在COVID时代的免疫逻辑,免疫自我和免疫特权:来自边缘化社会群体的观点
Deborah Lupton1, Kerryn Drysdale2
1Vitalities Lab, Centre for Social Research in Health and Social Policy Research Centre, UNSW Sydney, Australia.
Social science & medicine (1982)
|August 14, 2025
概括
边缘化的澳大利亚人,包括LGBTIQA+个人和血液传播病毒的人,在COVID-19期间导航复杂的"免疫逻辑". 他们的经历突出了超越典型社会决定因素的脆弱性和特权的各种看法.
科学领域:
- 社会流行病学 社会流行病学
- 健康心理学 心理健康心理学
- 健康和疾病的社会学
背景情况:
- 随着COVID-19大流行,显现出严重的健康差异,强大的群体往往优先于边缘化社区.
- 了解弱势群体的生活经验对于公平的公共卫生反应至关重要.
- 以前存在的歧视和耻辱影响了边缘化群体如何感知和管理健康风险,包括传染病.
研究的目的:
- 在边缘化的澳大利亚子群体中识别和分析"免疫逻辑"的概念.
- 探索这些'免疫逻辑'在COVID-19大流行期间如何塑造对脆弱性和特权的看法.
- 了解社会结构中这些免疫逻辑的动态和关系性质.
主要方法:
- 与来自澳大利亚边缘化社区的参与者进行了30次半结构面试.
- 包括那些认为自己是LGBTIQA+ (女同性恋,男同性恋,双性恋,跨性别者,跨性别者,异性恋者,异性恋者和其他人) 的个人.
- 包括携带血液传播病毒的人:乙型肝炎,型肝炎或人类免疫缺陷病毒 (HIV).
主要成果:
- 确定了三个主要的"免疫逻辑":相对免疫力,COVID脆弱性和免疫特权.
- 证明这些逻辑是关系式的,动态的,依赖于环境的,受到时间,地点和社会结构的影响.
- 发现免疫特权可以通过个人行为,获得高质量的医疗保健,慢性病管理,以及获得抗病毒药物和性别确认护理等治疗方法来建立,这复杂化了耻辱或社会经济地位之外的因素.
结论:
- "免疫逻辑"是复杂的,是由交叉的社会,结构和个人因素所塑造的.
- 免疫力和脆弱性的感知不仅仅是由生物风险决定的,而且是社会构造的.
- 公共卫生战略必须承认并解决这些细微的"免疫逻辑",以确保所有人群的公平健康结果.
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