Wittmer Josie, Parizeau Kate
1 Department of Geography, University of Guelph, Canada.
New Solut. 2018 Aug;28(2):321-343. doi: 10.1177/1048291118777845. Epub 2018 May 23.
We explore informal recyclers' perceptions and experiences of the social determinants of health in Vancouver, Canada, and investigate the factors that contribute to the environmental health inequities they experience. Based on in-depth interviews with 40 informal recyclers and 7 key informants, we used a social determinants of health framework to detail the health threats that informal recyclers associated with their work and the factors that influenced their access to health-related resources and services. Our analysis reveals that the structural factors influencing environmental health inequities included insufficient government resources for low-income urbanites; the potential for stigma, clientization, and discrimination at some health and social service providers; and the legal marginalization of informal recycling and associated activities. We conclude that Vancouver's informal recyclers experience inequitable access to health-related resources and services, and they are knowledgeable observers of the factors that influence their own health and well-being.
我们探究了加拿大温哥华非正规回收者对健康的社会决定因素的看法和经历,并调查了导致他们所经历的环境卫生不平等现象的因素。基于对40名非正规回收者和7名关键信息提供者的深入访谈,我们运用健康的社会决定因素框架,详细阐述了非正规回收者认为与其工作相关的健康威胁,以及影响他们获取与健康相关资源和服务的因素。我们的分析表明,影响环境卫生不平等的结构性因素包括政府为低收入城市居民提供的资源不足;一些健康和社会服务提供者存在污名化、给予特殊待遇和歧视的可能性;以及非正规回收及相关活动在法律上的边缘化。我们得出结论,温哥华的非正规回收者在获取与健康相关的资源和服务方面面临不平等,并且他们是影响自身健康和福祉因素的敏锐观察者。