在疲劳中感知歧视:在SOMA.SOC项目中的定性访谈研究
Rieke Barbek1, Anna Christin Makowski1, Olaf von dem Knesebeck1
1Institute of Medical Sociology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Frontiers in sociology
|February 20, 2025
概括
疲劳症状往往会导致耻辱和歧视,特别是对于具有交叉社会身份的人来说. 这项研究揭示了歧视如何在医疗,工作和社会环境中表现出来,影响医疗保健和社会保护.
科学领域:
- 医学社会学 医学社会学
- 健康心理学 心理健康心理学
- 社会流行病学 社会流行病学
背景情况:
- 疲劳是一种常见的症状,对健康有重大影响,通常由COVID-19加剧.
- 经历疲劳的人面临着耻辱和歧视,因为他们对症状的理解不足.
- 之前关于耻辱的研究忽视了跨界歧视,即多个社会身份放大了负面经验.
研究的目的:
- 调查在各种医疗条件和生活领域中对疲劳的人群的歧视感知.
- 检查跨界歧视在放大基于社会身份的负面经验中的作用.
- 了解疲劳经验中歧视的多面性质.
主要方法:
- 对19名经历临床显著疲劳的患者进行了半结构化的电话采访.
- 包括具有不同社会身份的参与者,如性别,移民历史和职业地位.
- 分析了采访数据,使用结构化的定性内容方法与协商一致的编码.
主要成果:
- 确定了八个被认为是歧视的关键领域:沟通,情绪反应,医疗治疗,领导力,结构障碍,诊断术语和科学争议.
- 发现歧视发生在医疗,工作,社会,公共和结构领域,在医疗和结构环境中产生重大影响.
- 突出了跨部门的歧视,特别是影响了像女性性别和低职业地位这样的耻辱身份的个人.
结论:
- 调查结果强调需要进一步研究与疲劳相关的歧视.
- 干预策略应侧重于提高性和提高公众意识,以减轻跨部门歧视.
- 解决跨部门歧视对于减少疲劳患者的健康不平等至关重要.
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