伦敦南部的耻辱和歧视及其无家可归者和卫生系统背景:一个民族学案例研究
Andy Guise1, Simone Helleren1, River Újhadbor1
1Department of Population Health Sciences, King's College London, London, UK.
Lancet (London, England)
|November 24, 2023
概括
无家可归和医疗系统都意识到这一点, 这项研究理论化了护理系统如何塑造耻辱的经验,并提出了系统层面的健康社会决定因素干预措施.
科学领域:
- 社会科学
- 公共卫生
- 社会学
背景情况:
- 污名和歧视被认为是健康的关键社会决定因素.
- 了解社会和系统层面的污名化干预存在差距.
- 这项研究涉及无家可归和医疗保健系统中的耻辱.
研究的目的:
- 理论化护理和支持系统如何影响与无家可归相关的耻辱经历.
- 制定系统层面的干预措施来打击耻辱.
主要方法:
- 伦敦南部的纵向民族学研究 (2022年6月开始).
- 通过采访 (n=41),焦点小组,参与者观察 (>70h) 和文献分析收集数据.
- 以社会实践理论为指导的分析,使用主题和基础的方法.
主要成果:
- 在无家可归者和医疗服务中,
- 组织结构和思维限制了对耻辱的集体行动.
- 研究了不同形式的耻辱 (实行,预期,内化) 及其管理,并考虑了相互交叉的不平等.
结论:
- 这项研究提供了解决无家可归和卫生系统污名化的系统性干预的见解.
- 现有的意识为产生系统变革提供了机会.
- 这项基于英国的研究的结果可以为更广泛的背景提供信息.
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