Marginalisation

  • 文章类型: Journal Article
    仇恨犯罪已成为全球奖学金中越来越熟悉的术语,概念理解和经验知识的进步有助于在世界许多地方产生更好的政策反应。然而,“其他身份”的持续妖魔化,全球仇恨事件的数量不断增加,紧张局势不断加剧,资源的减少和政治上的不优先地位都表明,许多紧迫的挑战仍然存在。这一特别问题的撰稿人消除了共同的陈规定型观念和误解,这些陈规定型观念和误解阻碍了我们处理当代仇恨和暴力表达的集体能力。在这样做的时候,他们从他们的研究证据,以确定“隐藏的”挑战,这些挑战应该站在试图解决原因的最前沿,影响,防止一切形式的暴力。这要求重新配置是贯穿每篇文章的统一主题,这为更细致的分析铺平了道路,为应对多样化和不断变化的暴力模式提供了新的框架。这些是跨越学科界限的挑战,地理边界,和物理/数字世界,它要求国际社会,相交,和跨学科的观点在本期特刊中显而易见。
    Hate crime has become an increasingly familiar term within global scholarship, with advancements in conceptual understanding and empirical knowledge helping to generate improved policy responses across many parts of the world. However, the continued demonization of \'other\' identities, the escalating volume of hate incidents worldwide and the prevailing climate of rising tensions, decreasing resources and political de-prioritization all suggest that many urgent challenges remain. Contributors to this special issue have dismantled common stereotypes and misperceptions which hamper our collective capacity to address contemporary expressions of hate and violence. In doing so, they draw from their research evidence to identify \"hidden\" challenges which should be at the forefront of attempts to address the causes, effects, and prevention of all forms of violence. This call for reconfiguration is the unifying theme which runs through each article, and which paves the way for more nuanced analyses that offer new frameworks for responding to the diverse and changing patterns of violence. These are challenges which straddle disciplinary boundaries, geographical borders, and the physical/digital world, and which demand the international, intersectional, and interdisciplinary perspectives evident within this special issue.
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  • 文章类型: Journal Article
    这项研究调查了2020年澳大利亚一个州在Covid-19抑制措施期间,中学(高中)教师在线提供健康和体育教育(HPE)的经验。研究指出,在HPE中使用混合学习和翻转课堂,然而,人们对完全在线学校HPE的交付知之甚少。对八名高中HPE专业教师进行了半结构化访谈,为分析提供定性数据。对教师经验的分析表明,在大多数情况下,HPE没有发生;相反,开始提供身体活动,或HPE被边缘化为具有较高地位和优先级的受试者之间的运动中断。此外,老师们发现在线提供HPE具有挑战性,努力联系,在线参与并为学生提供公平的机会。结果表明,转向在线提供HPE导致教育目的减弱。
    This study examined secondary (high) school teachers\' experiences of online delivery of health and physical education (HPE) during Covid-19 suppression measures in one Australian state in 2020. Research has noted the use of blended learning and flipped classrooms in HPE, yet little is known about the delivery of fully online school HPE. Semi-structured interviews occurred with eight high school HPE specialist teachers, providing qualitative data for analysis. The analysis of teachers\' experiences indicated that in most cases HPE did not happen; rather, physical activity provision was initiated, or HPE was marginalised to a movement break between subjects with perceived higher status and priority. Additionally, teachers found that providing HPE online was challenging, and struggled to connect with, engage and provide equitable opportunities for their students online. The results showed that the move to online provision of HPE resulted in diminished educative purpose.
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  • 文章类型: Journal Article
    本文是第一个专门针对1860年代至1914年波兰王国残疾犹太人历史的学术研究。它分析了来自意第绪语犹太媒体的消息来源,波兰语,还有希伯来语.调查领域包括对不同类别残疾人士的态度等级,关于残疾的精神观点,以及犹太文学中残疾的写照。这项研究特别强调了犹太聋人社区,鉴于可用原材料的激增。借鉴残疾研究的广泛概念框架,作者研究了医疗化现象,追溯其对19世纪下半叶和20世纪初的犹太公共话语的影响。
    This article is the first scholarly research focusing exclusively on the history of Jews with disabilities in the Kingdom of Poland from the 1860s to 1914. It analyses sources drawn from the Jewish press in Yiddish, Polish, and Hebrew. Areas of investigation include the hierarchy of attitudes towards different categories of individuals with disabilities, spiritual perspectives on disability, and the portrayal of disabilities within Jewish literature. The study places particular emphasis on the Jewish deaf community, given the proliferation of available source material. Drawing on the broad conceptual framework of disability studies, the authors examine the phenomenon of medicalisation, tracing its influence on Jewish public discourse over the latter half of the nineteenth century and the early decades of the twentieth.
