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受污名化的种族、公共卫生与全球化

Stigmatized ethnicity, public health, and globalization.

作者信息

Ali S Harris

出版信息

Can Ethn Stud. 2008;40(3):43-64. doi: 10.1353/ces.2008.0002.

Abstract

The prejudicial linking of infection with ethnic minority status has a long-established history, but in some ways this association may have intensified under the contemporary circumstances of the "new public health" and globalization. This study analyzes this conflation of ethnicity and disease victimization by considering the stigmatization process that occurred during the 2003 outbreak of Severe Acute Respiratory Syndrome (SARS) in Toronto. The attribution of stigma during the SARS outbreak occurred in multiple and overlapping ways informed by: (i) the depiction of images of individuals donning respiratory masks; (ii) employment status in the health sector; and (iii) Asian-Canadian and Chinese-Canadian ethnicity. In turn, stigmatization during the SARS crisis facilitated a moral panic of sorts in which racism at a cultural level was expressed and rationalized on the basis of a rhetoric of the new public health and anti-globalization sentiments. With the former, an emphasis on individualized self-protection, in the health sense, justified the generalized avoidance of those stigmatized. In relation to the latter, in the post-9/11 era, avoidance of the stigmatized other was legitimized on the basis of perceiving the SARS threat as a consequence of the mixing of different people predicated by economic and cultural globalization.

摘要

将感染与少数族裔身份进行有害关联的历史由来已久,但在某些方面,这种关联在“新公共卫生”和全球化的当代背景下可能有所加剧。本研究通过考察2003年多伦多严重急性呼吸系统综合症(SARS)疫情期间发生的污名化过程,分析了种族与疾病受害者身份的这种 conflation 。SARS疫情期间的污名归因以多种重叠的方式发生,这些方式受到以下因素的影响:(i)佩戴呼吸面罩的个人形象的描绘;(ii)卫生部门的就业状况;以及(iii)亚裔加拿大人和华裔加拿大人的种族身份。反过来,SARS危机期间的污名化助长了一种道德恐慌,在这种恐慌中,文化层面的种族主义在新公共卫生言论和反全球化情绪的基础上得以表达并合理化。就前者而言,从健康意义上讲,强调个性化的自我保护为普遍回避那些被污名化的人提供了正当理由。就后者而言,在9·11事件后的时代,基于将SARS威胁视为经济和文化全球化所导致的不同人群混合的结果,回避被污名化的他者被合法化。

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