"他们(医生)并不真正了解我们的实际经历":通过以倾听为中心的方法,消除新加坡有关心脏健康的种族框架。

IF 2.7 3区 医学 Q1 COMMUNICATION
Health Communication Pub Date : 2025-05-01 Epub Date: 2024-06-09 DOI:10.1080/10410236.2024.2365494
Satveer Kaur-Gill
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引用次数: 0

摘要

新加坡的主流媒体和地方卫生运动将心脏健康差异种族化。记者和宣传人员从一种被称为 "华人、马来人、印度人和其他人(CMIO)"的种族治理模式出发,报道心脏健康结果的差异。然后,这一模式被用来将心脏健康的不平等归结为与种族相关的不良文化习俗和行为的结果。为了(解除)将心脏健康作为文化行为和实践结果的种族化框架,我转而以来自低收入家庭的马来参与者的心脏健康管理故事为中心,确定信息不对称在与服务提供者(社会服务提供者、医疗保健工作者、医生、护士)互动过程中对不完整的心脏健康信息检索中所起的作用。讨论认为,文化和社区资源是缓解心脏健康紧急状况的关键资源,也是预防性心脏健康信息的指南。健康运动者必须深入研究这些发现,以便采取更多结构性心脏健康干预措施,并摒弃基于 CMIO 模型的种族健康差异。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
"They [Doctors] Don't Really Know What We're Actually Experiencing": Undoing Racializing Frames of Heart Health in Singapore by Centering Listening as Method.

The mainstream media and local health campaigns in Singapore racialize heart health disparities. Journalists and campaigners report differences in heart health outcomes from a model of race governance known as the Chinese, Malay, Indian, and Others (CMIO) model. This model is then used to frame heart health inequities as an outcome of poor cultural practices and behaviors tied to race. To (un)do the racializing frames of heart health as outcomes of cultural behaviors and practices, I instead center stories of heart health management by Malay participants from lower-income households, identifying the role information asymmetries play in incomplete heart health information retrieval during interactions with providers (social service providers, healthcare workers, doctors, nurses). Cultural and community resources were discussed as critical resources for alleviating urgent heart health episodes or assisting as guides for preventative heart health information. Health campaigners must delve deeper into these findings for more structurally responsive heart health interventions and move away from racializing health disparities based on the CMIO model.

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来源期刊
CiteScore
8.20
自引率
10.30%
发文量
184
期刊介绍: As an outlet for scholarly intercourse between medical and social sciences, this noteworthy journal seeks to improve practical communication between caregivers and patients and between institutions and the public. Outstanding editorial board members and contributors from both medical and social science arenas collaborate to meet the challenges inherent in this goal. Although most inclusions are data-based, the journal also publishes pedagogical, methodological, theoretical, and applied articles using both quantitative or qualitative methods.
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