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  • 文章类型: Journal Article
    背景:边缘化群体的COVID-19疫苗接种率存在明显的不平等,一些少数民族和宗教团体的税率较低,年轻人,那些生活在更贫困地区的人,社会经济地位较低。现有的研究侧重于影响疫苗摄取的心理和社会经济因素,没有探索更广泛的社会和历史背景。了解COVID-19疫苗摄取的不平等需要对以下因素的驱动因素进行严格检查,和障碍,疫苗接种。
    方法:我们介绍了在COVID-19大流行期间进行的一项共同设计的定性研究的结果。焦点小组和访谈用于检查大曼彻斯特对COVID-19疫苗接种反应的背景,特别关注边缘化的经历。使用专题框架分析来分析数据。
    结果:我们发现,公众对COVID-19疫苗接种计划的反应与机构不信任和剥夺公民权的长期历史交织在一起,源于边缘化和社会不平等的经历。COVID-19大流行对少数族裔群体的不成比例的影响进一步加剧了这种情况,年轻人,以及那些有现有健康状况的人。
    结论:少数群体经历的结构性不平等的历史引发了对疫苗接种背后机构动机的怀疑和怀疑。这凸显了对疫苗态度的情境分析的必要性,考虑到先前存在的不平等,这可能与概念化公众对疫苗接种计划的反应特别相关。最后,我们的研究显示了公众(非)信任可以影响公共卫生政策的重要方式。我们建议将其纳入对未来公共卫生危机的应对措施中。
    BACKGROUND: There are clear inequalities in COVID - 19 vaccination rates amongst marginalised groups, with lower rates for some minoritised ethnic and religious groups, younger people, those living in more deprived areas, and with lower socio-economic status. Existing research focuses on psychological and socio-economic factors that influence vaccine uptake and does not explore broader social and historical contexts. Understanding inequalities in COVID-19 vaccine uptake requires a critical examination of the drivers of, and barriers to, vaccination.
    METHODS: We present findings from a co-designed qualitative research study undertaken during the COVID-19 pandemic. Focus groups and interviews were used to examine the context underpinning responses to the COVID-19 vaccination in Greater Manchester, particularly focussing on experiences of marginalisation. Thematic framework analysis was used to analyse the data.
    RESULTS: We found that the public\'s responses to the COVID-19 vaccination programme are intertwined with a longstanding history of institutional distrust and disenfranchisement, resulting from experiences of marginalisation and social inequalities. This was exacerbated further by the disproportionate impacts of the COVID-19 pandemic on minoritised ethnic groups, younger people, and those with existing health conditions.
    CONCLUSIONS: Histories of structural inequalities experienced by minoritised groups invoked feelings of suspicion and scepticism at the motivations of the agencies behind the vaccination rollout. This highlights the need for a contextualised analysis of attitudes to vaccines, considering pre-existing inequalities, which may be especially relevant for conceptualising public responses to the vaccination programme. Finally, our study shows the important ways in which public (dis)trust can impact public health policies. We recommend this should be incorporated into responses to future public health crises.
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  • 文章类型: Journal Article
    社会排斥是一个过程,即某些个人出生或被推到社会的边缘,并被阻止参与社会,文化,经济,政治生活。遭受社会排斥的人没有获得与其他人口群体相同的权利和特权。被社会排斥的人通常在包括健康在内的各个领域经历较差的结果,教育,employment,和住房比拥有社会经济特权的人。与普通人群相比,经历社会排斥的人往往有更高和更复杂的健康需求,获得医疗保健的机会更差。这项研究的目的是更好地理解和解释社会排斥是如何发生的,以及它如何影响生命过程中的健康。
    将进行现实性审查。数据将通过系统搜索同行评审文献的数据库,并根据需要进一步迭代搜索同行评审和其他文献来收集。将搜索以下数据库:MEDLINE,Embase,CINAHL,ASSIA,使用每个数据库中的索引主题词和相关关键词。灰色文献将通过GoogleScholar和与受社会排斥影响的人群合作的组织的相关网站进行搜索。
    将进行现实性审查,以解释在影响整个生命过程中被排斥人群的特定情况下产生社会排斥和相关健康结果的潜在社会机制。这项研究有可能使政策制定者和服务管理人员了解社会排斥是如何发生的,以及为什么发生社会排斥,以及防止排斥发生的潜在关键干预点。
    UNASSIGNED: Social exclusion is a process whereby certain individuals are born into or pushed to the margins of society and prevented from participating in social, cultural, economic, and political life. People who experience social exclusion are not afforded the same rights and privileges as other population groups. Socially excluded people often experience poorer outcomes in a variety of domains including health, education, employment, and housing than people with socio-economic privilege. People experiencing social exclusion frequently have higher and more complex health needs and poorer access to healthcare than the general population. The aim of this study is to better understand and explain how social exclusion occurs and how it impacts health over the life course.
