{"title":"一个坏的移民：种族主义在澳大利亚艾滋病护理的自我民族志案例研究。","authors":"Satrio Nindyo Istiko","doi":"10.1177/13634593241306578","DOIUrl":null,"url":null,"abstract":"<p><p>Australia is world renowned when it comes to its successful response to HIV prevention, but their HIV epidemiological trend has shifted towards the increase of new HIV diagnoses among migrants. This paper reveals a neglected determinant of migrants' health within Australian HIV care, and that is: racism. To provoke a debate on the saliency of racism, I used autoethnographic case study to analyse my encounter with racism in Australian HIV care. I argue migrants who live with HIV can be racially classified by health care professionals into 'good' or 'bad migrants' based on biomedical measures, neoliberal values and dehumanising health care provision. A migrant patient becomes a bad migrant if the person is perceived to be incapable of taking personal responsibility over their treatment, is a burden to the health system and deserving of poor HIV care. Decolonising HIV care is a necessity to stop the subtle yet insidious social reproduction of racism.</p>","PeriodicalId":12944,"journal":{"name":"Health","volume":" ","pages":"13634593241306578"},"PeriodicalIF":1.9000,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"A bad migrant: An autoethnographic case study of racism in Australian HIV care.\",\"authors\":\"Satrio Nindyo Istiko\",\"doi\":\"10.1177/13634593241306578\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Australia is world renowned when it comes to its successful response to HIV prevention, but their HIV epidemiological trend has shifted towards the increase of new HIV diagnoses among migrants. This paper reveals a neglected determinant of migrants' health within Australian HIV care, and that is: racism. To provoke a debate on the saliency of racism, I used autoethnographic case study to analyse my encounter with racism in Australian HIV care. I argue migrants who live with HIV can be racially classified by health care professionals into 'good' or 'bad migrants' based on biomedical measures, neoliberal values and dehumanising health care provision. A migrant patient becomes a bad migrant if the person is perceived to be incapable of taking personal responsibility over their treatment, is a burden to the health system and deserving of poor HIV care. Decolonising HIV care is a necessity to stop the subtle yet insidious social reproduction of racism.</p>\",\"PeriodicalId\":12944,\"journal\":{\"name\":\"Health\",\"volume\":\" \",\"pages\":\"13634593241306578\"},\"PeriodicalIF\":1.9000,\"publicationDate\":\"2024-12-18\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Health\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1177/13634593241306578\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/13634593241306578","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
A bad migrant: An autoethnographic case study of racism in Australian HIV care.
Australia is world renowned when it comes to its successful response to HIV prevention, but their HIV epidemiological trend has shifted towards the increase of new HIV diagnoses among migrants. This paper reveals a neglected determinant of migrants' health within Australian HIV care, and that is: racism. To provoke a debate on the saliency of racism, I used autoethnographic case study to analyse my encounter with racism in Australian HIV care. I argue migrants who live with HIV can be racially classified by health care professionals into 'good' or 'bad migrants' based on biomedical measures, neoliberal values and dehumanising health care provision. A migrant patient becomes a bad migrant if the person is perceived to be incapable of taking personal responsibility over their treatment, is a burden to the health system and deserving of poor HIV care. Decolonising HIV care is a necessity to stop the subtle yet insidious social reproduction of racism.
期刊介绍：
Health: is published four times per year and attempts in each number to offer a mix of articles that inform or that provoke debate. The readership of the journal is wide and drawn from different disciplines and from workers both inside and outside the health care professions. Widely abstracted, Health: ensures authors an extensive and informed readership for their work. It also seeks to offer authors as short a delay as possible between submission and publication. Most articles are reviewed within 4-6 weeks of submission and those accepted are published within a year of that decision.
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