevant value chain actors with the help of Bandura's theory of moral disengagement, which allows us to identify mechanisms that contribute to the perpetuation of unsustainable production and consumption patterns. In particular, we focus on the shifting of responsibility between actors in the normatively charged field of sustainable livestock production. We collected 109 media interviews on meat and dairy production and consumption from the years 2020-2022, including interviews with actors from agriculture, processing industries, and food retail. Using qualitative content analysis, we investigated the role of moral disengagement in the media discourse on meat and dairy production and explored differences between actors in terms of moral disengagement. We found that shifting of responsibility shows a quasi-circular dynamic of being shifted from all actors to all, in our case most frequently to consumers, politics, and (diffuse) economic forces. In addition, our analysis showed the use of social justifications, beneficial comparisons, and euphemistic labelling to be common mechanisms of moral disengagement, constituting a collective problem within agri-food systems.


Assuntos
Meio Ambiente , Princípios Morais , Animais , Carne
2.
Environ Manage ; 74(1): 4-12, 2024 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-38856731

RESUMO

Landscapes are conceptually fuzzy and rich, and subject to plural framings. They are places of inquiry and intervention for scientists and practitioners, but also concepts bound to peoples' dynamic identities, knowledge systems, inspiration, and well-being. These varying interpretations change the way landscapes function and evolve. Developed in the 1930s, Q-methodology is increasingly recognized for being useful in documenting and interrogating environmental discourses. Yet its application in the context of how integrated landscape approaches better navigate land-use dilemmas is still in its infancy. Based on our experience and emerging literature, such as the papers in this special collection, this article discusses the value of Q-methodology in addressing landscape sustainability issues. Q-methodology helps unravel and communicate common and contradicting landscape imaginaries and narratives in translational and boundary-spanning ways, thus bridging actors' different understandings of problems and solutions and revealing common or differentiated entry points for negotiating trade-offs between competing land uses. The methodology can be empowering for marginalized people by uncovering their views and aspirational values to decision-makers and policymakers. We argue that this potential can be further strengthened by using Q to identify counter-hegemonic discourses and alliances that combat injustices regarding whose knowledge and visions count. In this way, applying Q-methodology in integrated landscape approaches can become a key tool for transitioning toward just, inclusive, and sustainable landscapes.


Assuntos
Conservação dos Recursos Naturais , Negociação , Conservação dos Recursos Naturais/métodos , Humanos , Tomada de Decisões , Empoderamento
3.
Hist Philos Life Sci ; 46(1): 15, 2024 Mar 13.
Artigo em Inglês | MEDLINE | ID: mdl-38478178

RESUMO

This article analyses the evolutionist discourses on the senses that emerged in the late 19th century, when theories on the evolution of species were in full sway. Drawing on newspapers, essays and medical literature, this article aims to set face to face the two currents of thought that I have identified regarding sensory evolution: the one that stressed the value of the progressive specialisation of the senses as evidence for human evolution mainly supported by Max Nordau, and the one which regarded the sensory regrouping, exemplified by the phenomenon of synaesthesia, as the true symptom of evolution, strongly supported by Victor Segalen. A close examination of their arguments will provide clues concerning their relative position vis-à-vis the theory that stressed the exceptional nature of humankind among all living beings. Based on newspapers, essays and medical literature, this paper, which straddles several fields (history of science, philosophy, cultural history and aesthetics) aims to set both positions face to face, examining their arguments in detail and establishing their genealogies. This will lead to a better understanding of the scope and range of evolutionist discourses in the fin de siècle culture and on their impact upon artistic practices.


Assuntos
Filosofia , Humanos , Filosofia/história , Estética
4.
Int J Geriatr Psychiatry ; 38(5): e5921, 2023 05.
Artigo em Inglês | MEDLINE | ID: mdl-37173832

RESUMO

OBJECTIVES: There is no consensus as to whether people with advanced dementia can create a narrative identity. It is most often thought to be disturbed due to autobiographical memory disorders. In this paper, we examined how people with advanced dementia constructed their narrative identities in relation to their professional experience. METHODS: This qualitative study used data obtained from 8 semi-structured interviews. The interviewees were people with advanced dementia aged between 66 and 89 years. We analyzed the dataset based on the textual-oriented discourse analysis. RESULTS: The study participants created narrative identities. Their narrative identities were constructed within residual professional discourses learned during their lifespan. These discourses blended their narrative identities into coherent stories about who they are now, offered languages to describe current experiences, and emphasized important values for their self-image. The participants built narrative identities by referring to the past and imagining a better present with the omission of the future. The past was valued positively and was a source of positive nostalgia. Projections of a better present served to reveal their needs and assess ways to meet them. CONCLUSIONS: We argue that people with advanced dementia can create complex and coherent narrative identities. They are constructed around discourses and not only using autobiographical memories. Encouraging them to create narrative identities in the dialogue can be a simple therapeutic method by which they can maintain a sense of self-cohesion and belonging to the world.


