Reflections: A Case for Intersectional Approaches in HIV Research.
Reflections: A Case for Intersectional Approaches in HIV Research.
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反思：艾滋病毒研究中交叉方法的案例。
DOI：
10.1089/aid.2014.0369
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发表时间：
2015
影响因子：
1.5
通讯作者：
Harmon,JamesL
中科院分区：
文献类型：
--
作者：
Caiola,Courtney;McGee,Kara;Harmon,JamesL
当被要求在一项定性描述性研究中使用图片提取法捕捉影响其健康的社会和经济因素的图像时，两名感染艾滋病毒的妇女产生了惊人的相似图像，但以截然不同的方式反映了它们的意义（图1）。参与者A回想着她捕捉到的图像说：“我看到了镜子。我每天都要检查，因为我知道我携带了病毒，这很难处理……我不知道我能做些什么，因为每次我看的时候，我看到的就是这样。所以，很多时候我都化了浓妆，试图掩盖它。我躲在东西后面。相反，参与者B反思道：“这是浴室，浴室里的镜子……”我喜欢照镜子。我喜欢看着自己，这让我感觉很好。就像，好吧，我在这里。我每天都看着我的脸，我的皮肤。我就像哇，你知道的。我又要熬过一年了。我看起来还是很健康。这是一种力量。那是我常去的地方。“无论出于何种意图和目的，这些女性都代表着相同的人口特征。她们都认为自己是感染艾滋病毒的非裔美国妇女，都是生活在美国东南部贫困地区的母亲。这两名妇女都是在大约7年前通过异性恋感染艾滋病毒的，她们都完成了高中学业。如果从传统生物医学范式的角度来看，这两位女性很可能被归为单一的人口统计类别——非裔美国人、女性和低社会经济地位。然而，他们对自我、健康和艾滋病毒感染者的看法有很大不同。作为临床医生，我们了解这些差异，并定期观察个体对
When asked to capture images of the social and economic factors impacting their health in a qualitative descriptive study using photo elicitation, two women living with HIV produced strikingly similar images, but reflected on their meaning in profoundly different ways (Fig. 1). Participant A reflected on the image she captured by saying,‘‘I see the mirror. and I have to look into that everyday knowing that I am carrying a virus and it is hard to deal with.. I don’t know what I can do about it because every time I look, that is what I see. So, a lot of times I put on extra make-up and try to hide it. I hide behind stuff.’’Conversely, Participant B reflected,‘‘It’s the bathroom, the mirror in the bathroom.. I like looking in the mirror. I like looking at myself, it makes me feel good. Like, okay, I’m here. I look at my face, my skin everyday. I am likeWOW, you know. I am making it through another year. I still look healthy. it is a strength. it is my go-to place.’’For all intents and purposes, these women represent the same demographic profile. They both self-identify as African American women living with HIV and they are both mothers living in poverty in the southeastern region of the United States. Both women acquired HIV through heterosexual relationships approximately 7 years ago and both completed high school. If viewed through the lens of the traditional biomedical paradigm, these two women would likely be grouped into a single demographic category—African American, female, and low socioeconomic status. Yet, their perceptions of self, health, and living with HIV differ significantly. As clinicians, we understand these differences and regularly observe the spectrum of individual responses to