Bond Jerenda, Julion Wrenetha A, Shattell Mona, Healey William, Reed Monique
Rush Institute for Healthy Aging, Rush University Medical Center, Chicago, IL, USA.
College of Nursing, Rush University, Chicago, IL, USA.
J Racial Ethn Health Disparities. 2025 Aug;12(4):2424-2442. doi: 10.1007/s40615-024-02063-4. Epub 2024 Aug 27.
Race-based health disparities for racially and ethnically diverse people with orthopedic-related conditions are well documented and their experiences when seeking care deserve more attention. The purpose of this study was to understand the lived experiences of racial microaggressions occurring when racially and ethnically diverse people seek health care services for orthopedic-related conditions. We used transcendental phenomenology to understand their lived experiences of racial microaggressions while receiving orthopedic-related health care services. All participants self-identified as Black, none as Hispanic. Nineteen final codes were organized into five patterns and then into five themes-two background and three figural themes. Background themes: discrimination can occur across a lifetime, and poor treatment of poor people fuels health inequity. Figural themes: racial discrimination can come at any time and in various forms; resistance is necessary in the face of racial discrimination; and despite discriminatory encounters, health care goals are achievable. Participants shared their lived experiences of racial microaggressions while seeking care for their orthopedic-related conditions (figural) through a lens shaped by their other past experiences with varied discrimination (background). Black individuals have a longstanding relationship with racial discrimination that has a negative impact on many aspects of their lives, including their health. The results highlight ways to promote equity by capitalizing on Black individuls' goals to actively pursue health.
患有骨科相关疾病的不同种族和族裔人群基于种族的健康差异已有充分记录,他们在寻求医疗护理时的经历值得更多关注。本研究的目的是了解不同种族和族裔人群在为骨科相关疾病寻求医疗服务时发生的种族微侵犯的实际经历。我们运用先验现象学来了解他们在接受骨科相关医疗服务时种族微侵犯的实际经历。所有参与者都自我认定为黑人,没有西班牙裔。19个最终编码被组织成五种模式,然后归纳为五个主题——两个背景主题和三个形象主题。背景主题:歧视可能贯穿一生,对穷人的恶劣对待加剧了健康不平等。形象主题:种族歧视可能随时以各种形式出现;面对种族歧视,抵抗是必要的;尽管存在歧视性遭遇,但医疗保健目标是可以实现的。参与者通过他们过去在各种歧视中的其他经历所形成的视角(背景),分享了他们在为骨科相关疾病寻求护理时种族微侵犯的实际经历(形象)。黑人个体与种族歧视有着长期的关系,这对他们生活的许多方面,包括健康,都产生了负面影响。研究结果突出了通过利用黑人个体积极追求健康这一目标来促进公平的方法。