A Socially Excluded Space: Restrictions on Access to Health Care for Older Women in Rural Bangladesh
A Socially Excluded Space: Restrictions on Access to Health Care for Older Women in Rural Bangladesh
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DOI：
10.1177/1049732310370695
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发表时间：
2010-09-01
影响因子：
3.2
通讯作者：
Westhues, Anne
中科院分区：
文献类型：
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作者：
Hossen, Abul;Westhues, Anne
这项研究是对来自孟加拉国的17名年龄在60岁或以上的妇女的经历的探索。这些妇女被问及有关她们获得医疗保健的决策过程，以及她们是否意识到家庭对疾病发作的反应方式因年龄和性别而有所不同。他们经历的总体主题是“置身于一个被社会排斥的空间”。解释这种社会排斥观念的主题包括基于性别和年龄的社会习俗、基于性别和阶级的经济习俗、限制妇女流动的宗教信仰，以及导致妇女避免寻求医疗保健的健康和疾病的社会结构。我们的结论是，孟加拉国宪法保障将消除贫富、男女、城乡居民以及年轻和老年公民之间在获得保健方面的差距，这一保障尚未实现。
This study was an exploration of the experiences of 17 women, age 60 or more years, from Bangladesh. The women were asked about decision-making processes with respect to their access to health care and whether they perceived that there were differences based on age and sex in the way a household responds to an illness episode. The overall theme that characterized their experiences was "being in a socially excluded space." The themes that explained this perception of social exclusion included gender- and age-based social practices, gender-and class-based economic practices, religious beliefs that restricted the mobility of women, and social constructions of health and illness that led the women to avoid seeking health care. We conclude that the Bangladesh constitutional guarantee that disparities will be eliminated in access to health care between rich and poor, men and women, rural and urban residents, and younger and older citizens has not yet been realized.