Assuntos
Demência , Memória Episódica , Humanos , Idoso , Idoso de 80 Anos ou mais , Autoimagem , Aprendizagem , Narração
5.
Cult Health Sex ; 25(10): 1340-1354, 2023 10.
Artigo em Inglês | MEDLINE | ID: mdl-36527448

RESUMO

Since the approval of pre-exposure prophylaxis (PrEP) for HIV prevention in 2012, research has increasingly considered how communities of men who have sex with men make sense of this prevention technology, often highlighting individual-level attitudes about PrEP. Drawing on interviews with 16 HIV activists, this study aimed to determine how activists make sense of advances in HIV prevention technology. Participants' sense-making about PrEP took the form of not merely the expression of individual attitudes, but rather reflections connected to their personal biographies and activist experience. Activists sustain seemingly contradictory discourses about PrEP, at once drawing on personal biographies and a discourse central to activist history to express scepticism about PrEP, but also other discourses to justify pharmaceutical intervention for prevention. Study findings provide evidence of the importance of attending to past and present cultural discourses when examining health advocacy groups' constructions of advances in science.


Assuntos
Síndrome da Imunodeficiência Adquirida , Fármacos Anti-HIV , Infecções por HIV , Profilaxia Pré-Exposição , Minorias Sexuais e de Gênero , Masculino , Humanos , Homossexualidade Masculina , Infecções por HIV/prevenção & controle , Infecções por HIV/tratamento farmacológico , Conhecimentos, Atitudes e Prática em Saúde , Fármacos Anti-HIV/uso terapêutico
6.
Environ Manage ; 2023 Mar 20.
Artigo em Inglês | MEDLINE | ID: mdl-36939890

RESUMO

Multistakeholder platforms (MSPs) are increasingly applied in environmental governance as institutions to collectively negotiate challenges, opportunities, and policy options in contested landscapes. However, their contributions and effectiveness depend on how stakeholders perceive and frame the role of MSPs in addressing social and environmental challenges. Despite this dependence, stakeholder perceptions of MSPs are currently under-researched. Hence this empirical study carried out in Zambia's Kalomo District asks: how do stakeholder groups perceive the role of MSPs in addressing landscape challenges, given the context of the dual land tenure system, and what does this imply for the implementation of integrated landscape approaches? This study uses Q-methodology to analyze the perceptions of purposefully selected stakeholders from state institutions, civil society organizations, land users, and others familiar with existing MSPs at the district and village levels. The findings reveal three narratives. The first one presents MSPs as institutions that foster dialogue. The second narrative foregrounds the role of the government and private sector, despite acknowledging the diversity of stakeholders in MSPs. In this narrative, MSPs should focus on supporting market-driven solutions to resolve landscape challenges. The third narrative recognizes power imbalances and considers MSPs as institutions to identify policy gaps and needs. The first two narratives are positioned in Dryzek's discourse classification as environmental problem-solving, while the third inclines toward green radicalism. Despite this divergence, there was consensus that MSPs have the potential to harmonize policies in a dual governance system and encourage dialogue between stakeholders to reconcile landscape challenges.

7.
Aust Educ Res ; 50(3): 881-902, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-35602326

RESUMO

As the third-largest export industry, international education occupies an important place in the Australian economy and society. Employing Bacchi's "What is the Problem Represented to be" (WPR) approach, this paper critically analyses four key policies pertaining to international students in Australia since the 1990s. Drawing upon theorising of the globalisation of international education policy, we uncover contestation and problem representation in discourses around the economisation of education and of international students' experiences. The findings reveal multiple discourses of the problematisation of diversity at play, including a "pivot" towards protection of international students' rights as consumers and as potential future citizens, and increased attention to the intrinsic value of international students as people, and not simply as economic agents. The findings have implications for other national contexts, in which international students contribute to the economic viability of education, and in which internationalisation of education in universities has the capacity to foster enhanced cross-cultural understanding.

