交叉结构性耻辱:对美国西南部无家可归者进行定性研究
Micaela Mercado1,2, Lara Law1,2, Kristin Ferguson-Colvin1
1School of Social Work, Arizona State University, Phoenix, AZ, USA.
Qualitative health research
|June 21, 2024
概括
这项研究研究了交叉的耻辱如何影响美国西南部无家可归者的健康. 调查结果揭示了减少耻辱和改善各种无家可归人口健康结果的策略.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 健康差异 在健康上的差异
背景情况:
- 结构性耻辱不成比例地影响边缘化人口,特别是那些经历无家可归的人.
- 了解跨部门的耻辱感对于开发有效的卫生干预措施至关重要.
- 之前的框架不足以解决不同无家可归群体所经历的耻辱的多面性质.
研究的目的:
- 探索不同无家可归人群中交叉结构性耻辱的表现.
- 在卫生环境中确定减少耻辱的策略.
- 为此群体适应健康污名和歧视框架.
主要方法:
- 从七个重点小组 (n=76) 获得的数据的理论基础和主题分析.
- 有目的的抽样招募多样化的无家可归者 (青年,年轻人,成年人,有孩子的妇女,退伍军人,老年男性).
- 调整卫生污名和歧视框架.
主要成果:
- 由于无家可归,性别,年龄和心理健康状况而经历的人际耻辱.
- 组织实践和社区的社会信仰促进了耻辱.
- 健康结果受到污名化的负面影响.
- 减少耻辱的策略涉及社区资产,医疗保健和提供者实践.
结论:
- 交叉污名严重影响无家可归者的健康.
- 一个适应的框架强调了在多个层面解决污名化的途径.
- 社区资产和消除污名化的提供者实践是减少污名化的关键.
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