Understanding marginalization as a social determinant of health.
Understanding marginalization as a social determinant of health.
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DOI：
10.1080/09581590601045907
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发表时间：
2007-01-01
影响因子：
2.8
通讯作者：
Cowley, S.
中科院分区：
文献类型：
--
作者：
Lynam, M. J.;Cowley, S.
以人口为基础的研究提请注意社会和物质上的不利条件与一生中心理和身体健康状况不佳之间的联系，从而加剧了健康方面的不平等。最近，英国的一项研究表明，这种不利因素的影响在儿童时期是累积的，并表明“少数族裔”面临的风险尤其大。这项研究收集了英国和加拿大高危人群的数据，特别是第一代移民少女及其母亲的数据，并确定边缘化是她们与他人关系的一个核心特征。布尔迪厄的理论观点被用来研究导致边缘化的进程以及维持和复制这些进程的更广泛的社会条件。参与者的经验是，他们的潜力没有被认识到，他们发展新关系的机会减少了，获得新能力的可能性被其他人对他们的假设所掩盖。作者说明了在寻求归属感和被分配到边缘之间造成紧张关系的社会过程，并考虑了它们对健康的随之而来的影响。在布尔迪厄的指导下，他们说明了可以如何打断与之相关的边缘化和边缘化做法的论述，并在这样做的过程中努力纠正为健康不平等创造背景的进程。
Population-based studies have drawn attention to the associations between social and material disadvantage and poor mental and physical health over the life course, thereby contributing to inequalities in health. More recently, research in Britain has demonstrated that the effects of such disadvantage are cumulative through childhood and has shown that 'ethnic minorities' are at particular risk. This study gathered data from persons at risk, specifically first-generation migrant teenaged girls and their mothers, in Britain and Canada, and identified marginalization as a central feature of their relationships with others. Bourdieu's theoretical perspective is drawn on to examine the processes that contribute to marginalization and the conditions of broader society that sustain and reproduce them. It was the participants' experience that their potential goes unrecognized, their opportunities to develop new relationships curtailed and possibilities to acquire new competences were eclipsed by others' assumptions about them. The authors illustrate the social processes that contribute to the creation of tensions between seeking to belong and being assigned to the margins and consider their attendant influences on health. Taking direction from Bourdieu they illustrate ways in which discourses of marginalization and marginalizing practices associated with them can be interrupted, and in so doing work towards redressing processes that create a context for health inequalities.