Faculty of Education and Health, University of Greenwich, London SE9 2UG, UK.
DAVID SMITH Reader in Social Policy, Faculty of Health, Education, Medicine and Social Care, Anglia Ruskin University, Chelmsford, Essex CM1 1SQ, UK.
Int J Environ Res Public Health. 2019 Jan 29;16(3):379. doi: 10.3390/ijerph16030379.
This paper presents findings from a series of health-related studies undertaken between 2012 and 2017 with Romany Gypsies and Irish Travellers living in different locations and in various forms of accommodation in southern England. These set out to develop a sociological understanding of the factors impacting on the health and wellbeing of members of those communities and to consider the extent health status is shaped by ethno-cultural and/or socioeconomic factors, and the interplay and direction of causal processes between them. The relative influences of cultural and structural factors in generating health inequalities have important implications for engaging marginalised populations in health services and preventative programmes. This paper will present survey and qualitative data on Gypsies' and Travellers' health beliefs and practices to understand how those beliefs and practices have developed in different social contexts as responses to deeper social mechanisms, and share commonalities with other marginalised and excluded social groups. In policy terms this indicates the need for health interventions that are applied proportionate to the level of disadvantage experienced thus ensuring equality and fairness while accounting for diversity and difference.
本文介绍了 2012 年至 2017 年期间在英格兰南部不同地点和不同形式住宿的罗姆人和爱尔兰旅行者进行的一系列与健康相关的研究结果。这些研究旨在从社会学角度理解影响这些社区成员健康和福祉的因素，并考虑健康状况在多大程度上受到种族文化和/或社会经济因素的影响，以及它们之间因果过程的相互作用和方向。文化和结构因素在产生健康不平等方面的相对影响对让边缘化人群参与卫生服务和预防计划具有重要意义。本文将介绍有关吉普赛人和旅行者健康信念和实践的调查和定性数据，以了解这些信念和实践是如何在不同的社会背景下作为对更深层次社会机制的反应而发展的，并与其他边缘化和被排斥的社会群体有共同之处。在政策方面，这表明需要根据所经历的不利程度实施相应的健康干预措施，从而确保平等和公平，同时考虑多样性和差异。
