健康不平等背景下的志愿服务、身份和福祉

IF 2 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Simon J. Armour, Gemma Yarwood, Hugh McLaughlin, Julia Robinson
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引用次数: 0

摘要

保健不平等的原因很复杂,涉及物质、社会心理层面和权力关系。诋毁个人责任的新自由主义话语塑造和支撑了加剧贫困并加剧其对人们生活的心理社会影响的政策。已经提出了以社区资产为基础的办法,动员自愿行动,作为解决保健不平等的一种手段,大量研究表明,参加志愿服务可以给心理健康带来好处。本研究采用自自由联想叙述性访谈法改编的民族志社会心理方法,探讨了有贫困和其他交叉劣势生活经历的志愿者的经历。它借鉴了参与观察和对11名志愿者和4名管理人员的采访,这些人来自英格兰北部一个城市弱势社区的两个环境。对这些数据的分析考虑了与健康不平等的理论化的社会和心理驱动因素以及关于志愿服务和健康的文献中常用的概念相关的志愿服务经验。从社会心理角度揭示了身份验证的重要性,通过这一途径,弱势群体的志愿者可能会抵制诋毁叙事,并声称自己“受人尊敬”,从而促进接受和归属感的体验。虽然志愿服务可以减轻不平等对个人和社区健康和福祉的影响,但志愿服务发生的个人、组织和更广泛的社会背景是这些影响的组成部分。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Volunteering, Identities and Wellbeing in Contexts of Health Inequalities

The causes of health inequalities are complex, involving material, psychosocial dimensions and power relations. Denigrating neoliberal discourses of individual responsibility shape and underpin policies which exacerbate poverty and compound its psychosocial impacts on people’s lives. Community asset-based approaches, which mobilise voluntary action, have been proposed as a means of addressing health inequalities, and a substantial body of research suggests that participating in volunteering can bring benefits to psychological wellbeing. This study explores the experiences of volunteers with lived experience of poverty and other intersecting disadvantages, using an ethnographic psychosocial approach, adapted from the free association narrative interview method. It draws on participant observation and interviews with 11 volunteers and four managers within two settings within disadvantaged communities in a city in the north of England. The analysis of this data considers these experiences of volunteering in relation to theorised social and psychological drivers of health inequalities, as well as concepts commonly used in the literature on volunteering and health. Using a psychosocial lens reveals the significance of identity validation as a pathway through which volunteers within disadvantaged communities may resist denigrating narratives and make claims to ‘respectability’, which facilitate experiences of acceptance and belonging. While volunteering may ameliorate the impacts of inequalities on individual and community health and wellbeing, the individual, organisational and wider social contexts within which volunteering takes place are integral to these effects.

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来源期刊
CiteScore
4.50
自引率
8.30%
发文量
423
期刊介绍: Health and Social Care in the community is an essential journal for anyone involved in nursing, social work, physiotherapy, occupational therapy, general practice, health psychology, health economy, primary health care and the promotion of health. It is an international peer-reviewed journal supporting interdisciplinary collaboration on policy and practice within health and social care in the community. The journal publishes: - Original research papers in all areas of health and social care - Topical health and social care review articles - Policy and practice evaluations - Book reviews - Special issues
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