圭亚那 Shield 矿区边境女性的疾病易感性。
Vulnerabilities to illnesses in women living on the border of the Guiana Shield mines.
机构信息
Universidade de São Paulo, Programa de Pós-Graduação em Enfermagem em Saúde Pública, Ribeirão Preto, SP, Brasil.
Universidade Federal de Juiz de Fora, Faculdade de Enfermagem, Departamento de Enfermagem Materno-infantil e Saúde Pública, Juiz de Fora, MG, Brasil.
出版信息
Rev Esc Enferm USP. 2023 Sep 1;57:e20230010. doi: 10.1590/1980-220X-REEUSP-2023-0010en. eCollection 2023.
OBJECTIVE
To analyze the the vulnerabilities to illnesses in women living on the border of the Guiana Shield mines: Brazil, French Guiana, and Suriname.
METHOD
Descriptive, exploratory field study with a qualitative approach. Data collection took place with 19 women who were living in the mining context, in April 2018. The interviews were recorded and transcribed in full and subsequently analyzed in the light of the concept of vulnerability.
RESULTS
Women aged between 30 and 39 years, predominantly black and brown, on a common-law marriage, multiparous, of low level of education, and with work activities related to mining. Three empirical categories emerged: Exposure to environmental and life conditions in the mines: vulnerabilities to illnesses in women; Sexual and reproductive health in the context of borders: the invisibility between legality and illegality; Gendered facets of violence in the mines on the border of the Guiana Shield.
CONCLUSION
Vulnerability is marked in the three dimensions of the concept: in the difficult access to health services, in the discontinued treatment, and in the disparity in health policies within countries, which are important aspects of vulnerability and health conditions.
目的
分析生活在圭亚那盾矿区边界（巴西、法属圭亚那和苏里南）的妇女面临的疾病脆弱性。
方法
描述性、探索性实地研究，采用定性方法。2018 年 4 月，在矿区生活的 19 名妇女参与了数据收集，采用访谈的形式进行，采访内容完整记录并转录，随后根据脆弱性的概念进行分析。
结果
年龄在 30 至 39 岁之间的妇女，主要为黑人和棕色人种，处于事实婚姻状态，多育，教育水平低，工作与采矿有关。出现了三个经验类别：矿区的环境和生活条件暴露：妇女面临疾病的脆弱性；边界背景下的性健康和生殖健康：合法性和非法性之间的无形性；圭亚那盾矿区边界的采矿性别暴力方面。
结论
在概念的三个维度中，脆弱性表现明显：难以获得医疗服务、治疗中断以及各国卫生政策的差异，这些都是脆弱性和健康状况的重要方面。
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