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丹麦边缘化社区的粮食(无)安全与围产期健康:来自分娩父母和护理人员的交叉性及生物心理社会视角

Food (in)Security and Peripartum Health in Marginalised Neighbourhoods in Denmark: Intersectional and Biopsychosocial Perspectives From Birthing Parents and Care Workers.

作者信息

Waberi Hamda, Ehlert Carina, Ibrahim Gali, Egal Hamdi, McKerracher Luseadra

机构信息

Department of Public Health, Aarhus University, Aarhus, Denmark.

Aarhus University Hospital, Aarhus, Denmark.

出版信息

Sociol Health Illn. 2025 Sep;47(7):e70070. doi: 10.1111/1467-9566.70070.

Abstract

Household food insecurity (HFI), stemming from inadequate income, negatively affects health-disproportionately so among expecting/new parents and children. Nordic-style redistribution structures are expected to mitigate HFI, but it is currently unclear whether this holds true, especially among ethnic minority families who are facing both structural discrimination in access to state resources and interpersonal discrimination and barriers. To explore whether Nordic-style redistributive infrastructure ameliorates pregnancy HFI and to assess attitudes about HFI, in this qualitative-quantitative study, we ran and thematically analysed focus group discussions (FGDs) and interviews about HFI and health with ethnic minority birthing parents who live in marginalised neighbourhoods (n = 5), with their social/health care providers (n = 8) and with ethnic minority women straddling the roles of birthing parents and social/health care providers (n = 11). We contextualised these FGD/interview data with ethnographic notes and with frequency statistics on HFI among birthing parents (n = 267; 54 from marginalised, ethnic minority majority neighbourhoods). We found that HFI affects families from marginalised Danish neighbourhoods. Positionalities influence views on two overarching themes on HFI experiences-resources and health knowledge-with professionals emphasising health knowledge and parents emphasising resources. Nordic political economies may reduce but not eliminate HFI for young families, particularly in marginalised neighbourhoods, calling for further monitoring and intervention.

摘要

家庭粮食不安全(HFI)源于收入不足,对健康产生负面影响,对孕妇/新父母和儿童的影响尤为严重。北欧式的再分配结构预计会减轻家庭粮食不安全状况,但目前尚不清楚情况是否如此,特别是在那些在获取国家资源方面面临结构性歧视以及人际歧视和障碍的少数民族家庭中。为了探究北欧式再分配基础设施是否能改善孕期家庭粮食不安全状况,并评估对家庭粮食不安全的态度,在这项定性定量研究中,我们组织并对焦点小组讨论(FGD)进行了主题分析,并对居住在边缘化社区的少数民族生育父母(n = 5)、他们的社会/医疗服务提供者(n = 8)以及兼具生育父母和社会/医疗服务提供者双重角色的少数民族女性(n = 11)进行了关于家庭粮食不安全和健康的访谈。我们用人种志记录以及生育父母中家庭粮食不安全状况的频率统计数据(n = 267;其中54人来自边缘化的少数民族占多数的社区)对这些焦点小组讨论/访谈数据进行了背景分析。我们发现家庭粮食不安全影响着丹麦边缘化社区的家庭。身份地位影响对家庭粮食不安全经历的两个总体主题——资源和健康知识——的看法,专业人员强调健康知识,而父母则强调资源。北欧的政治经济模式可能会减少但无法消除年轻家庭的家庭粮食不安全状况,特别是在边缘化社区,这需要进一步监测和干预。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53f5/12327573/653097f6b945/SHIL-47-0-g001.jpg

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