Vulnerabilities to illnesses in women living on the border of the Guiana Shield mines.

IF 1.2 4区医学 Q3 NURSING

Revista da Escola de Enfermagem da U S P Pub Date : 2023-01-01 DOI:10.1590/1980-220X-REEUSP-2023-0010en

Lise Maria Carvalho Mendes, Nayara Gonçalves Barbosa, Fábio da Costa Carbogim, Daniele Knopp Ribeiro, Ângela Maria E Silva, Ana Karina Bezerra Pinheiro, Flávia Azevedo Gomes-Sponholz

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Abstract

Objective: To analyze the the vulnerabilities to illnesses in women living on the border of the Guiana Shield mines: Brazil, French Guiana, and Suriname.

Method: Descriptive, exploratory field study with a qualitative approach. Data collection took place with 19 women who were living in the mining context, in April 2018. The interviews were recorded and transcribed in full and subsequently analyzed in the light of the concept of vulnerability.

Results: Women aged between 30 and 39 years, predominantly black and brown, on a common-law marriage, multiparous, of low level of education, and with work activities related to mining. Three empirical categories emerged: Exposure to environmental and life conditions in the mines: vulnerabilities to illnesses in women; Sexual and reproductive health in the context of borders: the invisibility between legality and illegality; Gendered facets of violence in the mines on the border of the Guiana Shield.

Conclusion: Vulnerability is marked in the three dimensions of the concept: in the difficult access to health services, in the discontinued treatment, and in the disparity in health policies within countries, which are important aspects of vulnerability and health conditions.

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居住在圭亚那地盾矿区边界的妇女易患疾病。

目的:分析巴西、法属圭亚那和苏里南三国盾矿区边境地区妇女的疾病脆弱性。方法:采用定性方法进行描述性、探索性的实地研究。2018年4月，对19名生活在采矿环境中的妇女进行了数据收集。访谈被完整地记录和转录，然后根据脆弱性的概念进行分析。结果:女性年龄在30 - 39岁之间，以黑人和棕色人种为主，普通法婚姻，多胞胎，受教育程度低，工作活动与采矿有关。出现了三个经验性类别:暴露于矿井的环境和生活条件;妇女易患疾病;边界背景下的性健康和生殖健康:合法与非法之间的不可见性;圭亚那地盾边界矿区暴力的性别方面。结论:脆弱性体现在这一概念的三个方面:难以获得保健服务、停止治疗和各国内部保健政策的差异，这些都是脆弱性和健康状况的重要方面。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Revista da Escola de Enfermagem da U S P 医学-护理

CiteScore

1.70

自引率

11.10%

发文量

254

审稿时长

3-8 weeks

期刊介绍： The University of São Paulo Nursing School Journal (Revista da Escola de Enfermagem da USP, REEUSP) is a bimonthly periodical revised by fellow nurses, which has the objective of publishing empirical or theoretical articles that represent a significant advance for the professional practice or for the fundaments of Nursing Mission: to stimulate knowledge production and dissemination in Nursing and related areas, focusing on international interlocution to advance Nursing science. Areas of Interest: Nursing and Health Its abbreviated title is Rev Esc Enferm USP, which should be used in bibliographies, footnotes and bibliographical references and strips.