“让所有的身份绽放,让他们绽放”:通过交叉分析推进跨包容性围产期护理。

IF 2.6 2区 医学 Q2 INFORMATION SCIENCE & LIBRARY SCIENCE
Qualitative Health Research Pub Date : 2025-04-01 Epub Date: 2025-04-02 DOI:10.1177/10497323241309590
George Parker, Suzanne Miller, Alex Ker, Sally Baddock, Elizabeth Kerekere, Jamie Veale
{"title":"“让所有的身份绽放,让他们绽放”:通过交叉分析推进跨包容性围产期护理。","authors":"George Parker, Suzanne Miller, Alex Ker, Sally Baddock, Elizabeth Kerekere, Jamie Veale","doi":"10.1177/10497323241309590","DOIUrl":null,"url":null,"abstract":"<p><p>Intersectionality, as a praxis and methodology, enables researchers to attend to their social justice goals. Yet, intersectionality has been under-employed in research centering trans people's healthcare experiences. Not attending to intersectionality has been argued to reinforce the very structural inequities researchers are trying to challenge. This article presents a re-analysis of interview data of 20 Trans Pregnancy Care Project participants in Aotearoa New Zealand. Reflecting on our initial analysis, we returned to the data to understand how intersecting marginalizations experienced by our participants, based on their social identities, amplified their exclusion from perinatal services. The present analysis identified three themes describing how participants perceived and were affected by norms that privilege dominant social positionings within perinatal care settings. These norms often determined who felt anticipated and welcomed into care and undermined the quality of care received by multiply marginalized participants. Cisnormativity interacts with other power relations to layer and compound the exclusion experienced by multiply marginalized trans people in perinatal care. Participants also described strategies to challenge intersectional failures in their care, including efforts to comply with norms and to imagine the healing possibilities of being seen in their full selves when accessing services. Drawing on the Intersectionality Research for Transgender Health Justice framework, we discuss the implications of both our findings and our analytical process, asserting the necessity of intersectionality to advance trans-inclusive practices and trans health equity.</p>","PeriodicalId":48437,"journal":{"name":"Qualitative Health Research","volume":"35 4-5","pages":"403-417"},"PeriodicalIF":2.6000,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"\\\"Let All Identities Bloom, Just Let Them Bloom\\\": Advancing Trans-Inclusive Perinatal Care Through Intersectional Analysis.\",\"authors\":\"George Parker, Suzanne Miller, Alex Ker, Sally Baddock, Elizabeth Kerekere, Jamie Veale\",\"doi\":\"10.1177/10497323241309590\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Intersectionality, as a praxis and methodology, enables researchers to attend to their social justice goals. Yet, intersectionality has been under-employed in research centering trans people's healthcare experiences. Not attending to intersectionality has been argued to reinforce the very structural inequities researchers are trying to challenge. This article presents a re-analysis of interview data of 20 Trans Pregnancy Care Project participants in Aotearoa New Zealand. Reflecting on our initial analysis, we returned to the data to understand how intersecting marginalizations experienced by our participants, based on their social identities, amplified their exclusion from perinatal services. The present analysis identified three themes describing how participants perceived and were affected by norms that privilege dominant social positionings within perinatal care settings. These norms often determined who felt anticipated and welcomed into care and undermined the quality of care received by multiply marginalized participants. Cisnormativity interacts with other power relations to layer and compound the exclusion experienced by multiply marginalized trans people in perinatal care. Participants also described strategies to challenge intersectional failures in their care, including efforts to comply with norms and to imagine the healing possibilities of being seen in their full selves when accessing services. Drawing on the Intersectionality Research for Transgender Health Justice framework, we discuss the implications of both our findings and our analytical process, asserting the necessity of intersectionality to advance trans-inclusive practices and trans health equity.</p>\",\"PeriodicalId\":48437,\"journal\":{\"name\":\"Qualitative Health Research\",\"volume\":\"35 4-5\",\"pages\":\"403-417\"},\"PeriodicalIF\":2.6000,\"publicationDate\":\"2025-04-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Qualitative Health Research\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1177/10497323241309590\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/4/2 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q2\",\"JCRName\":\"INFORMATION SCIENCE & LIBRARY SCIENCE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Qualitative Health Research","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/10497323241309590","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/4/2 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"INFORMATION SCIENCE & LIBRARY SCIENCE","Score":null,"Total":0}
引用次数: 0

摘要

交叉性作为一种实践和方法论,使研究人员能够关注他们的社会正义目标。然而,交叉性在以跨性别者的医疗保健经历为中心的研究中一直没有得到充分利用。有人认为,不关注交叉性会加剧研究人员试图挑战的结构性不平等。本文对新西兰奥特罗阿20名跨性别妊娠护理项目参与者的访谈数据进行了重新分析。考虑到我们最初的分析,我们回到数据中,以了解参与者基于其社会身份所经历的交叉边缘化是如何加剧了他们被排除在围产期服务之外的。目前的分析确定了三个主题,描述了参与者如何感知并受到围产期护理环境中特权占主导地位的社会地位规范的影响。这些规范往往决定了哪些人感到被期待和受到护理的欢迎,并破坏了许多边缘化参与者所接受护理的质量。顺规范性与其他权力关系相互作用,分层和复合了围产期护理中被边缘化的跨性别者所经历的排斥。参与者还描述了挑战护理中交叉失败的策略,包括遵守规范的努力,以及想象在获得服务时被看到完整自我的治愈可能性。根据跨性别健康司法框架的交叉性研究,我们讨论了我们的发现和我们的分析过程的含义,断言交叉性对于推进跨性别包容实践和跨性别健康公平的必要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
"Let All Identities Bloom, Just Let Them Bloom": Advancing Trans-Inclusive Perinatal Care Through Intersectional Analysis.

Intersectionality, as a praxis and methodology, enables researchers to attend to their social justice goals. Yet, intersectionality has been under-employed in research centering trans people's healthcare experiences. Not attending to intersectionality has been argued to reinforce the very structural inequities researchers are trying to challenge. This article presents a re-analysis of interview data of 20 Trans Pregnancy Care Project participants in Aotearoa New Zealand. Reflecting on our initial analysis, we returned to the data to understand how intersecting marginalizations experienced by our participants, based on their social identities, amplified their exclusion from perinatal services. The present analysis identified three themes describing how participants perceived and were affected by norms that privilege dominant social positionings within perinatal care settings. These norms often determined who felt anticipated and welcomed into care and undermined the quality of care received by multiply marginalized participants. Cisnormativity interacts with other power relations to layer and compound the exclusion experienced by multiply marginalized trans people in perinatal care. Participants also described strategies to challenge intersectional failures in their care, including efforts to comply with norms and to imagine the healing possibilities of being seen in their full selves when accessing services. Drawing on the Intersectionality Research for Transgender Health Justice framework, we discuss the implications of both our findings and our analytical process, asserting the necessity of intersectionality to advance trans-inclusive practices and trans health equity.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
CiteScore
6.80
自引率
6.20%
发文量
109
期刊介绍: QUALITATIVE HEALTH RESEARCH is an international, interdisciplinary, refereed journal for the enhancement of health care and to further the development and understanding of qualitative research methods in health care settings. We welcome manuscripts in the following areas: the description and analysis of the illness experience, health and health-seeking behaviors, the experiences of caregivers, the sociocultural organization of health care, health care policy, and related topics. We also seek critical reviews and commentaries addressing conceptual, theoretical, methodological, and ethical issues pertaining to qualitative enquiry.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信