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“如果你觉得没有人需要你,你就会退缩到自己的世界里”:吉普赛人/旅行者、网络和医疗保健的利用。

'If you feel that nobody wants you you'll withdraw into your own': Gypsies/Travellers, networks and healthcare utilisation.

机构信息

School of Health and Social Care, University of Greenwich, London, UK.

出版信息

Sociol Health Illn. 2013 Nov;35(8):1196-210. doi: 10.1111/1467-9566.12029. Epub 2013 Apr 10.

Abstract

Gypsies and Travellers are the unhealthiest group in British society, suffering from higher levels of physical and mental illness, lower life expectancy and with low levels of healthcare utilisation. They also continue to experience the highest level of prejudice and discrimination in society. While studies indicate that social networks play an important role in shaping health beliefs and the response to symptoms, evidence on the influence of networks on health is unclear and contradictory. This article draws on social network theory and research into the relation between discrimination and health to critically examine how networks mediate between collective experiences of racism and health-related behavior. Qualitative interviews with 39 adult Gypsies and Travellers were conducted in the South-East of England to explore the wider structural and institutional context and the influence those contexts play in shaping health beliefs and decisions whether to access formal health services. The findings indicate that the influence networks play in shaping health behaviour is dependent on the particular social context of the group and its status in relation to wider social structures, making generalization problematic.

摘要

吉普赛人和游民是英国社会中最不健康的群体,他们患有更高水平的身心疾病,预期寿命更低,医疗保健利用率也较低。他们也继续遭受社会中最高水平的偏见和歧视。尽管研究表明,社交网络在塑造健康信仰和对症状的反应方面发挥着重要作用,但关于网络对健康的影响的证据尚不清楚且相互矛盾。本文借鉴社会网络理论和对歧视与健康之间关系的研究,批判性地审视了网络如何在集体经历种族主义和与健康相关的行为之间发挥中介作用。在英格兰东南部对 39 名成年吉普赛人和游民进行了定性访谈,以探讨更广泛的结构和制度背景,以及这些背景如何影响健康信仰和决定是否使用正规医疗服务。调查结果表明,网络在塑造健康行为方面的影响取决于群体的特定社会背景及其与更广泛社会结构的关系地位,这使得推广存在问题。

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