创造不可言说的东西:让种族化的孕产妇医疗保健遭遇具有意义。

IF 2.7 2区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Sociology of health & illness Pub Date : 2024-08-27 DOI:10.1111/1467-9566.13830
Sarah Milton, Ulla McKnight
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引用次数: 0

摘要

在英国,孕产妇健康和生殖健康方面长期存在着严重的种族不平等。然而,在多种情况下,这些差异都被归咎于阶级或种族、个人和社区,而不是他们生活的结构。在本研究中,我们借鉴了在英格兰南部为遭受生殖创伤的种族妇女组织的 "慢针 "手工工作坊中讲述的故事,以说明种族化和种族主义过程是如何塑造孕产妇和生殖保健经历的。生殖创伤的经历是多重的、累积的。对种族差异的认识负担被带入了医疗保健空间,并事先制定了在风险空间进行自我管理的计划。对种族化陈规定型观念的持续管理以及随后的身体和情感抑制策略最终无法起到保护作用,而且在医疗保健场所接受的护理水平也几乎不受控制。对种族化身体的看法决定了治疗方式,而与白人的亲近感则提供了另一种现实。通过现象学的方法,我们将种族分析为一种感官、空间和关系的组合,长期以来充满不平等的历史一直困扰着我们。将一群具有不同种族背景的妇女聚集在手工艺品制作圈中,使她们能够分享与种族主义和生殖创伤有关的 "难以启齿 "的故事,并使种族成为一种团结和联系的形式。
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Crafting the unsayable: Making meaning out of racialised maternal health-care encounters.

There are persistent and profound racialised inequalities in maternal and reproductive health in the UK. Yet in multiple settings, these disparities have been blamed on class or ethnicity, individuals and communities rather than the structures within which they live. In this study, we draw on narratives told within a 'slow-stitch' craft workshop, organised in southern England for racialised women with reproductive trauma, to show how processes of racialisation and racism shape experiences of maternal and reproductive healthcare. Experiences of reproductive trauma were multiple and cumulative. The burden of knowledge of racialised disparities was carried into health-care spaces, with plans made in advance to self-manage in risky spaces. The constant management of racialised stereotypes and subsequent strategies of bodily and emotional containment ultimately was not protective and there was little agency over levels of care received in health-care spaces. Perceptions surrounding racialised bodies shaped treatment, whilst proximities to whiteness afforded alternative realities. Taking a phenomenological approach we analyse race as a sensory, spatial and relational constellation haunted by long-standing histories of fraught inequality. Bringing together in the crafting circle a group of women racialised in different ways enabled the sharing of "unspeakable" stories surrounding racism and reproductive trauma, and allowed race to be brought into being as a form of solidarity and connection.

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来源期刊
CiteScore
6.10
自引率
6.90%
发文量
156
期刊介绍: Sociology of Health & Illness is an international journal which publishes sociological articles on all aspects of health, illness, medicine and health care. We welcome empirical and theoretical contributions in this field.
期刊最新文献
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