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“如果能打破这种污名化就好了”:LGBTQI+ 移民的污名化经历与心理健康。

"If You Can Just Break the Stigma Around It": LGBTQI+ Migrants' Experiences of Stigma and Mental Health.

机构信息

School of Community and Health Studies, 58403Centennial College, Scarborough, ON, Canada.

Faculty of Human and Social Development, School of Nursing, 175083University of Victoria, Victoria, BC, Canada.

出版信息

Qual Health Res. 2022 Sep;32(11):1595-1606. doi: 10.1177/10497323221111363. Epub 2022 Jul 9.

Abstract

Migrants, that is people who experience forced displacement or move based on being lesbian, gay, bisexual, trans, two-spirit, queer, and intersex (LGBTQI+), experience increased trauma and stigma when compared to heterosexual and cisgender people. The aim of this paper is to highlight LGBTQI+ migrants' experiences of health and social care encounters in Canada. Gadamerian hermeneutics and an intersectionality lens was used to understand LGBTQI+ migrants' experiences. A total of 16 semi-structured individual interviews were conducted with LGBTQI+ migrants. Themes of stigma and discrimination were identified as (1) "I never went back": Stigma as an exclusionary experience, (2) "Is [your country of birth] really that bad": Fear, safety, and cultural stigma, and (3) "The circle … is not going to fix my life": LGBTQI+ migrants' call for affirming care. Results suggest that health and social care practices are stigmatizing and discriminatory which negatively impacts LGBTQI+ migrant mental health. Salient practices for promoting mental health included affirming LGBTQI+ identities and orientations through health and social care practices that are culturally safe as well as trauma and violence informed.

摘要

移民,即经历被迫流离失所或基于同性恋、双性恋、跨性别、双性人、酷儿和间性人(LGBTQI+)而迁移的人,与异性恋和顺性别者相比,他们经历更多的创伤和耻辱。本文旨在强调 LGBTQI+移民在加拿大的健康和社会保健遭遇。伽达默尔诠释学和交叉性视角被用于理解 LGBTQI+移民的经历。对 16 名 LGBTQI+移民进行了 16 次半结构化的个人访谈。确定了污名和歧视的主题为:(1)“我再也没回去过”:作为排斥经历的污名化;(2)“[你的出生国]真的那么糟糕吗”:恐惧、安全和文化污名化;(3)“这个圈子……不会改变我的生活”:LGBTQI+移民对肯定性关怀的呼吁。结果表明,卫生和社会保健做法具有污名化和歧视性,这对 LGBTQI+移民的心理健康产生负面影响。促进心理健康的突出做法包括通过文化安全以及创伤和暴力知情的卫生和社会保健做法,肯定 LGBTQI+的身份和取向。

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