Illness Narratives of African Americans Living With Coronary Heart Disease: A Critical Interactionist Analysis
Illness Narratives of African Americans Living With Coronary Heart Disease: A Critical Interactionist Analysis
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DOI：
10.1177/1049732316645319
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发表时间：
2017-03-01
影响因子：
3.2
通讯作者：
Shim, Janet K.
中科院分区：
文献类型：
--
作者：
Dubbin, Leslie;McLemore, Monica;Shim, Janet K.
尽管有充分证据表明，美国非洲裔美国人的冠心病及其并发症负担过重，但非洲裔美国男性和女性如何应对和管理冠心病 (CHD) 的生活尚不清楚。通过批判性互动主义的视角，我们探讨了患有先心病的非裔美国人的疾病经历，并描述了影响他们疾病经历的广泛的微观、中观和宏观背景因素。对于这项研究的参与者来说，冠心病已经成为一种“黑人疾病”，其中某些身体已经带有历史和种族标记；由非裔美国人自己维护和传承的概念。这些发现强调，冠心病不仅仅是一种“生活方式疾病”，高风险行为和缺乏健康选择是最终的罪魁祸首。相反，非裔美国人认为冠心病是持续种族和社会结构动态的另一种产物，他们的健康负担就是通过这种动态产生、维持和再现的。
How African American men and women respond to and manage living with coronary heart disease (CHD) is not well understood despite the well-documented disproportionate burden of CHD and its complications among African Americans in the United States. Through a critical interactionist perspective, we explore illness experiences of African Americans living with CHD and describe a broad range of micro-, meso-, and macro-contextual factors that influence their illness experiences. For participants in this study, CHD has become a "Black disease" wherein certain bodies have become historically and racially marked; a conceptualization maintained and passed on by African Americans themselves. Such findings highlight that CHD is more than a "lifestyle disease" where high-risk behaviors and lack of healthy choices are ultimate culprits. Rather, CHD is perceived by African Americans who have it as yet another product of ongoing racial and socio-structural dynamics through which their health burdens are created, sustained, and reproduced.