8.
Qual Health Res ; 32(2): 225-237, 2022 01.
Artigo em Inglês | MEDLINE | ID: mdl-34850649

RESUMO

Hegemonic masculinity has been especially linked, among other aspects, to unhealthy behaviors and heterosexuality. This study aimed to explore the discourses of masculinities with young Spanish men with different sexual orientations (heterosexuals, bisexuals, and homosexuals), comparing them with the social representations that are put into practice on Instagram. Three qualitative approaches were triangulated to seek a richer comprehension and interpretational level: discussion groups, semi-structured interviews, and an online non-participant observation on Instagram with a total of 26 young men aged between 18 and 24. Results indicate that hegemonic masculinity discourse is still significant when understanding and experiencing young men's masculinities, promoting behaviors that put their health at risk and generating psychological discomfort, especially among non-heterosexual men. Our findings provide knowledge of the social framework that legitimizes and reproduces male domination in younger generations both online and offline and how this is reflected in men's health.


Assuntos
Masculinidade , Saúde do Homem , Adolescente , Adulto , Heterossexualidade/psicologia , Humanos , Masculino , Homens , Comportamento Sexual/psicologia , Adulto Jovem
9.
Omega (Westport) ; : 302228221126257, 2022 Sep 13.
Artigo em Inglês | MEDLINE | ID: mdl-38124329

RESUMO

To meet the end-of-life needs of all patients, ongoing conversations about values and preferences regarding end-of-life care are essential. Aspects of social identity are associated with disparities in end-of-life care outcomes. Therefore, accounting for patient diversity in advance care planning and end-of-life conversations is important for equitable end-of-life practices. We conducted 16 semi-structured interviews to explore how Dutch healthcare professionals and researchers conceptualized diversity in advance care planning and end-of-life conversations and how they envision diversity-responsive end-of-life care and research. Using thematic discourse analysis, we identified five 'diversity discourses': the categorical discourse; the diversity as a determinant discourse; the diversity in norms and values discourse; the everyone is unique discourse, and the anti-essentialist discourse. These discourses may have distinct implications for diversity-responsive end-of-life conversations, care and research. Awareness and reflection on these discourses may contribute to more inclusive end-of-life practices.

10.
Recent Results Cancer Res ; 218: 1-14, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34019158

RESUMO

The history of cancer during the twentieth century demonstrates that various factors have contributed to the perception of cancer as the 'Emperor of All Maladies', although this has never been true from an epidemiological perspective. Depending on the geographical area, infectious diseases such as tuberculosis, malaria or cardiovascular disease still head the list of the most common illnesses. Within the group of chronic-degenerative diseases, however, cancer has outdistanced the widespread classic infectious diseases as a result of the epidemiologic transition around 1900, at least in the more developed countries. Under the Nazi dictatorship from 1933 to 1945, the perception of cancer in Germany was particularly promoted for propaganda purposes. In the atomic era, cancer began to attract strong public interest as a worthwhile object of research in radiation therapies using large-scale facilities (electron accelerators, 'electron guns'). A further upsurge of interest in cancer was then registered in the context of the debate about the pathogenic role of environmental factors. The remarkable thing is that this increased perception of cancer has not yet been significantly associated with any overarching success in cancer treatment, but it has been associated with ideologies, hopes and advances in technology.


Assuntos
Socialismo Nacional , Neoplasias , Alemanha , Humanos , Propaganda
11.
Int J Equity Health ; 20(1): 70, 2021 03 03.
Artigo em Inglês | MEDLINE | ID: mdl-33658033

RESUMO

BACKGROUND AND OBJECTIVE: Given the heightened rhetorical prominence the World Health Organization has afforded to equity in the past half-century, it is important to better understand how equity has been referred to and its conceptual underpinning, which may have broader global implications. ELIGIBILITY CRITERIA: Articles were included if they met inclusion criteria - chiefly the explicit discussion of the WHO's concept of health equity, for example in terms of conceptualization and/or definitions. Articles which mentioned health equity in the context of WHO's programs, policies, and so on, but did not discuss its conceptualization or definition were excluded. SOURCES OF EVIDENCE: We focused on peer-reviewed literature by scanning Ovid MEDLINE and SCOPUS databases, and supplementing by hand-search. RESULTS: Results demonstrate the WHO has held - and continues to hold - ambiguous, inadequate, and contradictory views of equity that are rooted in different theories of social justice. CONCLUSIONS: Moving forward, the WHO should revaluate its conceptualization of equity and normative position, and align its work with Amartya Sen's Capabilities Approach, as it best encapsulates the broader views of the organization. Further empirical research is needed to assess the WHO interpretations and approaches to equity.


