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运动大流行适应能力:拉丁裔移民和原住民中的健康不平等和倡导。

Movement Pandemic Adaptability: Health Inequity and Advocacy among Latinx Immigrant and Indigenous Peoples.

机构信息

Ethnic Studies, Cuesta College, San Luis Obispo, CA 93405, USA.

出版信息

Int J Environ Res Public Health. 2022 Jul 23;19(15):8981. doi: 10.3390/ijerph19158981.

Abstract

The COVID-19 pandemic exacerbated longstanding inequities in resources and healthcare, stacked on top of historical systems that exploit immigrants and communities of color. The range of relief, mutual aid, and advocacy responses to the pandemic highlights the role of social movement organizations in addressing the ways that immigration status creates systemic barriers to adequate health and wellbeing. This paper conceptualizes what I call, "movement pandemic adaptability," drawing from a decolonial-inspired study including participant-observation (September 2018-September 2020), interviews ( = 31), and focus groups ( = 12) with community members and health advocates. Data collection began before the COVID-19 pandemic (September 2018-February 2019) and continued during its emergence and the initial shelter-in-place orders (March 2019-September 2020). Movement pandemic adaptability emerged as a strategy of drawing from pre-existing networks and solidarities to provide culturally relevant resources for resilience that addressed vulnerabilities created by restrictions against undocumented people and language barriers for communities that speak Spanish and a range of Indigenous languages. This paper presents how the relationship between immigration status and health is influenced by the local context, as well as the decisions of advocates, policymakers, and community members.

摘要

COVID-19 大流行加剧了资源和医疗保健方面长期存在的不平等现象,这些不平等现象叠加在历史上剥削移民和有色人种社区的制度之上。为应对大流行而采取的各种救济、互助和倡导措施凸显了社会运动组织在解决移民身份如何造成充分健康和福祉的系统性障碍方面的作用。本文从受去殖民启发的研究中提出了我所谓的“运动大流行适应性”概念,该研究包括参与者观察(2018 年 9 月至 2020 年 9 月)、访谈(=31)和焦点小组(=12),参与者为社区成员和健康倡导者。数据收集始于 COVID-19 大流行之前(2018 年 9 月至 2019 年 2 月),并在其出现和最初的就地避难令期间持续进行(2019 年 3 月至 2020 年 9 月)。运动大流行适应性是一种策略,即利用现有网络和团结来提供具有文化相关性的资源,以增强抵御能力,应对针对无证人员的限制和讲西班牙语和一系列原住民语言的社区的语言障碍所造成的脆弱性。本文介绍了移民身份与健康之间的关系如何受到当地情况以及倡导者、政策制定者和社区成员的决策的影响。

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