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首页> 外文期刊>Sociology of health & illness >'Let's have it tested first': Choice and circumstances in decision-making following positive antenatal screening in Hong Kong
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'Let's have it tested first': Choice and circumstances in decision-making following positive antenatal screening in Hong Kong

机译：“先测试一下”：在香港进行积极的产前筛查之后，决策的选择和情况

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摘要

There now exists a considerable body of sociological work examining antenatal screening for fetal abnormalities. A common theme emerging from this literature is that pregnant women report not feeling able to exercise choice freely, experiencing constraints both from medical professionals and their perceived expectations of the sociocultures in which they live. This study adds to existing literature in three ways. Firstly, in contrast to the existing body of interview-based research, the study uses video recordings of actual consultations, in order to capture the interactional processes through which choice and constraints are established, negotiated and contested. Secondly, it explores the next stage in the process of antenatal screening, by focusing on women who are offered invasive diagnostic testing as a result of 'high risk' screening results, and who have been the subject of little research. Thirdly, the study site in Hong Kong provides a particularly interesting location, given limited research on antenatal screening in that part of the world, and Hong Kong's cosmopolitan environment that is reflected in the diversity of client population undergoing antenatal screening. Using conversation analysis we examine how aspects of the clients' diverse socioeconomic backgrounds and circumstances are interactionally managed in this setting, and how this might impact on decision-making.
机译：现在，存在大量的社会学工作，检查胎儿畸形的产前筛查。从这些文献中得出的一个共同主题是，孕妇报告称自己无法自由地进行选择，她们受到医学专业人员及其对所居住的社会文化的期望的约束。这项研究以三种方式增加了现有文献。首先，与现有的基于访谈的研究相比，该研究使用了实际咨询的视频记录，以捕捉建立，协商和争论选择和约束的互动过程。其次，它通过关注因“高风险”筛查结果而提供侵入性诊断测试且很少进行研究的女性来探索产前筛查的下一阶段。第三，由于在世界那部分地区对产前筛查的研究有限，以及香港的国际化环境反映在接受产前筛查的服务对象人群的多样性中，因此香港的研究地点特别有趣。通过对话分析，我们研究了在这种情况下如何交互管理客户的不同社会经济背景和情况的各个方面，以及这可能对决策产生怎样的影响。

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