    UNASSIGNED: A realist review will be undertaken. Data will be collected via a systematic search of databases of peer-reviewed literature and further iterative searches of peer-reviewed and other literatures as needed. The following data bases will be searched: MEDLINE, Embase, CINAHL, and ASSIA, using both indexed subject headings in each database and relevant key words. Grey literature will be searched via Google Scholar and relevant websites of organisations that work with populations affected by social exclusion.
    UNASSIGNED: A realist review will be conducted to explain the underlying societal mechanisms which produce social exclusion and related health outcomes in particular contexts affecting excluded population groups across the life course. The study has the potential to inform policy makers and service managers of how and why social exclusion occurs and potential key intervention points to prevent exclusion from happening.
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  • 文章类型: Journal Article
    关于COVID-19大流行如何影响社会边缘化人群的知识知之甚少,包括在试图获得社会安全网等服务时面临障碍的个人,劳动力市场,或住房。对生活在这种情况下的妇女的了解甚至更少。因此,这项研究的目的是研究COVID-19对社会边缘化女性(与社会边缘化男性相比)的物质和精神影响以及影响因素。该研究基于调查数据(N=304),涉及13个欧洲国家的社会护理组织的客户。样本包括客户:a)住在他们家里,b)在设施中,和c)在街上和临时住所。结果表明,尽管女性和男性受访者的物质影响没有显著差异,与社会边缘化男性相比,社会边缘化女性受到COVID-19大流行的精神影响更严重。女性受访者对COVID-19感染的担忧明显高于男性,他们报告了与大流行相关的更多PTSD症状。定量结果表明,这些差异与女性受访者更担心健康风险(例如生病)有关。女性受访者似乎也更容易受到COVID-19的物质影响。在关于疫情爆发后受访者面临的最大问题的自由文本调查答案中,最普遍的答复(男性和女性)与大流行的物质影响有关(39%的受访者),特别是工作损失(65%)。虽然妇女更经常报告社会关系恶化,提到缺乏服务的男性更频繁。
    There is little knowledge about how the COVID-19 pandemic has impacted people who are socially marginalised, including individuals who face barriers when attempting to access services such as social safety nets, the labour market, or housing. There is even less understanding about women living under these circumstances. The aims of this study are therefore to examine the material and mental impacts of COVID-19 among socially marginalised women (compared with socially marginalised men) as well as influencing factors. The study is based on survey data (N = 304) involving people who are clients of social care organisations in thirteen European countries. The sample includes clients: a) living in their homes, b) in facilities, and c) on the street and in temporary accommodations. Results indicate that although material impacts were not significantly different for female and male respondents, socially marginalised women have experienced more severe mental impacts of the COVID-19 pandemic than socially marginalised men. Female respondents have been significantly more worried about COVID-19 infection than men, and they report significantly more PTSD-symptoms related to the pandemic. Quantitative results indicate that these differences are related to the fact that the female respondents worry more about health risks (e.g. falling ill). Female respondents also seem to be harder hit mentally by the material impacts of COVID-19. Among the free text survey answers regarding the biggest problem for the respondents after the outbreak of the pandemic, the most prevalent reply (among both men and women) was related to material impacts of the pandemic (39% of the respondents), particularly the loss of work (65%). While women reported deterioration of social relations more often, men mentioned lacking access to services more frequently.
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  • 文章类型: Journal Article
    目的:确定是否以及在多大程度上邻里边缘化在跨性别者中调解了心理健康服务的使用。
    方法:这项回顾性队列研究通过从安大略省3个大城市的4个门诊社区和医院诊所获得的数据,确定了2,085名变性人。与2015年1月至2019年12月的行政卫生数据相关联。从安大略省的普通人群中创建了一个年龄匹配的1:5比较队列。分析了2020年3月至2022年5月的结果指标。主要结果是心理健康服务利用,其中包括对初级保健提供者的心理健康相关访问,精神病医生,心理健康和自我伤害相关的急诊科就诊,和精神健康住院。中介变量包括种族集中度,住宅不稳定,依赖性,以及邻里一级的物质匮乏,来自安大略省边际化指数。
    结果:这项研究从参与的门诊社区和医院诊所中确定了2,085名变性人,与一般人群匹配(n=10,425)。总的来说,邻里层面的边缘化并没有在临床上调解精神卫生服务的使用。然而,跨性别者更有可能面临各种形式的邻里层面的边缘化,以及在所有结果衡量标准中医疗服务使用率较高。
    结论:在这项研究中,跨性别人群中的精神卫生服务使用在社区层面的边缘化在临床上没有介导.这项研究强调了在个人层面探索边缘化和心理健康服务使用的必要性,以更好地了解跨性别者所经历的心理健康差异,并确保医疗保健服务具有包容性和确定性。
    To determine if and to what degree neighbourhood-level marginalization mediates mental health service use among transgender individuals.
