1 University of Technology Sydney, Sydney, New South Wales, Australia.
2 Western Sydney University, Penrith, New South Wales, Australia.
Qual Health Res. 2018 Oct;28(12):1923-1932. doi: 10.1177/1049732318793416. Epub 2018 Aug 12.
Intersectionality has potential to create new ways to describe disparities and craft meaningful solutions. This study aimed to explore Aboriginal carers' experiences of interactions with health, social, and education providers in accessing services and support for their child. Carers of Aboriginal children with a disability were recruited from an Australian metropolitan Aboriginal community-controlled health service. In-depth, semistructured interviews were conducted with 19 female carers. Intersectionality was applied as an analytical framework due to the inherent power differentials for Aboriginal Australians and carers for people with a disability. Marginalization and a lack of empowerment were evident in the experiences of interactions with providers due to cultural stereotypes and racism, lack of cultural awareness and sensitivity, and poverty and homelessness. Community-led models of care can help overcome the intersectional effects of these identities and forms of oppression in carers' interactions with providers and enhance access to care.
交叉性有可能创造新的方法来描述差异，并制定有意义的解决方案。本研究旨在探索原住民照顾者在获取服务和支持其子女方面与卫生、社会和教育提供者互动的经验。从澳大利亚一个大都市的原住民社区控制的医疗服务机构招募了残疾儿童的原住民照顾者。对 19 名女性照顾者进行了深入的半结构化访谈。由于澳大利亚原住民和残疾人士照顾者之间存在固有的权力差异，因此将交叉性作为分析框架。由于文化刻板印象和种族主义、缺乏文化意识和敏感性以及贫困和无家可归，在与提供者的互动中，照顾者的经历明显存在边缘化和缺乏赋权。以社区为基础的护理模式可以帮助克服这些身份和压迫形式在照顾者与提供者互动中的交叉影响，并增强获得护理的机会。
