スティグマと差別と南ロンドンにおけるホームレスと医療制度の文脈:民族学的事例研究
Andy Guise1, Simone Helleren1, River Újhadbor1
1Department of Population Health Sciences, King's College London, London, UK.
Lancet (London, England)
|November 24, 2023
まとめ
ホームレスや医療制度は 汚名を認識していますが 対応にはこだわりません この研究は,ケアシステムが 汚名をどのように形作っているかを理論化し,健康の社会的決定因子に対する システムレベルの介入を提案しています.
科学分野:
- 社会科学
- 公衆衛生
- 社会学
背景:
- 汚名や差別は 健康の重要な社会的決定因子として認識されています
- 社会やシステムレベルでの 汚名対策の理解には ギャップがあります
- この研究は ホームレスと医療制度における 汚名を扱っています
研究 の 目的:
- 介護・支援システムが ホームレスに関する汚名をどのように影響するか理論化する.
- ステグマと闘うためのシステムレベルの介入を策定する.
主な方法:
- ロンドン南部の縦断的な民族学研究 (2022年6月開始)
- インタビュー (n=41),フォーカスグループ,参加者観察 (>70h),ドキュメンタリー分析によるデータ収集.
- テーマと根拠に基づいたアプローチを用いた社会実践理論による分析.
主要な成果:
- ステグマに対する意識は ホームレスや医療機関では高いですが 対応は停滞しています
- 組織構造や考え方は 汚名に対する集団的行動を 制限しています
- 不平等の交差を考慮して,さまざまな形態の汚名 (制定,予想,内化) とその管理が調査されました.
結論:
- この研究は,ホームレスや医療制度における 汚名を取り除くための システム的な介入の洞察を提供します.
- 既存の認識は システム的な変化を生み出す機会を提供します
- イギリスを拠点とするこの研究の結果は,より広範な文脈に情報を与えることができます.
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