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“听到的无稽之谈竟如此之多,实在令人惊讶”:居民如何体验并应对生活在一个受污名化的地方。定性证据的叙事性综合分析

'It is surprising how much nonsense you hear': How residents experience and react to living in a stigmatised place. A narrative synthesis of the qualitative evidence.

作者信息

Halliday Emma, Brennan Louise, Bambra Clare, Popay Jennie

机构信息

Division of Health Research, Faculty of Health & Medicine, Lancaster University, Lancaster, LA1 4YG, UK.

Division of Health Research, Faculty of Health & Medicine, Lancaster University, Lancaster, LA1 4YG, UK.

出版信息

Health Place. 2021 Mar;68:102525. doi: 10.1016/j.healthplace.2021.102525. Epub 2021 Feb 8.

Abstract

There are significant geographical inequalities in health. Spatial stigma - negative representations of particular localities - could be an important mechanism through which place influences population health. To explore this, we undertook a narrative synthesis of studies reporting residents' perspectives of living in stigmatised localities. Qualitative research (38 studies) was reviewed to identify how spatial stigma manifested in residents' lives, their strategies to cope with stigma and the health consequences. The review found residents internalised stigma, but also resisted it differently. Although relatively few studies purposefully investigated health, living somewhere stigmatised had psychological effects and constrained life opportunities that have implications for health.

摘要

健康方面存在显著的地理不平等。空间污名化——对特定地区的负面描述——可能是地区影响人口健康的一个重要机制。为了探究这一点,我们对报告居民对生活在受污名化地区看法的研究进行了叙事性综述。我们审查了定性研究(38项研究),以确定空间污名化在居民生活中的表现形式、他们应对污名化的策略以及对健康的影响。综述发现,居民会内化污名,但也会以不同方式抵制污名。尽管相对较少的研究专门调查健康问题,但生活在受污名化的地方会产生心理影响,并限制生活机会,而这对健康有影响。

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