In the margins of stigma: health inequalities among Bulgarian Roma in a post-COVID-19 UK.

IF 7.1 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH BMJ Global Health Pub Date : 2024-11-04 DOI:10.1136/bmjgh-2024-015686
Iliana Sarafian, Alice Robinson, Assen Christov, Aleksandra Tarchini
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Abstract

The COVID-19 pandemic had a disproportionate impact on minoritised ethnic groups in the UK, including newly arrived Roma communities. Employing ethnographic and participatory methods, this study illustrates how systemic barriers, including precarious employment and overcrowded housing, coupled with strategies of identity concealment to avoid stigma, severely restrict access to healthcare among Bulgarian Roma communities in the UK. Drawing from fieldwork in Leicester and London, the research reveals how the pandemic amplified the vulnerabilities of Roma populations, directly linking the effects of the pandemic with broader sociopolitical dynamics, including the uncertainties and discrimination associated with Brexit. The findings point to the critical role of community, mutual and familial support networks as essential survival strategies. However, these social networks are also increasingly depleted, revealing the fragility and limits of informal communal resources. The study calls for the development of inclusive health strategies sensitive to the socio-economic and political complexities affecting marginalised communities in the UK and beyond.

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在耻辱的边缘:COVID-19 后英国保加利亚罗姆人的健康不平等。
COVID-19 大流行对英国的少数民族群体造成了极大的影响,其中包括新抵达的罗姆人社区。本研究采用人种学和参与式方法,说明了包括就业不稳定和住房拥挤在内的系统性障碍,以及为避免耻辱而采取的隐瞒身份策略,是如何严重限制英国保加利亚罗姆人社区获得医疗保健服务的。通过在莱斯特和伦敦的实地调查,研究揭示了大流行病如何扩大了罗姆人的脆弱性,并将大流行病的影响与更广泛的社会政治动态直接联系起来,包括与英国脱欧相关的不确定性和歧视。研究结果表明,社区、互助和家庭支持网络作为重要的生存策略发挥着关键作用。然而,这些社会网络也日益枯竭,揭示了非正式社区资源的脆弱性和局限性。这项研究呼吁制定包容性的健康战略,以应对影响英国及其他国家边缘化社区的社会经济和政治复杂性。
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来源期刊
BMJ Global Health
BMJ Global Health Medicine-Health Policy
CiteScore
11.40
自引率
4.90%
发文量
429
审稿时长
18 weeks
期刊介绍: BMJ Global Health is an online Open Access journal from BMJ that focuses on publishing high-quality peer-reviewed content pertinent to individuals engaged in global health, including policy makers, funders, researchers, clinicians, and frontline healthcare workers. The journal encompasses all facets of global health, with a special emphasis on submissions addressing underfunded areas such as non-communicable diseases (NCDs). It welcomes research across all study phases and designs, from study protocols to phase I trials to meta-analyses, including small or specialized studies. The journal also encourages opinionated discussions on controversial topics.
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