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服务提供者的观点与罗姆女性的生殖(非)正义:西班牙的一项定性研究

Service providers' perspectives and reproductive (in)justice among Roma women: a qualitative study in Spain.

作者信息

Rodríguez-Camacho María Félix, Sanchís-Ramón María José, Ortiz Barreda Gaby, Gil-González Diana

机构信息

PhD Student, Department of Community Nursing, Preventive Medicine and Public Health and History of Science, University of Alicante, Alicante, Spain.

PhD, Department of Sociology II, University of Alicante, Alicante, Spain.

出版信息

Sex Reprod Health Matters. 2024 Dec;32(1):2439661. doi: 10.1080/26410397.2024.2439661. Epub 2025 Jan 17.

DOI:10.1080/26410397.2024.2439661
PMID:39651960
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11749278/
Abstract

The main objective of this study is to identify the barriers that prevent Roma women and girls from accessing reproductive rights derived from reproductive justice by analysing the discourses of service providers as a facilitating source of information. A qualitative study including nine semi-structured in-person interviews with community service providers was conducted in April-June 2019. The interview script addressed intercultural competences, views on gender discrimination against Roma women, resources available to fight against this discrimination, knowledge and use of these resources in reproductive justice, as well as the networks of actors involved. The qualitative analysis involved a discourse analysis. In the analysis, three focal areas were defined around which barriers to access spaces inspired by reproductive justice for Roma women could be identified. In each of the focal areas (stereotypes, discrimination and intercultural competences), discourses and practices have been observed in contrasting ways that can prevent access, as well as others that can facilitate access based on prejudices about Roma culture and people. The relationship models between professionals and users of the Roma population project stereotypes that are an obstacle in terms of accessing reproductive justice. The right of Roma women to preserve their culture and to actively participate in policies that affect them is not included and guaranteed in public policies. The intention to include the Roma population's situation in an inclusive narrative exists, although without short-term effects. Reproductive justice is an absent framework within professional intervention and the institutional system. .

摘要

本研究的主要目的是通过分析服务提供者的话语这一便利的信息来源,确定阻碍罗姆妇女和女孩享有生殖正义所赋予的生殖权利的障碍。2019年4月至6月进行了一项定性研究,包括对社区服务提供者进行九次半结构化的面对面访谈。访谈脚本涉及跨文化能力、对罗姆妇女性别歧视的看法、打击这种歧视的可用资源、这些资源在生殖正义中的知识和使用情况,以及相关行为者网络。定性分析采用话语分析方法。在分析中,确定了三个重点领域,围绕这些领域可以识别出阻碍罗姆妇女获得受生殖正义启发的空间的障碍。在每个重点领域(刻板印象、歧视和跨文化能力),都观察到了以对比方式呈现的话语和做法,这些话语和做法可能会阻碍获取,也有一些基于对罗姆文化和人民的偏见而可能促进获取的话语和做法。罗姆人口项目的专业人员与使用者之间的关系模式塑造了一些刻板印象,这些刻板印象在获取生殖正义方面构成障碍。罗姆妇女保护其文化并积极参与影响她们的政策的权利在公共政策中未得到体现和保障。虽然有将罗姆人口的情况纳入包容性叙述的意图,但短期内没有效果。生殖正义在专业干预和制度体系中是一个缺失的框架。

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本文引用的文献

1
Romani Girls Matter: Developing a Participatory Action Research Protocol for Reproductive Justice.罗姆女孩至关重要:制定生殖正义参与式行动研究方案
Healthcare (Basel). 2023 Mar 4;11(5):755. doi: 10.3390/healthcare11050755.
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Reproductive Justice: A Case-Based, Interactive Curriculum.生殖正义:基于案例的互动式课程。
MedEdPORTAL. 2022 Oct 25;18:11275. doi: 10.15766/mep_2374-8265.11275. eCollection 2022.
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Racism in healthcare: a scoping review.医疗保健中的种族主义:范围综述。
BMC Public Health. 2022 May 16;22(1):988. doi: 10.1186/s12889-022-13122-y.
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Promoting justice through community-based research: International case studies.通过基于社区的研究促进公正:国际案例研究。
Am J Community Psychol. 2022 Jun;69(3-4):318-330. doi: 10.1002/ajcp.12584. Epub 2022 Mar 14.
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Researching the health and social inequalities experienced by European Roma populations: Complicity, oppression and resistance.研究欧洲罗姆人族群所经历的健康和社会不平等问题:共谋、压迫和抵抗。
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Undoing Racism and Mitigating Bias Among Healthcare Professionals: Lessons Learned During a Systematic Review.消除医疗保健专业人员中的种族主义和减轻偏见:系统评价过程中的经验教训。
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Looking through the lens of reproductive justice: the need for a paradigm shift in sexual and reproductive health and rights research in Canada.透过生殖正义的视角:加拿大性健康与生殖健康及权利研究范式转变的必要性。
Reprod Health. 2021 Jun 23;18(1):129. doi: 10.1186/s12978-021-01169-w.
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Reproductive justice: Non-interference or non-domination?生殖正义:不干涉还是不统治?
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Structural equation modeling of psychosocial determinants of health for the empowerment of Iranian women in reproductive decision making.伊朗女性生殖决策赋权的健康心理社会决定因素的结构方程模型
BMC Womens Health. 2020 Feb 3;20(1):19. doi: 10.1186/s12905-020-0893-0.
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Inequalities in the use of gynecological visits and preventive services for breast and cervical cancer in Roma women in Spain.西班牙罗姆妇女在妇科就诊和乳腺癌及宫颈癌预防服务使用方面的不平等现象。
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