Andrews Nicole, Greenfield Sheila, Drever William, Redwood Sabi
Department of Health and Behavioural Sciences, Newman University, Birmingham, United Kingdom.
Institute of Applied Health Research, University of Birmingham, Birmingham, United Kingdom.
Front Sociol. 2019 Dec 20;4:82. doi: 10.3389/fsoc.2019.00082. eCollection 2019.
African Caribbean women in the UK who are diagnosed with chronic illnesses that are related to overweight and obesity are more likely to experience poorer outcomes than their White British counterparts. It is then important to increase understandings of how women from this ethnic group perceive health with relation to body shape and size so that interventions can be developed to prevent the development of such conditions and to improve outcomes. As such, it is important to develop research methodology that encourages participation in health research from African Caribbean women and enables the capture of in-depth data that gives insight into the nuances of health understandings related to the body and the social realities in which they exist. This paper details the methodological framework of The Big Talk project, an investigation that sought to develop a novel approach to conducting health research with seldom heard communities. The concept of intersectionality, as used in Critical Race Theory, was applied as a theoretical tool for exploring the dynamics of societal power and where this power intersects across the lived realities of race, ethnicity, gender, sexuality, (dis)ability, and class. For this research, these intersections are explored for African Caribbean women and how they relate to concepts of health, body shape, and size. This research study was conducted in spaces identified as liminal spaces for African Caribbean women: talk radio programmes; hairdressing salons and; local community groups. A Black feminist epistemological approach was used to facilitate the collection of data. The data that emerged from these liminal spaces are not necessarily definitive answers on health for African Caribbean women, but rather illuminate alternative ways of understanding the social world from the perspective of those subject to power. This phenomenon makes liminal spaces intersectional in their construction and in taking such an approach to analysis could enable finely grained details of discourses regarding health, wellness and the body to be gathered. The importance of this understanding can help to improve preventive health interventions for African Caribbean women.
在英国,被诊断患有与超重和肥胖相关慢性病的非洲裔加勒比女性,比英国白人女性更有可能经历更糟糕的治疗结果。因此,重要的是要加深对这个种族群体的女性如何看待与体型和身材相关的健康的理解,以便能够制定干预措施来预防此类疾病的发展并改善治疗结果。因此,开发一种研究方法很重要,这种方法要鼓励非洲裔加勒比女性参与健康研究,并能够获取深入的数据,从而洞察与身体以及她们所处社会现实相关的健康理解的细微差别。本文详细介绍了“大讨论”项目的方法框架,该调查旨在开发一种新方法,用于对很少被倾听的社区进行健康研究。批判种族理论中使用的交叉性概念,被用作一种理论工具,来探索社会权力的动态以及这种权力在种族、民族、性别、性取向、(残)疾和阶级等生活现实中的交叉点。对于这项研究,将探索非洲裔加勒比女性的这些交叉点,以及它们与健康、体型和身材概念的关系。这项研究是在被确定为非洲裔加勒比女性的阈限空间的场所进行的:谈话广播节目、美发沙龙和当地社区团体。采用了黑人女性主义认识论方法来促进数据收集。从这些阈限空间中得出的数据不一定是关于非洲裔加勒比女性健康的确切答案,而是从受权力影响者的角度阐明理解社会世界的其他方式。这种现象使得阈限空间在其构建上具有交叉性,采用这种分析方法能够收集到关于健康、 Wellness和身体的话语的细粒度细节。这种理解的重要性有助于改善针对非洲裔加勒比女性的预防性健康干预措施。