Health inequalities, ethnic minorities and COVID19: interactive theatre workshop drawing on a qualitative interview study.
Health inequalities, ethnic minorities and COVID19: interactive theatre workshop drawing on a qualitative interview study.
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DOI：
10.1016/s0140-6736(22)02219-x
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发表时间：
2022-11
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COVID-19大流行揭示并加深了现有的不平等。体制上和人际间的种族主义以及公共卫生宣传的拙劣构思使这些问题更加严重。因此，英国少数族裔背景的人受到的影响不成比例。我们进行了一个创造性的跨学科会议，以支持对演员和观众之间的这些不平等的互动式思考和讨论，观众由公共卫生科学家和NHS从业人员组成，提出切实可行的方法来解决基于种族的健康不平等问题。我们准备了一个45分钟的互动场景，借鉴了论坛戏剧的方法，这是基于被压迫者的戏剧：一套由奥古斯托·波尔创造的戏剧技巧。为了了解互动场景中应该包含哪些内容，我们对2020年3月至2021年11月期间感染新冠肺炎的70名成年人进行了一次基于叙事访谈研究的研讨会。我们采用了最大变异抽样策略，重点是来自少数民族背景的人（总样本的45）。采访是远程进行的，并通过视频或音频记录。研究参与者被邀请用自己的话讲述他们的故事，同时进行半结构化的提示。在主题分析之后，研究小组与表演医学公司的戏剧从业者合作，从逐字采访内容中创建场景。这种形式允许观众观看场景，并直接与演员互动，就如何改善这种情况提出建议。这项研究得到了伯克希尔伦理委员会的批准。获得所有参与者的口头和书面知情同意。研讨会探讨了五个分析主题：（1）影响COVID-19暴露的现有种族化劣势：就业，住房和护理责任;（2）获得护理，福利和支持的不平等;（3）对医疗保健系统在护理质量和疫苗安全方面的担忧;（4）对医疗保健系统的担忧。（4）媒体和公共卫生信息指责少数民族群体传播感染的看法;（5）直接种族主义行为增加。这些信息为45分钟互动场景的开发提供了信息，该场景将在第10届英国公共卫生科学会议上进行。迫切需要重新评估公共卫生信息和对少数民族背景的人的照顾。这一戏剧讲习班将支持反思，以完善讲习班内容，供进一步传播。英国经济和社会研究理事会。
The COVID19 pandemic revealed and deepened existing inequalities. These were exacerbated by institutional and interpersonal racism and poorly conceived public health messaging. As a result, people from minority ethnic backgrounds in the UK were disproportionately affected. We conducted a creative interdisciplinary session to support interactive reflection and discussion on these inequalities between the actors and the audience, who was comprised of public health scientists and NHS practitioners, to come up with practical ways to address ethnicity-based health inequalities going forward. We prepared a 45 min interactive scenario drawing on forum theatre approaches, which are based on the Theatre of the Oppressed: a set of dramatical techniques created by Augusto Boal. To understand what to include the interactive scenario we carried out a workshop built on a narrative interview study with 70 adults who had Covid between March, 2020, and November, 2021. We adopted a maximum variation sampling strategy focusing on people from minority ethnic backgrounds (45 of total sample). Interviews were done remotely and recorded via video or audio. Study participants were invited to tell their story in their own words, alongside semi-structured prompting. After thematic analysis, the research team worked with theatre practitioners from the Performing Medicine company to create scenarios from verbatim interview content. The format allows audience members to watch scenarios and interact directly with actors, giving advice on how to improve the situation. The study was approved by Berkshire Ethics Committee. Informed verbal and written consent were obtained from all participants. Five themes from analysis explored in the workshop emerged: (1) existing racialised disadvantages that impacted COVID-19 exposure: employment, housing, and caring responsibilities; (2) unequal access to care, welfare, and support; (3) fears about the health-care system regarding quality of care and vaccine safety; (4) perceptions that the media and public health messaging blamed minority ethnic groups for spreading infection; and (5) increases in acts of direct racism. These informed the development of a 45-minute interactive scenario, which will be performed at the 10th UK Public Health Science conference. There is an urgent need to re-evaluate public health messaging and care for people from minority ethnic backgrounds. This theatre workshop will support reflection to refine workshop content for further dissemination. UK Economic and Social Research Council.