在初级医疗保健中的反黑人歧视:在加拿大背景下探索内化种族主义的定性研究
Khandideh K A Williams1, Shamara Baidoobonso2, Jeannie Haggerty1
1Department of Family Medicine, McGill University, Montréal, Canada.
Ethnicity & health
|February 9, 2024
概括
内化种族主义显著影响加拿大的黑人医疗体验. 解决多层次的种族主义问题对于实现黑人社区的健康平等至关重要.
科学领域:
- 健康 公平 研究 健康 公平 研究
- 卫生社会学 卫生社会学
- 种族歧视研究 种族歧视研究
背景情况:
- 在种族化少数群体中存在着持续的健康不平等.
- 种族歧视显著影响健康结果和医疗保健经验.
- 有限的研究已经探索了内化种族主义对医疗保健的影响,特别是在黑人社区.
研究的目的:
- 探索患者对加拿大医疗保健中的反黑人种族主义的态度.
- 专门研究在初级医疗保健机构内内化种族主义.
- 了解内化种族主义如何影响黑人个体的医疗保健经验.
主要方法:
- 使用有目的最大变化和雪球采样进行定性研究.
- 深入的现象学采访与蒙特利尔的自认黑人 (n=32).
- 在2021年10月至2022年7月期间进行的采访,以主题分析.
主要成果:
- 关于内化种族主义在医疗保健中的表现,出现了三个关键主题.
- 主题1:黑人提供者和患者对反黑人种族主义的内化.
- 主题2:非黑人种族少数群体提供者表达反黑人偏见.
- 主题3:在医疗保健系统内对种族歧视的不敏感.
结论:
- 解决多层次的种族主义,包括内化种族主义,对于健康平等至关重要.
- 干预措施必须侧重于促进黑人社区的健康和公平的医疗保健体验.
- 研究强调,需要进行系统性变革,以打击医疗保健中的种族主义.
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