An interdisciplinary analysis of the hormone replacement therapy saga
| The first 150 words of the full text of this article appear below. |
In this issue we publish an unusual, albeit very much needed, approach to the HRT debate. An international and interdisciplinary team have put together their expertise from the historical, epidemiological, biological, clinical, and advocacy perspectives. Nancy Krieger and her colleagues ask in their paper an undoubtedly crucial question: why, since the mid-1960s, were millions of women prescribed powerful pharmacological agents that had already been shown, three decades earlier, to be carcinogenic?
To understand the eventual answer to this question, they identify in the HRT process a series of missing elements, like for example the invisible industrialist, regulatory agencies and public compared with private interests, beliefs regarding individual compared with collective risk, the irresistible growth of individualised ‘‘preventive medicine", and the gendering of hormones and regulation of women’s sexuality.
To avoid the occurrence of similar iatrogenic disasters in the future, Krieger and colleagues call for greater transparency with regard to the
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