'It's possibly made us feel a little more alienated': How people from ethnic minority communities conceptualise COVID-19 and its influence on engagement with testing.
'It's possibly made us feel a little more alienated': How people from ethnic minority communities conceptualise COVID-19 and its influence on engagement with testing.
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DOI：
10.1177/13558196211054961
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发表时间：
2022-04
影响因子：
2.4
通讯作者：
Ala A
中科院分区：
文献类型：
--
作者：
Vandrevala T;Alidu L;Hendy J;Shafi S;Ala A
少数民族群体的文化信仰、习俗和经验，以及结构性不平等和政治经济在促进健康方面发挥着关键但被忽视的作用。这项研究旨在了解英国的少数民族群体如何对COVID-19进行概念化，以及这如何影响测试的参与。黑人（非洲和加勒比海）和南亚（印度，巴基斯坦和孟加拉国）社区成员是有目的地从英国各地招募的。五十七个半结构化的采访进行了分析，使用扎根理论的原则。我们发现，黑人和南亚族裔的人将COVID-19概念化为一种疾病，这种疾病使他们在社区以外的其他人面前可见，并被视为具有更严重的风险和遭受更严重的后果，导致恐惧，污名化和疏远。对COVID-19的看法植根于文化信仰，与围绕疾病的文化特定观念有关，例如不健康是上帝的旨意。大流行带来的挑战被概念化为许多斗争之一，病毒的突出性与生活经历有关。这些主题和其他主题影响了COVID-19检测的参与。检测与其说是为自己获得及时有效的治疗，不如说是采取行动保护家庭和社区。考试象征着收入的损失、焦虑和孤立，而对制度的不信任、不被重视或受到不公平待遇的问题则加剧了这种情况。卫生传播应侧重于平衡不信任、疏远和污名化等阻碍检测的因素，并利用当地可靠来源建立信任。
The cultural beliefs, practices and experiences of ethnic minority groups, alongside structural inequalities and the political economy play a critical, but overlooked role in health promotion. This study aimed to understand how ethnic minority groups in the United Kingdom conceptualised COVID-19 and how this influenced engagement in testing. Black (African and Caribbean) and South Asian (Indian, Pakistani and Bangladeshi) community members were purposefully recruited from across the UK. Fifty-seven semi-structured interviews were conducted and analysed using principles of grounded theory. We found that people of Black and South Asian ethnicity conceptualised COVID-19 as a disease that makes them visible to others outside their community and was seen as having more severe risk and suffering worse consequences, resulting in fear, stigmatisation and alienation. Views about COVID-19 were embedded in cultural beliefs, relating to culturally specific ideas around disease, such as ill-health being God’s will. Challenges brought about by the pandemic were conceptualised as one of many struggles, with the saliency of the virus contextualised against life experiences. These themes and others influenced engagement with COVID-19 testing. Testing was less about accessing timely and effective treatment for themselves and more about acting to protect the family and community. Testing symbolised a loss of income, anxiety and isolation, accentuated by issues of mistrust of the system and not being valued, or being treated unfairly. Health communications should focus on counterbalancing the mistrust, alienation and stigmatisation that act as barriers to testing, with trust built using local credible sources.
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DOI：
10.3402/qhw.v5i3.5106
发表时间：
2010-01-01
影响因子：
1.8
作者：
Bramberg, Elisabeth Bjork;Nystrom, Maria
通讯作者：
Nystrom, Maria
影响因子：
2.1
作者：
Ogilvie, Linda D.;Burgess-Pinto, Elizabeth;Caufield, Catherine
通讯作者：
Caufield, Catherine
影响因子：
12
作者：
Noori, Teymur;Hargreaves, Sally;Pottie, Kevin
通讯作者：
Pottie, Kevin
影响因子：
4.5
作者：
Potter, J. L.;Burman, M.;Griffiths, C. J.
通讯作者：
Griffiths, C. J.
影响因子：
3.1
作者：
Bateman LB;Schoenberger YM;Hansen B;Osborne TN;Okoro GC;Speights KM;Fouad MN
通讯作者：
Fouad MN