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1、The Impotence Epidemic: Mens Medicine and Sexual Desire in Contemporary China (Critical Global Health: Evidence, Efficacy, Ethnography) March 6, 2015Since the 1990s China has seen a dramatic increase in the number of men seeking treatment for impotence. Everett Yuehong Zhang argues in The Impotence

2、Epidemic that this trend represents changing public attitudes about sexuality in an increasingly globalized China. In this ethnography he shifts discussions of impotence as a purely neurovascular phenomenon to a social one. Zhang contextualizes impotence within the social changes brought by recent e

3、conomic reform and through the production of various desires in post-Maoist China. Based on interviews with 350 men and their partners from Beijing and Chengdu, and concerned with de-mystifying and de-stigmatizing impotence, Zhang suggests that the impotence epidemic represents not just trauma and s

4、uffering, but also a contagion of individualized desire and an affirmation for living a full life. For Zhang, studying male impotence in China is one way to comprehend the unique experience of Chinese modernity.Traditional, Ideal Medical ModelNormal- Healthy 98% Abnormal 2%Normal PathologyPathologic

5、al NormalcyPathological Normalcy 60%AbnormalPsychology 25%Psychological Health 15%Fat StudiesMarch 3, 2012, vol. 379, #9818 Summarized in: Rapid and extraordinary economic growth over the past few decades has resulted in some shocking statistics on death and illness from injuries and chronic disease

6、s in China. Injuries cause around 800 000 deaths a year and are the leading cause of death in people aged 1 to 39 years old. Some 173 million adults have a mental health disorder but the vast majority (92%; 159 million) have never received professional help. The number of people living with dementia

7、 has more than doubled from about 3.68 million in 1990 to 9.2 million in 2010. Ambient air pollution kills more than 1.2 million people a year, while indoor air pollution from solid fuels accounts for a further 1 million premature deaths a year. Tobacco kills roughly 1 million people each year, and

8、if present trends continue, this is expected to rise to 3 million by 2040. Alarming increases in levels of obesity, with the number of overweight or obese adolescents rising from 16.1 million in 2000 to 20.4 million in 2010.Hypertension in ChinaDespite being the second largest risk factor causing di

9、sability and death (the first being tobacco), only 42% of adults with hypertension are aware they have the condition a third to half of patients with hypertension receive treatment. admission rates for complications from diabetes in China are more than five times the rate in countries of the Organiz

10、ation for Economic Cooperation and Development (OECD) countries-a sign of poor primary health care.The governments latest strategy to promote private investment for hospitals, with the target of private hospitals meeting a 20% market share by 2015, would result in escalating health-care expenditure,

11、 with patients bearing increasing costs; a two-tiered system in which access and quality of care are decided by ability to pay; and poor population health es.” Medical disputes have increased by about 23% every year since 2002Medical violence has tripled in 8 years, from around 5000 incidents in 2002, to over 17,200 in 2010. Macro Cultural Transformation and Micro Interven

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