Syndemic statuses: Intersectionality and mobilizing for LGBTQ plus Latinx health equity after the Pulse shooting
Syndemic statuses: Intersectionality and mobilizing for LGBTQ plus Latinx health equity after the Pulse shooting
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DOI：
10.1016/j.socscimed.2020.113260
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发表时间：
2022-02-26
影响因子：
5.4
通讯作者：
Kline, Nolan
中科院分区：
文献类型：
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作者：
Kline, Nolan
作为一个理论框架，流行病提供了一种方法来检查两种或多种病原体或社会现象之间的相互作用，这些病原体或社会现象之间的相互作用会协同加剧健康状况不佳。这一概念允许质疑造成疾病群的社会、政治和经济环境，但它没有充分考虑社会因素本身如何相互关联以创造复杂形式的社会征服。如果未能检查产生流行病相互作用发生的社会背景的交叉不平等，将阻碍纠正健康状况不佳的根本原因的努力。为了解决这个缺点，我认为有必要通过交叉性来研究同步流行病——这是一个考虑多种相互关联的压迫类型如何造成独特的结构性不平等和生活经历的框架。为了推进这一论点，我借鉴了佛罗里达州奥兰多市脉冲夜总会枪击事件后进行的人种学实地调查，这起事件对 LGBTQ+ 拉丁裔人群造成了不成比例的影响，他们经历了交叉形式的社会边缘化，并且属于艾滋病毒和精神病理学综合症高危人群的一部分。主要知情人访谈（n = 13）揭示了 LGBTQ+ 拉丁裔组织如何在枪击事件后出现，以动员更大的健康公平和健康计划，直接应对那些因 LGBTQ+ 和拉丁裔身份交叉而经历独特不平等的人群。本文的研究结果表明，对交叉性的关注如何能够为减轻现有并发流行病和预防未来并发流行病的努力提供信息。需要做出这样的努力，以充分审查并发流行病出现的社会背景，并对相互作用的社会和政治现象做出反应，以了解与健康相关的脆弱性。
As a theoretical framework, syndemics offers a way to examine interactions between two or more pathogens or social phenomena that interact synergistically to exacerbate poor health. The concept allows for interrogating the social, political, and economic circumstances responsible for disease clusters, but it insufficiently considers how social factors themselves interrelate to create complex forms of social subjugation. Failing to examine intersecting inequalities that produce the social contexts in which syndemic interactions occur will inhibit efforts to correct the root causes of poor health. To address this shortcoming, I argue there is a need for research on syndemics to be informed by intersectionality-a framework that considers how multiple interlocking types of oppression create distinct structural inequalities and life experiences. Advancing this argument, I draw from ethnographic fieldwork in Orlando, Florida, following the Pulse nightclub shooting, which disproportionately affected LGBTQ+ Latinx individuals who experience intersecting forms of social marginalization and are part of a population at risk for an HIV and psychopathology syndemic. Key informant interviews (n = 13) revealed how LGBTQ+ Latinx organizations emerged after the shooting to mobilize for greater health equity and health programs that directly respond to populations who experience unique inequalities related to their intersecting LGBTQ+ and Latinx identities. Findings from this article show how attention to intersectionality can inform efforts to mitigate existing syndemics and prevent future syndemics. Such efforts are needed to adequately examine the social contexts in which syndemics arise and to respond to the social and political phenomena that interact to inform health-related vulnerability.