    This retrospective cohort study identified 2,085 transgender individuals through data obtained from 4 outpatient community and hospital clinics in 3 large cities in Ontario, which were linked with administrative health data between January 2015 and December 2019. An age-matched 1:5 comparison cohort was created from the general population of Ontario. Outcome measures were analysed from March 2020 to May 2022. The primary outcome was mental health service utilization, which included mental health-related visits to primary care providers, psychiatrists, mental health- and self-harm-related emergency department visits, and mental health hospitalizations. Mediation variables included ethnic concentration, residential instability, dependency, and material deprivation at the neighbourhood level and were derived from the Ontario Marginalization Index.
    This study identified 2,085 transgender individuals from participating outpatient community and hospital clinics, who were matched to the general population (n = 10,425). Overall, neighbourhood-level marginalization did not clinically mediate mental health service use. However, transgender individuals were more likely to be exposed to all forms of neighbourhood-level marginalization, as well as having higher rates of health service use across all outcome measures.
    In this study, mental health service use among transgender individuals was not clinically mediated by marginalization at the neighbourhood level. This study highlights the need to explore marginalization and mental health service use at the individual level to better understand the mental health disparities experienced by transgender individuals and to ensure that health-care services are inclusive and affirming.
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  • 文章类型: Journal Article
    COVID-19疫苗的犹豫以前是使用在疫苗供应之前表达的意图数据来建模的。一旦疫苗被广泛使用,使用实际的疫苗接种吸收数据对犹豫进行建模成为可能.本文估计了COVID-19疫苗接种意向(在任何疫苗发布之前宣布)和实际疫苗接种(当它在整个年龄分布中广泛可用时)联合分布的决定因素。我们使用在英国大流行期间收集的高质量纵向数据(英国家庭纵向研究),合并到COVID-19大流行前收集的各种个体特征。我们的估计借鉴了样本的变量在Covid之前的值,该样本包括2021年9月的10073个观测值。本文的贡献是对犹豫和摄取联合建模。这项工作表明,在社会中可能被视为边缘化的人(衡量,在大流行开始之前)不太可能说他们打算接种疫苗,他们也更有可能实际上保持未接种疫苗。它还表明,意图和摄取的不可观察的决定因素之间存在很大的正相关关系。这种高度的正相关具有重要的含义-仅根据意图数据就可以合理地将信息活动描述为目标特定群体。我们还表明,改变一个人的想法与可观察到的数据无关。这与两种解释一致。首先,关于疫苗到来的新信息,它们是安全有效的,可能比最初假设的更乐观。其次,在疫苗上市之前,个体可能对与感染相关的影响更为悲观。
    COVID-19 vaccine hesitancy has previously been modelled using data on intentions - expressed prior to vaccine availability. Once vaccines became widely available, it became possible to model hesitancy using actual vaccination uptake data. This paper estimates the determinants of the joint distribution of COVID-19 vaccination intentions (declared before the release of any vaccine) and actual vaccination take-up (when it was widely available across the age distribution). We use high quality longitudinal data (UK Household Longitudinal Study) collected during the pandemic in the UK, merged to a wide variety of individual characteristics collected prior to the COVID-19 pandemic. Our estimation draws on pre-Covid values of variables for a sample that includes 10,073 observations from the September 2021 wave. The contribution of this paper is to model hesitancy and uptake jointly. The work shows that people who might be regarded as marginalised in society (measured, before the pandemic began) are less likely to say that they intend to be vaccinated and they go on to also be more likely to actually remain unvaccinated. It also shows that there is a large positive correlation between the unobservable determinants of intention and of uptake. This high positive correlation has an important implication - that information campaigns can be reasonably well profiled to target specific groups on the basis of intention data alone. We also show that changing one\'s mind is not correlated with observable data. This is consistent with two explanations. Firstly, the new information available on the arrival of vaccines, that they are safe and effective, may be more optimistic than was originally assumed. Secondly, individuals may have been more pessimistic about the effects associated with infection before vaccines became available.
