Reid Shyanne, Berman Helene, Forchuk Cheryl
University of Western Ontario, London, Ontario, Canada.
Issues Compr Pediatr Nurs. 2005 Oct-Dec;28(4):237-56. doi: 10.1080/01460860500396906.
Homelessness affects thousands of girls and young women in Canada. Terms that are commonly used to describe the homeless include lazy, mentally ill, middle aged, and male. The reality is that homelessness is not limited to a particular age, gender, or ethnocultural group, or to individuals of any single intellectual ranking. As a result of the prevailing stereotypes, little research has been conducted on homelessness among adolescent females, making it difficult to capture an accurate and comprehensive picture of the full scope of the problem. The purposes of this feminist narrative study were to (1) explore the intersections between homelessness and health among adolescent girls, with particular attention to the influence of contextual factors such as violence, gender, and poverty; and (2) to examine how these young women access health care, barriers they encounter, and factors that contribute to their health promotion. The sample consisted of ten females, ages 16-21, who were interviewed either individually or in small groups. Consistent with feminist research approaches, the interviews were conducted in an interactive manner in order to encourage critical reflection and dialogue. Data analysis consisted of a thematic analysis of the participants' experiences. Findings revealed that most girls had fled from difficult, and at times dangerous, situations at home to lives on the street that brought a new set of challenges, including a multitude of health problems and exposure to violence, chronic poverty, and discrimination. Many barriers to effective health care were described. In this article, the findings of the research will be presented and implications for health and social service providers will be addressed, including recommendations for programming and policy.
无家可归问题影响着加拿大成千上万的女孩和年轻女性。通常用来描述无家可归者的词汇包括懒惰、患有精神疾病、中年以及男性。但实际情况是,无家可归并不局限于特定的年龄、性别、种族文化群体或任何单一智力水平的个体。由于普遍存在的刻板印象,针对青少年女性无家可归问题的研究很少,因此难以准确全面地了解这一问题的全貌。这项女性主义叙事研究的目的是:(1)探讨青少年女孩无家可归与健康之间的交叉点,尤其关注暴力、性别和贫困等背景因素的影响;(2)研究这些年轻女性如何获得医疗保健、她们遇到的障碍以及促进其健康的因素。样本包括10名年龄在16至21岁之间的女性,她们接受了单独或小组访谈。与女性主义研究方法一致,访谈以互动方式进行,以鼓励批判性反思和对话。数据分析包括对参与者经历的主题分析。研究结果显示,大多数女孩逃离了家中艰难甚至危险的处境,来到街头生活,这带来了一系列新的挑战,包括众多健康问题、遭受暴力、长期贫困和歧视。她们描述了有效获得医疗保健的许多障碍。在本文中,将呈现研究结果,并探讨对健康和社会服务提供者的启示,包括对规划和政策的建议。