Basnyat Iccha
National University of Singapore, Singapore
Qual Health Res. 2017 Jan;27(2):191-203. doi: 10.1177/1049732315601665. Epub 2015 Aug 27.
Thirty-five in-depth, semi-structured interviews were conducted with female, street-based, commercial sex workers in Kathmandu, Nepal. The framework of structural violence guided this study in identifying the structural context that impacts the female sex workers' lives and may cause harm to their health. Structural violence in health care was revealed through thematic analysis as (a) discrimination, (b) forced choice, and (c) limitations to health information sources. Lived experiences highlight how the sex workers engaged with structural limitations in health care access, services, and utilization. Structural violence conveys a message about who is entitled to health care and what a society emphasizes and expects regarding acceptable health behavior. Examining the structural violence highlighted how the sex workers negotiated, understood, and engaged with structural limitations in health care access, services, and utilization.
我们对尼泊尔加德满都街头从事商业性交易的女性性工作者进行了35次深入的半结构化访谈。结构性暴力框架指导了本研究，以确定影响女性性工作者生活并可能对其健康造成伤害的结构背景。通过主题分析揭示了医疗保健中的结构性暴力表现为：（a）歧视；（b）强迫选择；（c）健康信息来源受限。实际经历凸显了性工作者在医疗保健获取、服务和利用方面如何应对结构限制。结构性暴力传达了一个信息，即谁有权获得医疗保健，以及社会对可接受的健康行为所强调和期望的内容。审视结构性暴力凸显了性工作者在医疗保健获取、服务和利用方面如何协商、理解并应对结构限制。
