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Healthy Skepticism Library item: 7437

Warning: This library includes all items relevant to health product marketing that we are aware of regardless of quality. Often we do not agree with all or part of the contents.

 

Publication type: Journal Article

Kempner J.
Gendering the migraine market: do representations of illness matter?
Soc Sci Med 2006 Oct; 63:(8):1986-97
http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B6VBF-4K7FB0S-4&_coverDate=10%2F31%2F2006&_alid=525180465&_rdoc=1&_fmt=&_orig=search&_qd=1&_cdi=5925&_sort=d&view=c&_acct=C000050221&_version=1&_urlVersion=0&_userid=10&md5=9846e784f1bbaed6dfaa2a3946947969


Abstract:

Migraine is a common, debilitating and costly disorder. Yet help-seeking for and rates of diagnosis of migraine are low. Drawing on ethnographic observations of pharmaceutical marketing practices at professional headache conferences and a content analysis of migraine advertising, principally in the USA, this paper demonstrates: (1) that the pharmaceutical industry directs its marketing of migraine medication to women; and (2) as part of this strategy, pharmaceutical advertisements portray women as the prototypical migraine sufferer, through representations that elicit hegemonic femininity. This strategy creates the impression that migraine is a “women’s disorder”, which, in turn, exacerbates gender bias in help seeking and diagnosis of migraine and reifies presumptions about the epidemiology of the disorder. I conclude that these pharmaceutical marketing practices have a paradoxical effect: even as they educate and raise awareness about migraine, they also create barriers to help seeking and diagnosis.

Keywords:
Migraine; Headache; Pharmaceutical advertising; Gender; USA Publication Types: Research Support, Non-U.S. Gov't MeSH Terms: Advertising/methods Advertising/trends* Drug Industry* Female Gender Identity* Health Education Health Knowledge, Attitudes, Practice* Humans Male Metaphor Migraine Disorders/diagnosis Migraine Disorders/drug therapy Migraine Disorders/psychology* Patient Acceptance of Health Care/psychology Sex Factors Tryptamines/therapeutic use United States/epidemiology Women's Health Substances: Tryptamines

 

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Far too large a section of the treatment of disease is to-day controlled by the big manufacturing pharmacists, who have enslaved us in a plausible pseudo-science...
The blind faith which some men have in medicines illustrates too often the greatest of all human capacities - the capacity for self deception...
Some one will say, Is this all your science has to tell us? Is this the outcome of decades of good clinical work, of patient study of the disease, of anxious trial in such good faith of so many drugs? Give us back the childlike trust of the fathers in antimony and in the lancet rather than this cold nihilism. Not at all! Let us accept the truth, however unpleasant it may be, and with the death rate staring us in the face, let us not be deceived with vain fancies...
we need a stern, iconoclastic spirit which leads, not to nihilism, but to an active skepticism - not the passive skepticism, born of despair, but the active skepticism born of a knowledge that recognizes its limitations and knows full well that only in this attitude of mind can true progress be made.
- William Osler 1909