Assuntos
Saúde Global , Equidade em Saúde , Justiça Social , Humanos , Organização Mundial da Saúde
12.
BMC Health Serv Res ; 21(1): 20, 2021 Jan 06.
Artigo em Inglês | MEDLINE | ID: mdl-33407447

RESUMO

BACKGROUND: The choices that policymakers make are shaped by how their problems are framed. At last, non-communicable diseases (NCDs) have risen high on the global policy agenda, but there are many disputed issues. First, what are they? Their name refers not to what they are but what they are not. Second, where do their boundaries lie? What diseases are included? Third, should we view their causes as mainly biomedical, behavioural, or social, or a combination? Our failure to resolve these issues has been invoked as a reason for our limited progress in developing and implementing effective remedies. In this scoping review, we ask "What is known from the existing literature about how NCDs are framed in the global policy discourses?" We answer it by reviewing the frames employed in policy and academic discourses. METHODS: We searched nine electronic databases for articles published since inception to 31 May 2019. We also reviewed websites of eight international organisations to identify global NCDs policies. We extracted data and synthesised findings to identify key thematic frames. RESULTS: We included 36 articles and nine policy documents on global NCDs policies. We identified five discursive domains that have been used and where there are differing perspectives. These are: "Expanding the NCDs frame to include mental health and air pollution"; "NCDs and their determinants"; "A rights-based approach to NCDs"; "Approaches to achieving policy coherence in NCDs globally"; and "NCDs as part of Sustainable Socio-economic Development". We further identified 12 frames within the five discursive domains. CONCLUSIONS: This scoping review identifies issues that remain unresolved and points to a need for alignment of perspectives among global health policy actors, as well as synergies with those working on mental health, maternal health, and child health. The current COVID-19 pandemic warrants greater consideration of its impact on global NCDs policies. Future global strategies for NCDs need to consider explicitly how NCDs are framed in a changing global health discourse and ensure adequate alignment with implementation and global health issues. There is a need for global strategies to recognise the pertinent role of actors in shaping policy discourses.


Assuntos
Saúde Global , Política de Saúde , Doenças não Transmissíveis , COVID-19 , Humanos
13.
Sociol Health Illn ; 43(5): 1191-1205, 2021 06.
Artigo em Inglês | MEDLINE | ID: mdl-33987858

RESUMO

In Denmark, parents have needed to deal with inconsistent presentations of risk regarding the human papillomavirus (HPV) vaccination. This has complicated the parents' task of making a decision about having their daughters vaccinated. In this article, I analyse how Danish parents engage with digital media when making this decision. The results are based on interviews with 18 Danish parents of girls aged 10-13 years old. In my analysis of the interviews, I found that parents align with one of two Discourses when engaging with digital media in relation to HPV vaccination: one centralised and one decentralised. In the centralised Discourse, parents leave it up to other actors such as health authorities to manage the risks of vaccination, thus limiting the experienced need to engage with digital media; in the decentralised Discourse, however, parents themselves assess potential risks, thereby increasing the need to engage with digital media. As a result, I discuss why some parents can consider it necessary to struggle to engage in literacies when making decisions about complex health topics, even when there are clear government recommendations.


Assuntos
Alphapapillomavirus , Infecções por Papillomavirus , Vacinas contra Papillomavirus , Adolescente , Criança , Tomada de Decisões , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Internet , Infecções por Papillomavirus/prevenção & controle , Pais , Aceitação pelo Paciente de Cuidados de Saúde , Vacinação
14.
Cult Health Sex ; 23(11): 1485-1499, 2021 11.
Artigo em Inglês | MEDLINE | ID: mdl-34114520

RESUMO

This paper draws on an autoethnographic 'digital diary' which the author began after testing positive for HIV in July 2016, until May 2021, to critically assess (mis)representations of both the AIDS and COVID-19 pandemics in the media. Drawing on insights from art, literature, queer theory and social anthropology, the paper focuses on dominant moral and political discourses to show how narratives of blame, shame and guilt about viral transmission contribute to the stigmatisation of 'at risk' groups. Concepts of biopower and normative judgement are used to reflect on discourses which construct those who 'test positive' for HIV or SARS-CoV-2 as 'reckless', 'risky' or 'irresponsible' subjects. The paper also analyses notes on recent media appearances made by the author to discuss their participation in the PARTNER study, which showed that HIV antiretroviral therapy eliminates the possibility of HIV transmission, including reports in The Guardian, on BBC News, on Sky News, on Channel 5 News, and in the Metro. As the former had reported that the 'Covid-19 crisis raises hopes of end to UK transmission of HIV', portrayals of the two pandemics are compared to explore tensions between public health and individual responsibility as normative priorities.


