交叉点:在艾滋病毒预防中实施交叉主题分析。

IF 2.1 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Revista de saude publica Pub Date : 2024-10-11 eCollection Date: 2024-01-01 DOI:10.11606/s1518-8787.2020054005728
Cristiane Spadacio, Lorruan Alves Dos Santos, Ramiro Andres Fernandez Unsain, Isa da Silva Sorrentino, Marcia Thereza Couto
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引用次数: 0

摘要

研究目的本研究旨在提供理论和方法论工具,以帮助在基于经验的定性健康研究中以交叉方法为指导进行专题分析。本研究认为,将交叉视角与专题分析相结合可以更新后者--后者在定性健康调查中相当流行--关于特权和压迫的多重和相互关联模式的有意义的讨论,这些特权和压迫在结构性和制度性上运作,根据个人的性别、种族/民族、阶级、性取向、世代等立场,在个人中产生相对不利的体验:本研究以一篇文章为基础,分析了巴西两个城市 15 至 19 岁青少年艾滋病暴露前预防(PrEP)纵向示范研究的定性经验数据,讨论了作者在理论和方法上所做努力的局限性、挑战和潜力。此外,本研究还提出了具有交叉敏感性的专题分析操作建议:结果:研究发现,三角测量技术可以增强具有交叉敏感性的专题分析,从而产生定性数据。采用先验的交叉性建议,从研究设计阶段开始,构建和应用具有交叉意向性的数据生产工具,能够在分析类别中识别社会标记之间的关系:然而,缺乏交叉性理论-方法论视角来构思研究和编制数据,并不能使交叉性作为一种方法论工具变得不可行,尽管它可能会限制结果分析和讨论。可以通过提出交叉性假设,并将结果与与研究主题和对象相关的文献进行比较,来解决这种局限性。
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At the intersections: operationalizing intersectional thematic analysis in HIV prevention.

Objective: This study aims to provide theoretical and methodological tools to assist in producing thematic analyses guided by an intersectional approach in empirically-based qualitative health studies. It argues that combining an intersectional perspective with thematic analysis can update the latter-which is quite popular in qualitative health investigations-regarding meaningful discussions about multiple and interconnected patterns of privilege and oppression that operate structurally and institutionally, producing experiences of relative disadvantage in individuals according to their gender, race/ethnicity, class, sexuality, generation, among other positions.

Methods: Based on an article that analyzed qualitative empirical data from a longitudinal demonstrative study on pre-exposure prophylaxis for HIV (PrEP) in adolescents and young people aged 15 to 19 years in two Brazilian capitals, this study discusses the limitations, challenges, and potentialities of the theoretical and methodological efforts undertaken by those authors. Additionally, this research that offers a proposal for operationalizing thematic analysis with intersectional sensitivity.

Results: It observed that triangulating techniques can enhance thematic analysis with intersectional sensitivity to produce qualitative data. Adopting an a priori intersectional proposal, starting from the research design phase, construction, and application of data production instruments with intersectional intentionality, enables the recognition of the relations between social markers in analytical categories.

Discussion: However, the absence of an intersectional theoretical-methodological perspective to conceive research and produce data fails to render intersectionality as a methodological tool unfeasible, although it may limit result analysis and discussion. Such limitations can be addressed by proposing intersectional assumptions and comparing the results with literature related to the theme and object of study.

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来源期刊
Revista de saude publica
Revista de saude publica PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
4.60
自引率
3.60%
发文量
93
审稿时长
4-8 weeks
期刊介绍: The Revista de Saúde Pública has the purpose of publishing original scientific contributions on topics of relevance to public health in general.
期刊最新文献
ERRATUM. Public resources on the Brazilian Food and Nutrition Security agenda from 2000 to 2022. Burden of leptospirosis in Brazil in the last decade. Frailty and social network among older Brazilian adults: evidence from ELSI-Brazil. Patterns of self-rated health trajectories and associated factors in ELSA-Brasil.
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