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  • 文章类型: Journal Article
    COVID-19的反应要求家庭医生(FP)调整他们的做法,以最大限度地降低传播风险。促进制定公共卫生措施的政策指导是通用的,难以适用,特别是对于与经历边缘化的社区合作的FPs。我们的目标是探索在COVID-19期间为边缘化社区提供服务的FPs的经验,以及大流行和大流行应对对医生提供护理能力的影响。我们对来自加拿大四个地区的FP进行了半结构化的定性访谈,2020年10月至2021年6月。我们采用了最大变异抽样,并继续招募,直到我们达到饱和。访谈探讨了参与者在大流行期间的角色/经历,以及他们在继续支持整个经历边缘化的社区时遇到的促进者和障碍。我们使用主题方法来分析数据。与边缘化社区合作的FPs表示,需要在整个大流行期间继续提供现场护理,经常要求他们设计创新适应他们的临床设置和实践。医生注意到对患者的健康影响,特别是在服务有限或延期的情况下,大流行应对政策经常忽略患者人群的独特需求。试图最大限度地减少病毒传播和防止压倒性急性护理环境的与大流行相关的预防措施可能会破坏现有的服务,并取代边缘化社区不成比例地遭受的持续伤害。FPs完全有能力支持制定大流行应对计划,这些计划意识到其社区之间的竞争风险,必须在未来纳入大流行计划。
    The COVID-19 response required family physicians (FPs) to adapt their practice to minimise transmission risks. Policy guidance to facilitate enacting public health measures has been generic and difficult to apply, particularly for FPs working with communities that experience marginalisation. Our objective was to explore the experiences of FPs serving communities experiencing marginalisation during COVID-19, and the impact the pandemic and pandemic response have had on physicians\' ability to provide care. We conducted semi-structured qualitative interviews with FPs from four Canadian regions, October 2020 through June 2021. We employed maximum variation sampling and continued recruitment until we reached saturation. Interviews explored participants\' roles/experiences during the pandemic, and the facilitators and barriers they encountered in continuing to support communities experiencing marginalisation throughout. We used a thematic approach to analyse the data. FPs working with communities experiencing marginalisation expressed the need to continue providing in-person care throughout the pandemic, often requiring them to devise innovative adaptations to their clinical settings and practice. Physicians noted the health implications for their patients, particularly where services were limited or deferred, and that pandemic response policies frequently ignored the unique needs of their patient populations. Pandemic-related precautionary measures that sought to minimise viral transmission and prevent overwhelming acute care settings may have undermined pre-existing services and superseded the ongoing harms that are disproportionately experienced by communities experiencing marginalisation. FPs are well placed to support the development of pandemic response plans that appreciate competing risks amongst their communities and must be included in pandemic planning in the future.
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  • 文章类型: Journal Article
    在南非,小规模渔民和渔业社区长期遭受边缘化和歧视。由于小规模渔民提起诉讼,颁布了新的法律和政策,非政府组织和学者试图纠正这个问题。利用贫困-脆弱性-边缘化框架,该文件认为,这种监管制度是否减少了该部门的脆弱性和边缘化,是减贫举措的重要先驱,例如改善权利分配。虽然新的监管制度是朝着正确方向迈出的一步,本文最终发现这些法律存在缺陷,其中许多已经被权利实施过程和COVID-19封锁彻底解除了压力。其中包括狭窄的捕鱼权资格标准,弱势群体缺乏实质性的解决方案,进程不足以防止精英捕获,以及替代生计做法的障碍。必须通过适当扩大访问权限来解决这些缺陷,与渔民协商,更具包容性的起草,如果要实现小规模渔业对南非发展和减贫的贡献。
    Small-scale fishers and fishing communities have long suffered marginalisation and discrimination in South Africa. New laws and policies promulgated as the result of a court case brought by small-scale fishers, NGOs and academics attempt to rectify this problem. Drawing on the poverty-vulnerability-marginalisation framework, the paper considers whether this regulatory regime reduces vulnerability and marginalisation within the sector as an important precursor to poverty reduction initiatives, such as improved rights allocation. While the new regulatory regime is a step in the right direction, the paper ultimately finds that there are shortcomings in these laws, many of which have been thrown into sharp relief by the rights implementation process and COVID-19 lockdowns. These include narrow eligibility criteria for fishing rights, a lack of substantive solutions when it comes to vulnerable groups, processes insufficient to prevent elite capture, and impediments to the practice of alternative livelihoods. These shortcomings must be addressed through the appropriate expansion of access rights, consultation with fishers and more inclusive drafting, if the contribution of small-scale fisheries to development and poverty reduction in South Africa is to be realised.
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