Shame as a barrier to health seeking among indigenous Huichol migrant labourers: An interpretive approach of the "violence continuum" and "authoritative knowledge"
Shame as a barrier to health seeking among indigenous Huichol migrant labourers: An interpretive approach of the "violence continuum" and "authoritative knowledge"
复制标题
DOI：
10.1016/j.socscimed.2013.08.012
复制
发表时间：
2013-11-01
影响因子：
5.4
通讯作者：
Gamlin, Jennie B.
中科院分区：
文献类型：
--
作者：
Gamlin, Jennie B.
这篇文章讨论了社会和历史因素对土著健康观念和寻求健康行为的影响，加强了他们对出生和福祉的权威知识。它探索了墨西哥土著Huicole移民劳工在外出工作时和在他们的家乡社区如何经历结构性、日常和象征性的暴力。这项研究基于2010-11年间对33名惠科尔农民工和来自社区(传统医疗保健提供者)、卫生部门(高原医生)和烟草行业(农民、烟草工会领袖和杀虫剂销售商)的12名关键线人的半结构化访谈和观察。调查结果显示，这些移民经历了羞耻、胆小和羞辱的连续暴力，象征性暴力的表达帮助定义了他们独自生育的传统，以及他们有权获得有条件的福利金，这维持了他们被边缘化的生存生活方式。本文认为，结构性暴力和权威知识之间存在循环关系，因为结构性暴力强化了他们对一套文化信仰和做法的坚持，而这些信仰和做法是针对他们的种族歧视的基础。(C)2013爱思唯尔有限公司。保留所有权利。
This article discusses the manner in which social and historical factors impact upon indigenous conceptions of health and health-seeking behaviour, reinforcing their authoritative knowledge about birth and wellbeing. It explores how Mexican indigenous Huichol migrant labourers experience structural, everyday and symbolic violence while away working, and in their home communities. The study was based on semi-structured interviews and observations with 33 Huichol migrant labourers and 12 key informants from the community (traditional healthcare providers), health sector (medical doctors based in the highlands) and tobacco industry (farmers, tobacco union leader and pesticide sellers) during 2010-11. Findings show how the continuum of violence is experienced by these migrants as shame, timidity and humiliation, expressions of symbolic violence that have helped define their tradition of birthing alone and their feeling of entitlement to the conditional welfare payments which sustain their marginalised subsistence lifestyle. This paper proposes that there is a cyclical relationship between structural violence and authoritative knowledge as the former reinforces their adherence to a set of cultural beliefs and practices which are the basis of racial discrimination against them. (C) 2013 Elsevier Ltd. All rights reserved.