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Køn, sundhed og KAB ---
Gender, health and CAM
Nina Nissen, PhD Associate Professor
Department of Public Health, SDU
FS-KAB Landsmøde 7/10/2017
Overview
§ Use of CAM – who, how and why § Surveys and literature § 2 examples
§ Practice of CAM – who, how and why § Surveys and literature § A tentative suggestion
§ Discussion
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Use of CAM – who? how? zoneterapi
Manipulative therapies
acupuncture
From: Susy 2013
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Use of CAM – why?
Users’ motivations to use CAM in relation to: § Health and illness
§ To alleviate chronic and/or life-threatening conditions § To improve overall wellbeing § To address specific symptoms § To do something for oneself
§ The quality of CAM § The positive provider-patient relationship § The patient-centred and holistic approach
Patients’ perspectives
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Use of CAM – why?
Healthcare system § Dissatisfaction with biomedical care § Less trust, confidence and reliance on ‘experts’
Qualities of CAM § Values and beliefs about health and illness § Shared experiences between (women) practitioner and patient § ‘Natural’
Changes in society § Wish to have more control over one’s life, including healthcare § Thinking about the person more ‘holistically’ § Increased societal attention on the body and health § Increased societal expectation to look after one’s health
Social science perspectives
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An ethnographic study of women’s practice and use of western herbal medicine in the UK
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Men’s everyday healthcare and masculinities in Denmark
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Practice of CAM – who? how?
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Practice of CAM – who? how?
♂♀‘talking’ therapies ‘science-orientated’ therapies
A tentative suggestion
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‘Just wait, now that acupuncture is evidence-based, the doctors will make it their own, and start deciding when and when not to use it.’
Johannessen B 2009:150
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Practice of CAM – why?
CAM practitioners § Wanting to ‘help’ § Attracted by CAM practices and holistic approaches to
health § Opportunity to have a career in medicine § Fits with family commitments § Positive personal experience of CAM treatment
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Practice of CAM – who? how? why?
Nurses who leave mainstream health services
§ Disillusionment with the health services § Dissatisfaction with practice/work in health system
§ Opportunity to develop clinical skills § Attracted by holistic approach to health and healing § Positive personal experience of CAM treatment
BUT: self-employment and financial uncertainty can be strain
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‘I think the division between cure and care constitutes a factor that hampers registered nurses, who as a result always remain subordinate. Now when I practice CAM, I am independent of this distinction.’
Johannessen B 2009:149
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Discussion
What motivates your interest in CAM/in practicing CAM? What are your hopes and wishes for Integrative medicine in Denmark?
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Tak for i dag J
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References (selected)
Andrews, G. J. (2003). Nurses who left the British NHS for private complementary medical practice: why did they leave? Would they return? Journal of Advanced Nursing, 41(4), 403-415. Flesch, H. (2010). Balancing act: Women and the study of complementary and alternative medicine. Complementary Therapies in Clinical Practice, 16(1), 20-25 Johannessen, B. (2009). Why do Norwegian nurses leave the public health service to practice CAM? Complement Ther Clin Pract, 15(3), 147-151. Nissen, N. (2010). Practitioners of Western herbal medicine and their practice in the UK: Beginning to sketch the profession. Complementary Therapies in Clinical Practice, 16(4), 181-186. Nissen, N. (2011). Challenging perspectives: Women, complementary and alternative medicine, and social change. Interface: a journal for and about social movements, 3(2), 187-212. Nissen, N., Schunder-Tatzber, S., Weidenhammer, W., & Johannessen, H. (2012). What attitudes and needs do citizens in Europe have in relation to complementary and alternative medicine? Forschende Komplementärmedizin/Research in Complementary Medicine, 19(Suppl 2), 9-17. Nissen, N. (2013). Women's Bodies and Women's Lives in Western Herbal Medicine in the UK. Medical Anthropology, 32(1), 75-91 Susy 2013 http://www.si-folkesundhed.dk/Forskning/Befolkningens%20sundhedstilstand/Sundhed%20og%20sygelighed%20SUSY/SUSY%202013.aspx
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