加拿大最傑出的小說家、詩人,同時也寫短篇故事、評論、劇本以及創作兒童文學。她已發表五十多部作品,翻譯超過三十五種語言,其中小說《盲眼刺客》獲頒二○○○年布克獎,《雙面葛蕾斯》獲頒加拿大季勒文學獎,並獲義大利最負盛名的蒙德羅文學獎(Premio Mondello)。二○○五年,她獲頒愛丁堡圖書節啟蒙獎(Edinburgh Book Festival Enlightenment),得獎理由是對世界文學與思想的傑出貢獻。二○○八年,獲頒西班牙艾斯杜里亞斯親王文學獎(Prince of Asturias Prize for Literature)。《使女的故事》於二○一七年改編為電視影集,再度掀起世界注目、回響熱烈,愛特伍並客串其中一角。她長期關注環境和生態保育、創作言論自由受政治迫害等社會議題,也曾和全球五百位作家連署,抵制國家對網路使用的過當管制。二○一九年,再度以《使女的故事》續集《證詞》獲得布克獎。
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