{"title":"巴斯克地区巴斯克妇女和性别不规范个体在医疗保健中的文化和语言歧视","authors":"Garbiñe Elizegi Narbarte, Stella Aguinaga Bialous, Iratxe Perez-Urdiales, Jennifer Elyse James, Leslie Dubbin","doi":"10.1177/10497323251365466","DOIUrl":null,"url":null,"abstract":"<p><p>Basque women and gender non-normative individuals are a part of an Indigenous and ethnic minority culture, thus more likely to be exposed to discrimination and sub-optimal healthcare services. This study explores their experiences with healthcare and identifies the barriers and facilitators to implement culturally safe healthcare practices in the Basque Country. We used a critical ethnographic approach to conduct 37 semi-structured interviews, 36 hours of health clinic observations, and 4 focus groups. Using a thematic analytic approach, we find that <i>euskalfobia</i> in the healthcare system presents a major barrier to culturally safe healthcare through the normalization of <i>euskarafobia</i>, systematic invisibilizing of Basque language and culture, and the devaluing of cultural healing practices. Language and culturally concordant care, acknowledgment of cultural healing practices, and training regarding the concept of cultural safety at an individual and institutional level can facilitate the implementation of cultural safety in the Basque context.</p>","PeriodicalId":48437,"journal":{"name":"Qualitative Health Research","volume":" ","pages":"10497323251365466"},"PeriodicalIF":2.4000,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Cultural and Language Discrimination in Healthcare as Experienced by Basque Women and Gender Non-Normative Individuals in the Basque Country.\",\"authors\":\"Garbiñe Elizegi Narbarte, Stella Aguinaga Bialous, Iratxe Perez-Urdiales, Jennifer Elyse James, Leslie Dubbin\",\"doi\":\"10.1177/10497323251365466\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Basque women and gender non-normative individuals are a part of an Indigenous and ethnic minority culture, thus more likely to be exposed to discrimination and sub-optimal healthcare services. This study explores their experiences with healthcare and identifies the barriers and facilitators to implement culturally safe healthcare practices in the Basque Country. We used a critical ethnographic approach to conduct 37 semi-structured interviews, 36 hours of health clinic observations, and 4 focus groups. Using a thematic analytic approach, we find that <i>euskalfobia</i> in the healthcare system presents a major barrier to culturally safe healthcare through the normalization of <i>euskarafobia</i>, systematic invisibilizing of Basque language and culture, and the devaluing of cultural healing practices. Language and culturally concordant care, acknowledgment of cultural healing practices, and training regarding the concept of cultural safety at an individual and institutional level can facilitate the implementation of cultural safety in the Basque context.</p>\",\"PeriodicalId\":48437,\"journal\":{\"name\":\"Qualitative Health Research\",\"volume\":\" \",\"pages\":\"10497323251365466\"},\"PeriodicalIF\":2.4000,\"publicationDate\":\"2025-10-03\",\"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/10.1177/10497323251365466\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"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/10.1177/10497323251365466","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"INFORMATION SCIENCE & LIBRARY SCIENCE","Score":null,"Total":0}
Cultural and Language Discrimination in Healthcare as Experienced by Basque Women and Gender Non-Normative Individuals in the Basque Country.
Basque women and gender non-normative individuals are a part of an Indigenous and ethnic minority culture, thus more likely to be exposed to discrimination and sub-optimal healthcare services. This study explores their experiences with healthcare and identifies the barriers and facilitators to implement culturally safe healthcare practices in the Basque Country. We used a critical ethnographic approach to conduct 37 semi-structured interviews, 36 hours of health clinic observations, and 4 focus groups. Using a thematic analytic approach, we find that euskalfobia in the healthcare system presents a major barrier to culturally safe healthcare through the normalization of euskarafobia, systematic invisibilizing of Basque language and culture, and the devaluing of cultural healing practices. Language and culturally concordant care, acknowledgment of cultural healing practices, and training regarding the concept of cultural safety at an individual and institutional level can facilitate the implementation of cultural safety in the Basque context.
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.