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精心打造难以言表之事:从种族化的孕产妇保健遭遇中探寻意义。

Crafting the unsayable: Making meaning out of racialised maternal health-care encounters.

作者信息

Milton Sarah, McKnight Ulla

机构信息

Department of Global Health & Social Medicine, School of Global Affairs, King's College London, London, UK.

Department of Sociology & Criminology, School of Law, Politics, Sociology and Criminology, University of Sussex, Brighton, UK.

出版信息

Sociol Health Illn. 2025 Jan;47(1):e13830. doi: 10.1111/1467-9566.13830. Epub 2024 Aug 27.

DOI:10.1111/1467-9566.13830
PMID:39192629
Abstract

There are persistent and profound racialised inequalities in maternal and reproductive health in the UK. Yet in multiple settings, these disparities have been blamed on class or ethnicity, individuals and communities rather than the structures within which they live. In this study, we draw on narratives told within a 'slow-stitch' craft workshop, organised in southern England for racialised women with reproductive trauma, to show how processes of racialisation and racism shape experiences of maternal and reproductive healthcare. Experiences of reproductive trauma were multiple and cumulative. The burden of knowledge of racialised disparities was carried into health-care spaces, with plans made in advance to self-manage in risky spaces. The constant management of racialised stereotypes and subsequent strategies of bodily and emotional containment ultimately was not protective and there was little agency over levels of care received in health-care spaces. Perceptions surrounding racialised bodies shaped treatment, whilst proximities to whiteness afforded alternative realities. Taking a phenomenological approach we analyse race as a sensory, spatial and relational constellation haunted by long-standing histories of fraught inequality. Bringing together in the crafting circle a group of women racialised in different ways enabled the sharing of "unspeakable" stories surrounding racism and reproductive trauma, and allowed race to be brought into being as a form of solidarity and connection.

摘要

在英国,孕产妇和生殖健康方面存在持续且严重的种族化不平等现象。然而,在多种情况下,这些差异被归咎于阶级、种族、个人和社区,而非他们所处的社会结构。在本研究中,我们借鉴了在英格兰南部为有生殖创伤的种族化女性组织的“慢缝”手工艺工作坊中讲述的故事,以展示种族化和种族主义过程如何塑造孕产妇和生殖保健的经历。生殖创伤的经历是多重且累积的。对种族化差异的认知负担带入了医疗保健场所,人们提前制定了在危险场所自我管理的计划。对种族化刻板印象的持续应对以及随后身体和情感控制的策略最终并未起到保护作用,而且在医疗保健场所接受何种程度的护理方面几乎没有自主权。围绕种族化身体的认知影响了治疗,而与白人的接近程度则带来了不同的现实。我们采用现象学方法,将种族分析为一个由长期存在的不平等历史所萦绕的感官、空间和关系的集合体。在手工艺圈子里聚集一群以不同方式被种族化的女性,使得围绕种族主义和生殖创伤的“难以启齿”的故事得以分享,并让种族作为一种团结和联系的形式得以呈现。

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