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“这真的可以拯救生命”:如何挑战性取向和性别优先事项方面的结构性不平等,从而在加拿大营养专业中创造变革。

"It Literally Can Save Lives": How Challenging Structural Inequities in Sexual Orientation and Gender Priorities Can Create Change in the Canadian Dietetic Profession.

机构信息

Applied Nutrition Department, Mount Saint-Vincent University, 166 Bedford Highway, Halifax, NS B3M 2J6, Canada.

Biology Department, Mount Saint Vincent University, Halifax, NS, Canada.

出版信息

Can J Diet Pract Res. 2022 Sep 1;83(3):112-119. doi: 10.3148/cjdpr-2022-005. Epub 2022 May 3.

Abstract

Our aim was to explore Canadian dietitians' knowledge, beliefs, and values relating to the nutritional care of Two-Spirit, lesbian, gay, bisexual, trans, and other queer groups (2SLGBTQ+). The research was qualitative and used a poststructural theoretical lens. Interviews were conducted with 16 Canadian dietitians. Data were analyzed using thematic analysis. Three themes were noted: () moving away from the binary; () systemic discrimination and 2SLGBTQ+ experiences; and () professional organizations and advocacy. The participants discussed structural, professional, and cultural barriers that affect the nutrition and health experiences of sexual and gender diverse groups. Dietetic institutions and regulatory bodies must provide sexual and gender diversity resources and engage in activities that acknowledge the lives and nutritional concerns of sexual and gender diverse people. Such advocacy is a means to provide more inclusive and equitable care. Key recommendations for structural changes within the profession include using an intersectional lens and a critical dietetic approach to nutritional care.

摘要

我们的目的是探索加拿大营养师在营养护理方面的知识、信仰和价值观,涉及到双灵人、女同性恋者、男同性恋者、双性恋者、跨性别者和其他酷儿群体(2SLGBTQ+)。该研究是定性的,采用了后结构理论视角。对 16 名加拿大营养师进行了访谈。使用主题分析进行数据分析。注意到三个主题:(1)远离二元性;(2)系统性歧视和 2SLGBTQ+经历;(3)专业组织和倡导。参与者讨论了影响性和性别多样化群体营养和健康体验的结构性、专业性和文化性障碍。饮食学机构和监管机构必须提供性和性别多样性资源,并开展承认性和性别多样化人群生活和营养问题的活动。这种倡导是提供更具包容性和公平性的护理的一种手段。该专业内结构变革的主要建议包括使用交叉视角和批判性饮食方法进行营养护理。

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