Centre for Sexology and Sexuality Studies (CSS), Faculty of Health and Society (HS), Nordenskiöldsgatan 1, 211 19, Malmö, Sweden.
Department of Women's and Children's health, Uppsala University, Uppsala, Sweden.
Int J Equity Health. 2022 Sep 5;21(1):125. doi: 10.1186/s12939-022-01727-z.
BACKGROUND: Previous research has shown that migrants in Sweden are disadvantaged in terms of sexual and reproductive health and rights (SRHR). SRHR policies might play a crucial role in shaping migrants' SRHR outcomes. The purpose of the study was to critically examine: a) how migrants were represented in the discourses embedded within Swedish SRHR-related policies, and b) how migrants' SRHR-related issues were framed and addressed within these discourses. METHODS: Critical discourse analysis (CDA) was used to analyze a total of 54 policy documents. Following Jäger's approach to CDA, discourse strands and entanglements between different discourse strands were examined. RESULTS: Our findings consisted of three discourse strands: 1) "Emphasizing vulnerability", 2) "Constructing otherness", and 3) "Prioritizing the structural level or the individual level?". Migrants' representation in Swedish SRHR-related policies is often associated with the concept of vulnerability, a concept that can hold negative connotations such as reinforcing social control, stigma, and disempowerment. Alongside the discourse of vulnerability, the discourse of otherness appears when framing migrants' SRHR in relation to what is defined as honor-related violence and oppression. Furthermore, migrant SRHR issues are occasionally conceptualized as structural issues, as suggested by the human rights-based approach embraced by Swedish SRHR-related policies. Relevant structural factors, namely migration laws and regulations, are omitted when addressing, for example, human trafficking and HIV/AIDS. CONCLUSIONS: We conclude that the dominant discourses favor depictions of migrants as vulnerable and as the Other. Moreover, despite the prevailing human rights-based discourse, structural factors are not always considered when framing and addressing migrants' SRHR issues. This paper calls for a critical analysis of the concept of vulnerability in relation to migrants' SRHR. It also highlights the importance of avoiding othering and paying attention to the structural factors when addressing migrants' SRHR.
背景：先前的研究表明，瑞典的移民在性与生殖健康和权利（SRHR）方面处于不利地位。SRHR 政策可能在塑造移民的 SRHR 结果方面发挥关键作用。本研究旨在批判性地考察：a）在与瑞典 SRHR 相关政策中嵌入的话语中，移民是如何被代表的；b）在这些话语中，移民的 SRHR 相关问题是如何被构建和解决的。
方法：采用批判话语分析（CDA）对总共 54 份政策文件进行分析。根据 Jäger 的 CDA 方法，对不同话语线索之间的话语线索和纠缠进行了考察。
结果：我们的研究结果包括三个话语线索：1）“强调脆弱性”；2）“构建他者性”；3）“优先考虑结构性层面还是个体性层面？”。在与瑞典 SRHR 相关政策中，对移民的描述通常与脆弱性概念相关联，而这一概念可能带有负面含义，例如加强社会控制、污名化和剥夺权力。除了脆弱性话语之外，在将移民的 SRHR 与所谓的与荣誉相关的暴力和压迫联系起来进行框架构建时，也会出现他者性话语。此外，正如与瑞典 SRHR 相关政策所采用的基于人权的方法所建议的那样，移民的 SRHR 问题偶尔会被概念化为结构性问题。在解决人口贩运和艾滋病毒/艾滋病等问题时，相关的结构性因素，即移民法律法规，被忽略了。
结论：我们的结论是，主流话语倾向于将移民描绘成脆弱和他者。此外，尽管存在普遍的基于人权的话语，但在构建和解决移民的 SRHR 问题时，并不总是考虑结构性因素。本文呼吁对移民的 SRHR 进行批判性分析，同时强调在解决移民的 SRHR 时避免他者化和关注结构性因素的重要性。
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