从脊髓损伤者的角度探索健康的社会决定因素:残疾研究方法

IF 1.8 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Alfiya Battalova , Sheemouna Gurung , Hailey-Thomas Ford , Gurkaran Singh , W. Ben Mortenson , Habib Chaudhury
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引用次数: 0

摘要

健康的社会决定因素是国际公认的分析非医疗因素对个人健康影响的方法。然而,残疾大多与固有的脆弱性相关联,而没有认识到社会因素。本定性研究的目的是考察脊髓损伤(SCI)患者在应对和管理其健康和功能方面的生活经验,并探讨他们的体现性经验与结构性问题之间的相互作用,这些问题有助于脊髓损伤患者的健康和福祉。对 30 个半结构式访谈进行的主题分析产生了三个主题,突出了残疾的物质性和与耻辱相关的障碍之间的紧张关系,自我管理策略和医疗保健之间的紧张关系,以及获得正式支持和脊髓损伤患者生活的隐形成本之间的紧张关系。研究结果强调,有必要重新评估公共卫生方法,认识到与残疾有关的不平等之间的联系,并从残疾公正的角度纳入体现视角。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Exploring the social determinants of health from the perspectives of people with spinal cord injuries: A disability studies approach

The social determinants of health is an internationally recognized approach to analyzing the impact of non-medical factors on individual health. However, disability is mostly associated with inherent vulnerability without recognition of the social factors. The goal of this qualitative study is to examine the lived experiences of persons living with spinal cord injury (SCI) in coping and managing their health and functioning and to explore an interaction between their embodied experiences and structural issues that contribute to health and wellbeing of people with spinal cord injuries. A thematic analysis of 30 semi-structured interviews generated three themes that highlighted the tensions between the materiality of disability and the barriers associated with stigma, between the self-management strategies and the healthcare access, and finally between access to the formal supports and the invisible costs of living with a spinal cord injury. The findings emphasize the need to re-evaluate public health approaches, recognize the linkages between inequalities linked to disability, and incorporate an embodiment lens from a disability justice perspective.

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来源期刊
CiteScore
1.60
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