Assuntos
COVID-19 , Infecções por HIV , Meios de Comunicação de Massa , Política , Humanos , Pandemias , Estigma Social
15.
Am J Psychoanal ; 81(3): 395-413, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-34226643

RESUMO

Therapists' struggle to construct the meaning of their patients' communications includes listening to their musical aspects such as intonations and rhythms. Similarly, supervisors listen to the musical aspects of their supervisees' therapeutic narratives to construct their unsymbolized meanings and to identify the patients' voices concealed in the supervisees' voices. To describe supervisors' listening processes, I propose the echo chamber metaphor along with the metaphors of evenly hovering attention and dreaming. The metaphoric echo chambers help supervisors in their listening processes by magnifying the sound signals in the supervisees' voices and by highlighting their richness and uniqueness. Two main devices of echo chambers-adjusting the reverberation time of sounds and using specific surfaces to reflect these sounds can be effectively compared to inner devices used by supervisors while listening to their supervisees' discourses.


Assuntos
Comunicação , Humanos
16.
Cult Health Sex ; 22(9): 1047-1062, 2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-31544598

RESUMO

The lived gendered experience of trans youth constitutes a relatively overlooked aspect of current research. Addressing this gap, this study reveals how young trans people in Portugal define their identities and legitimate their bodies in daily life. Drawing on in-depth interviews with 12 Portuguese trans young people, this study focuses on how trans youth situate themselves within dominant paradigms for understanding (trans)gender identities and embodiment. In doing so, this study engages with wider discussion regarding transgender embodiment that aims to move beyond binary/non-binary gender divisions, as well as privilege the voices and lived experiences of trans people. As the study demonstrates, trans youth are able to (re)construct authentic and coherent gendered selves through the incorporation of a diverse range of frameworks available in contemporary society. Although these frameworks may sometimes seem incompatible and contradictory, trans youth demonstrate conditional forms of agency in the way they (re)create their gender identity and embodiment. By revealing the diversity of trans participant discourses, practices and embodiments of gender, this study makes a key contribution to research on trans youth in Portugal and beyond, as well as broader debates.


Assuntos
Identidade de Gênero , Narração , Pessoas Transgênero , Adolescente , Feminino , Humanos , Entrevistas como Assunto , Masculino , Portugal , Adulto Jovem
17.
Disasters ; 44(2): 239-261, 2020 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-31231837

RESUMO

Natural hazards not only have socioeconomic ramifications, they also have political repercussions. This paper takes stock of the fast-growing area of research linking disasters triggered by natural hazards to voting behaviour. It is based on the central tenet of voter retrospection: voters place emphasis on past events when making their selection. The study uncovers a great disparity in analysis of electoral outcomes in the wake of disasters, part of which can be explained by the different methodological choices of authors. However, the unpredictability of voting behaviour in the aftermath of disasters also points to the relevance of introducing an intermediate variable when elucidating voter movements. This variable should capture the prevailing political discourses that surround disasters, as these are likely to shape the dynamics of voter retrospection. The paper demonstrates the analytical relevance of such political discourses by contrasting political dynamics in Denmark and Sweden following the Indian Ocean tsunami on 26 December 2004.


Assuntos
Desastres , Política , Socorro em Desastres , Tsunamis , Dinamarca , Humanos , Estudos Retrospectivos , Suécia
18.
Curr Sociol ; 68(7): 872-890, 2020 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-34497424

RESUMO

This study examines processes of class construction within a transnational community of professionals and managers who are emigrants, returnees, and non-migrants. Building on Bourdieu's class analysis and literature on transnational migration, we examine how class statuses are supported by moral claims based on varying transnational mobility strategies. We draw our results from qualitative interviews with 45 Hong Kong respondents in Hong Kong and Canada. We find that despite Hong Kong emigrants' loss of economic capital due to de-professionalization, their cultural and symbolic claims frame an alternative set of norms about their life successes. Returnees claim to have the best of both worlds having amassed economic capital, while making social distinctions from stayers in terms of their globalized cosmopolitan imaginaries. Stayers appear envious of emigrants' and returnees' flexibility and seek to accumulate economic capital for future retirement migration or to send their children abroad. Respondents' moralizing discourses reveal a social field defining within class distinctions apart from hyper concerns of upward mobility through material gains. Nuanced class distinctions articulate values around freedom of space, time, and expression not readily accessible to residents remaining in Hong Kong.

