Faculty of Health Sciences, Department of Physiotherapy, Oslo Metropolitan University, P.O. Box 4 St. Olavs Plass, N-0130, Oslo, Norway.
Division of Mental and Physical Health, Norwegian Institute of Public Health, Oslo, Norway, PO Box 222, Skøyen, 0213, Oslo, Norway.
Soc Sci Med. 2019 Oct;239:112555. doi: 10.1016/j.socscimed.2019.112555. Epub 2019 Sep 14.
Older immigrant women experience several barriers in accessing health care. In this study, we explored how older Pakistani women are met with, and respond to, barriers to health care in Norway, using an ethnic boundary-making and intersectionality approach. Our data included interviews with 23 older Pakistani women and 10 caregivers. We found that ethnic boundaries were constructed in healthcare interactions and were influenced by participants' social positions. At the micro level, the interplay of language barriers and being an immigrant fuelled the making of ethnic boundaries. At the macro level, ethnicised cultural discourse in the public sphere fuelled the making of ethnic boundaries in health care. Having encountered ethnic boundaries in health care, older Pakistani women actively coped through compensatory, de-stigmatising and boundary-modifying strategies.
老年移徙妇女在获得医疗保健方面面临多种障碍。在这项研究中，我们采用族裔边界划定和交叉性方法，探讨了老年巴基斯坦妇女在挪威如何应对医疗保健障碍。我们的数据包括对 23 名老年巴基斯坦妇女和 10 名护理人员的访谈。我们发现，族裔边界是在医疗保健互动中构建的，并受到参与者社会地位的影响。在微观层面上，语言障碍和移民身份的相互作用加剧了族裔边界的形成。在宏观层面上，公共领域中种族化的文化话语助长了医疗保健中族裔边界的形成。在医疗保健中遇到族裔边界后，老年巴基斯坦妇女通过补偿、去污名化和边界修正策略积极应对。
