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全球公共卫生实践的生活体验:女性研究生的现象学描述

The Lived Experience of Global Public Health Practice: A Phenomenological Account of Women Graduate Students.

机构信息

PhD candidate in the Division of Social and Behavioural Health Sciences, Dalla Lana School of Public Health, University of Toronto, Canada.

Head of the Clinical Public Health Division, Dalla Lana School of Public Health, University of Toronto, Canada.

出版信息

Health Hum Rights. 2019 Jun;21(1):115-127.

Abstract

There is a dearth of research that aims to understand graduate students' lived experience of global health practice. Difficulties, distress, and trauma occur before and after these students' placement abroad, and they often increase when returning home. Moreover, few articles address the increased vulnerabilities faced by women, such as sexual violence and gender-based discrimination. We conducted a phenomenological study to understand the lived experience of Canadian and US women graduate students participating in global public health practice. Eight participants participated in 21 in-depth interviews, while 17 participants created 35 lived experience descriptions through a guided writing exercise. Our findings reveal participants' underlying discomfort with privilege while conducting fieldwork abroad, as well as depressive feelings once they return home. According to participants, while their global health fieldwork challenged previous ways of thinking and being, limited spaces and avenues for openly sharing these processes contributed to mental health challenges. Participants reported that these interviews were their first opportunity to fully share their global health experiences. Based on our analysis of these shared experiences, we argue that academic institutions participating in global health should provide appropriate and accessible resources, adequate financial compensation, safe spaces for authentic conversations, and time for processing experiences throughout the research cycle and especially in the months and years following fieldwork.

摘要

目前,鲜有研究旨在了解研究生参与全球卫生实践的真实体验。这些学生在赴海外之前和之后都会经历困难、痛苦和创伤,而且他们在回国后往往会面临更多的困难。此外,很少有文章涉及到女性所面临的更大的脆弱性,例如性暴力和性别歧视。我们进行了一项现象学研究,以了解参与全球公共卫生实践的加拿大和美国女性研究生的真实体验。八名参与者参加了 21 次深入访谈,而 17 名参与者通过指导写作练习创作了 35 份生活经历描述。我们的研究结果表明,参与者在海外实地考察时对特权感到不安,回国后也会感到抑郁。根据参与者的说法,尽管他们的全球卫生实地工作挑战了他们以前的思维和行为方式,但有限的空间和公开分享这些过程的途径导致了心理健康方面的挑战。参与者报告说,这些访谈是他们第一次有机会充分分享他们的全球卫生经验。基于我们对这些共同经历的分析,我们认为参与全球卫生的学术机构应该提供适当和可及的资源、充足的经济补偿、安全的对话空间,并在整个研究周期,尤其是在实地工作之后的几个月和几年里,为处理经验提供时间。

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THE ECONOMIC AND CAREER EFFECTS OF SEXUAL HARASSMENT ON WORKING WOMEN.性骚扰对职业女性的经济及职业影响
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