19.
J Lesbian Stud ; 24(1): 12-24, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31131737

RESUMO

Despite shifts in societal attitudes, lesbian women who separate and divorce still must cope with recriminating societal messages that blame and condemn them for not conforming to the gendered heteronormative dictate of married motherhood. Guided by feminist theory, we conducted a qualitative analysis of narratives from 17 adoptive lesbian mothers who had dissolved their relationship. The women's narratives revealed five cultural discourses that they variously embraced, resisted, or disrupted: (1) the ideology of the good mother; (2) divorce is bad for children; (3) marriage is the ideal way to live; (4) couples should stay together for the children; and (5) lesbian ex-lovers should be lifelong friends. All women embraced the cultural belief in "the good mother," which is the linchpin of gendered oppression, but they were much more disruptive regarding the remaining four discourses surrounding marriage, divorce, and lesbian relationships. Their assessments of life after separation revealed that divorce can actually be better than marriage for their children; marriage is often overrated; having children can complicate a marriage; and remaining friends with one's ex-partner is not always desirable. The feminist tenet that oppression and agency coexist was revealed as the women both engaged and resisted dominant cultural narratives in order to navigate the dilemmas of crafting a new life for themselves and their children post-divorce.


Assuntos
Divórcio , Homossexualidade Feminina , Casamento , Mães , Minorias Sexuais e de Gênero , Adulto , Divórcio/psicologia , Feminino , Homossexualidade Feminina/psicologia , Humanos , Casamento/psicologia , Pessoa de Meia-Idade , Mães/psicologia , Minorias Sexuais e de Gênero/psicologia , Normas Sociais
20.
Int J Equity Health ; 18(1): 135, 2019 09 27.
Artigo em Inglês | MEDLINE | ID: mdl-31558155

RESUMO

BACKGROUND: Unsafe abortion continues to be a major hazard for maternal health in Sub-Saharan Africa, where abortion remains highly controversial and access to safe abortion services is unequally distributed. Although national abortion laws are central in indicating women's potential for accessing safe abortion services, the character of an abortion law may alone say little about national discursive abortion landscapes and access scenarios. The article calls for the study and problematization of the relationship between legal abortion frameworks on the one hand, and discourses surrounding abortion on the other, in an attempt to move closer to an understanding of the complexity of factors that influence knowledge about and access to safer abortion services. With the restrictive abortion law in Tanzania as a starting point, the paper explores the ways in which the major global abortion discourses manifest themselves in the country and indicate potential implications of a hybrid abortion regime. METHODS: The study combined a review of major legal and policy documents on abortion, a review of publications on abortion in Tanzanian newspapers between 2000 and 2015 (300 articles), and 23 semi-structured qualitative interviews with representatives from central institutions and organizations engaged in policy- or practical work related to reproductive health. RESULTS: Tanzania's abortion law is highly restrictive, but the discursive abortion landscape is diverse and is made manifest through legal- and policy documents and legal- and policy related disputes. The discourses were characterized by diverse frames of reference based in religion, public health and in human rights-based values, and as such reflect the major global discourses. Fairclough's concepts interdiscursivity and recontextualization were drawn upon to develop an understanding of how the concepts health, rights and life emerge across the discourses, but are employed in contrasting lines of argumentation in struggles for hegemony and legitimacy. DISCUSSION AND CONCLUSIONS: The paper demonstrates that a hybrid discursive regime relating to abortion characterizes the legally restrictive abortion context of Tanzania. We argue that such a complex discursive landscape, which cuts across the restrictive - liberal divide, generates an environment that seems to open avenues for enhanced access to abortion related knowledge and services.


Assuntos
Aborto Induzido/legislação & jurisprudência , Política de Saúde , Feminino , Humanos , Vida , Gravidez , Saúde Reprodutiva , Tanzânia , Direitos da Mulher
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