"不断证明我的存在":收入较低,体重较高的加拿大成年人的耻辱应对机制
1Department of Sociology, University of New Brunswick, Fredericton NB, Canada.
Qualitative research in medicine & healthcare
|December 6, 2024
概括
体重较高,收入较低的人在医疗保健中面临着显著的体重和收入耻辱. 他们通过内化健康信息来应对,并使用坚忍和控制策略来管理这些经历.
科学领域:
- 卫生社会学 卫生社会学
- 卫生污名研究 卫生污名研究
- 质量健康研究 质量健康研究
背景情况:
- 体重和收入的耻辱不成比例地影响高体重,低收入的个人在医疗保健.
- 了解体重和收入耻辱的交叉关系对于公平的医疗保健至关重要.
- 之前的研究还没有完全探索这些结合的耻辱如何影响患者的经验和行为.
研究的目的:
- 评估高体重,低收入成年人在医疗保健和日常生活中如何管理耻辱化的经历.
- 了解这些经验对健康寻求和耻辱管理行为的影响.
- 在医疗保健环境中探索体重和收入耻辱之间的相互作用.
主要方法:
- 半结构面试对11名高体重 (BMI ≥30) 的低收入成年人进行了半结构面试.
- 参与者参与了两次专注于医疗保健和其他生活经验的采访.
- 用主题分析分析成绩单,以确定关键模式和主题.
主要成果:
- 两个主要主题出现了:对耻辱的接受,新自由主义的健康信息和应对耻辱.
- 应对耻辱感涉及控制对耻辱化的经历和 стоицизм的子主题.
- 参与者通过新自由主义框架展示了对健康的理解.
结论:
- 体重较高,收入较低的个人使用控制和坚忍来摆脱与健康相关的耻辱.
- 新自由主义的健康信息影响了患者如何看待自己的健康和健康.
- 医疗保健提供者需要解决重量和收入污名的交叉问题,以改善患者护理.
相关概念视频
01:26Stress Prevention and Stress Management Techniques IV
26
Stress often leads to unhealthy habits like smoking, excessive drinking, and overeating, which offer short-term relief but ultimately increase long-term health risks. These behaviors create a cycle that temporarily lowers stress levels but can result in severe long-term health consequences. Breaking these habits is essential to reduce the risk of chronic diseases and improve overall well-being. Three primary changes that support better health include quitting smoking, reducing alcohol intake,...
26
01:20Coping Strategies: Emotion Focused
55
Emotion-focused coping refers to a set of strategies aimed at managing the emotional impact of stressors, rather than directly addressing their causes. This approach involves altering one's emotional response to stressful situations to reduce their psychological effects. For example, individuals might talk with a friend or engage in activities like journaling to express their feelings. Such actions can help achieve emotional clarity or release, providing the psychological stability needed...
55
01:26Stress Prevention and Stress Management Techniques I
36
Stress prevention and management are crucial for maintaining well-being and building resilience. Techniques to manage stress include cultivating qualities like conscientiousness, a sense of personal control, and self-efficacy. Each of these traits significantly reduces stress and promotes healthier lifestyle choices and outcomes.
Conscientiousness
Conscientious individuals tend to be organized, responsible, and disciplined. They prioritize completing tasks and following structured routines,...
Conscientiousness
Conscientious individuals tend to be organized, responsible, and disciplined. They prioritize completing tasks and following structured routines,...
36
01:30Stress Prevention and Stress Management Techniques VI
27
Adopting a healthier lifestyle often requires overcoming significant challenges, but leveraging psychological, social, and cultural resources can facilitate meaningful change. Effective self-change hinges on understanding and applying key tools such as motivation and goal setting, which help sustain efforts toward long-term health benefits.
Motivation and Self-Determination
Motivation, the driving force behind behavior, plays a pivotal role at every stage of the change process. The research...
Motivation and Self-Determination
Motivation, the driving force behind behavior, plays a pivotal role at every stage of the change process. The research...
27
01:30Stress and Mental Health
77
Chronic stress profoundly affects mental health, significantly influencing mood, behavior, and overall quality of life. Research closely links chronic stress with mental health conditions such as depression, anxiety, and substance use disorders. Ongoing exposure to stress can lead to physiological and psychological changes, initiating a cycle of emotional distress and maladaptive coping mechanisms.
Individuals with depression often experience challenges in both their personal and professional...
Individuals with depression often experience challenges in both their personal and professional...
77
01:20Psychological Responses to Stress
43
Psychological responses to stress encompass the various cognitive and emotional reactions individuals experience when faced with challenging or threatening situations, such as a job loss. Prolonged exposure to stressors can disturb emotional balance, increasing negative emotions (e.g., anxiety and sadness) and diminishing positive emotions (e.g., joy and satisfaction). These persistent emotional shifts are associated with an increased risk of both physical illness and mental health issues, such...
43