一名白人医疗保健专业人员对少数族裔和种族化少数群体的研究反思:通过自编民族志探索情感,揭示隐含的优势和后果。

IF 1.9 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Health Pub Date : 2024-07-01 Epub Date: 2023-06-30 DOI:10.1177/13634593231185261
Nina Halberg
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引用次数: 0

摘要

健康研究通常以生物医学为基础,其目标是消除一切偏见。然而,这在社会和健康不平等等社会问题的研究中却存在问题。因此,越来越多的人批评健康研究人员的立场是中立和无形的。我将根据自己在白人、护理和医疗保健专业性方面的立场,探讨基于研究的优势和后果。根据在丹麦进行的两项人种学研究,一项是在哥本哈根街头工作的尼日利亚黑人妇女,另一项是在大哥本哈根地区两家医院工作的被丹麦医疗界定义为 "少数民族 "的病人,我从 "做好事"、"不舒服 "和 "否认 "的自我人种学情绪出发。当我分析这些情绪作为情境中的产物时,我展示了让我有标记的身体没有标记的好处和后果。通过交叉视角,我讨论了健康研究人员如何在回避肤色和歧视经历等话题的基础上,冒着(重新)制造社会健康不平等的风险。最终,使我与实地人员接触合法化的同时,也有可能使他们在种族化和民族化不平等中的经历失去合法性。这不仅对对话者有影响,对知识的产生也有影响,因为作为健康研究人员,如果我们不把自己的研究立场看作是种族化、民族化和文化化的问题,就有可能暗中回避重要的知识。因此,无论在哪个专业或研究领域,作为卫生专业和卫生研究人员,都必须开设有关种族化和反歧视的教育课程。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Reflections of a white healthcare professional researching ethnicized and racialized minorities: Autoethnographically explored emotions revealing implicit advantages and consequences.

Health research is often embedded in biomedicine in which the goal is to remove all bias. However, this is problematic in research on social issues such as social and health inequities. Therefore, there is growing criticism of health researchers' positions as neutral and invisible. I explore research-based advantages and consequences following my positionings within whiteness, nursing and healthcare professionality. Drawing on two ethnographic studies conducted in Denmark, one among black Nigerian women working in the streets of Copenhagen, the other following patients, defined in Danish healthcare as 'ethnic minorities', in two hospitals in the greater Copenhagen area, I take the point of departure from autoethnographic emotions of 'doing good', 'discomfort' and 'denial'. As I analyse these emotions as a production in the contexts, I show the advantages and consequences of leaving my marked body unmarked. With an intersectional lens, I discuss how health researchers' risk (re)producing social inequalities in health based on for example, avoiding topics of skin colour and experiences of discrimination. Ultimately, what legitimized my access to the people in the field paradoxically also risked delegitimizing their experiences of racialized and ethnicized inequalities. This is not only consequential for the interlocutors but also for the knowledge production, since we as health researchers' risk implicitly avoiding important knowledge if we do not see our own research positionings as a racialized, ethnicized and culturalized matter. Therefore, the need for educational curriculum on racialization and anti-discrimination is imperative within the health professions and as health researchers regardless of profession or research area.

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来源期刊
Health
Health Multiple-
CiteScore
4.90
自引率
0.00%
发文量
0
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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