McEwen Marylyn Morris, Boyle Joyceen
The University of Arizona, College of Nursing, Tucson 85721-0203, USA.
Res Theory Nurs Pract. 2007;21(3):185-97. doi: 10.1891/088971807781503729.
Mexican immigrants living in the U.S.-Mexico border region are confronted with different national explanations about latent tuberculosis infection (LTBI) and preventive treatment. The purpose of this study was to explore how a group of Mexican immigrant women (N = 8) at risk of LTBI treatment failure interpreted and ultimately resisted LTBI preventive treatment. A critical ethnographic methodology, grounded in asymmetrical power relations that are historically embedded within the U.S.-Mexico border culture, was used to examine the encounters between the participants and the health care provider. The study findings are discussed from the perspective of women who experienced oppression and resistance in the U.S.-Mexico border region, providing an account of how Mexican immigrant women become entangled in U.S.-Mexico TB health policies and through resistance manage to assert control over health care choices. In the context of the U.S.-Mexico border region, health care professionals must be skilled at minimizing asymmetrical power relations and use methods that elicit immigrant voices in reconciling differences in health beliefs and practices.
生活在美国与墨西哥边境地区的墨西哥移民面临着关于潜伏性结核感染（LTBI）和预防性治疗的不同国家解释。本研究的目的是探讨一组有LTBI治疗失败风险的墨西哥移民女性（N = 8）如何解读并最终抵制LTBI预防性治疗。采用了一种基于历史上根植于美墨边境文化的不对称权力关系的批判性人种志方法，来研究参与者与医疗服务提供者之间的接触。研究结果从在美国与墨西哥边境地区经历过压迫和抵抗的女性视角进行讨论，阐述了墨西哥移民女性如何卷入美墨结核病健康政策，以及如何通过抵抗对医疗保健选择主张控制权。在美国与墨西哥边境地区的背景下，医疗保健专业人员必须善于尽量减少不对称权力关系，并使用能引出移民声音的方法来调和健康信念和实践方面的差异。
