Turner Lee, Bombak Andrea E
Department of Sociology, University of New Brunswick, Fredericton NB, Canada.
Qual Res Med Healthc. 2024 Nov 20;8(3):12480. doi: 10.4081/qrmh.2024.12480.
Individuals who are higher-weight and low-income may disproportionately experience weight and income stigmas in healthcare experiences compared to lower-weight, higher-income individuals. The ways that weight and income stigmas interact in healthcare should be better understood in order to provide better, less stigmatizing care to higher-weight, low-income patients. This study assesses how patients manage stigmatizing experiences in both healthcare and everyday experiences and how that impacts health seeking and stigma management behaviors through semi-structured interviews with 11 higher-weight (Body Mass Index ≥30), low-income adults (≥18 years of age) in an Atlantic Canadian province. Participants took part in two interviews that focused on healthcare experiences and both positive and negative places/spaces. The two face-to-face interviews for each participant (total 21 interviews) were audio-recorded and professionally transcribed verbatim. The transcripts were analyzed using thematic analysis to identify recurring concepts and patterns within the data. Two major themes emerged from the data, and . included subthemes and . The findings suggest that individuals understand their health and wellness through a neoliberal lens and that they deploy strategies of control and stoicism to cope with the stigmas they face.
与体重较轻、收入较高的个体相比，体重较重且低收入的个体在医疗保健经历中可能更易遭受体重和收入方面的耻辱感。为了能为体重较重、低收入的患者提供更好、更少耻辱感的护理，应该更好地了解体重和收入耻辱感在医疗保健中的相互作用方式。本研究通过对加拿大一个大西洋省份的11名体重较重（身体质量指数≥30）、低收入的成年人（≥18岁）进行半结构化访谈，评估患者在医疗保健和日常经历中如何应对耻辱经历，以及这如何影响寻求医疗行为和耻辱管理行为。参与者参加了两次聚焦于医疗保健经历以及积极和消极场所/空间的访谈。对每位参与者进行的两次面对面访谈（共21次访谈）进行了录音，并由专业人员逐字转录。使用主题分析法对转录文本进行分析，以识别数据中反复出现的概念和模式。数据中出现了两个主要主题， 和 。 包括子主题 和 。研究结果表明，个体通过新自由主义视角来理解自身的健康状况，并且他们采用控制和坚忍的策略来应对所面临的耻辱感。
