SARS and New York's Chinatown: The politics of risk and blame during an epidemic of fear

SARS and New York's Chinatown: The politics of risk and blame during an epidemic of fear
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DOI:
10.1016/j.socscimed.2007.04.022
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发表时间:
2007-09-01
影响因子:
5.4
通讯作者:
Eichelberger, Laura
Eichelberger, Laura
中科院分区:
医学2区
文献类型:
--
作者:
Eichelberger, Laura

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本文考察了2003年SARS疫情期间风险和指责话语的产生,以及纽约市唐人街对这些信息的回应,尽管没有SARS病例,但唐人街在SARS疫情期间受到了污名。研究包括6周的参与者观察和37次半结构化、开放式的社区成员访谈。19世纪末污名化的话语重新浮出水面,将疾病归咎于中国文化和人民,并重新设置了语境,以适应当代当地和全球的政治经济关切。许多告密者刻意与风险保持距离,但同时通过将此类言论转移到最近的中国移民身上,重申了中国文化与疾病的联系。将文化责任合法化会混淆流行病的结构和生物原因,并使边缘化人口中的健康差距自然化。这项研究表明,在一场陌生的流行病中,即使在没有感染的地方,无数的历史、政治和经济因素也会影响反应和风险认知。(C)2007爱思唯尔有限公司。保留所有权利。
This paper examines the production of risk and blame discourses during the 2003 SARS epidemic and responses to those messages in New York City's Chinatown, a community stigmatized during the SARS epidemic despite having no SARS cases. The study consisted of 6 weeks participant observation and 37 semi-structured, open-ended interviews with community members. Stigmatizing discourses from the late 19th century resurfaced to blame Chinese culture and people for disease, and were recontextualized to fit contemporary local and global political-economic concerns. Many informants discursively distanced themselves from risk but simultaneously reaffirmed the association of Chinese culture with disease by redirecting such discourses onto recent Chinese immigrants. Legitimizing cultural blame obfuscates the structural and biological causes of epidemics and naturalizes health disparities in marginalized populations. This research demonstrates that myriad historical, political, and economic factors shape responses and risk perceptions during an unfamiliar epidemic, even in places without infection. (C) 2007 Elsevier Ltd. All rights reserved.