Doctoral Dissertation Social Categories and Health Care Outcomes

在德克萨斯大学玛丽安格林博士的指导下，研究生艾莉森·安东尼将调查社会类别是否会介导医疗保健结果。早期的研究发现，社会不平等影响了黑人妇女被诊断患有艾滋病和接受医疗护理的机会。 然而，此类研究通常侧重于不定期参加医疗保健和支持服务的女性所面临的医疗保健获取障碍。相比之下，安东尼将重点关注接受定期护理的少数民族妇女，但与其他妇女相比，她们与艾滋病毒有关的死亡率风险增加。安东尼将研究历史驱动的不平等条件之间的关系，妇女得到的照顾，以及妇女自己对自己和自己的疾病过程的理解。研究人员将在美国南部的一个城市中心进行研究。 她将与黑人妇女和其他种族和族裔背景的妇女进行半结构化访谈，这些妇女正在接受与健康有关的支助服务。 她还将采访一个联邦资助的护理服务联盟的雇员。 将通过参与者观察妇女日常生活和社交网络收集更多数据，以说明妇女在其中与健康和生存作斗争的日常生活和个人背景。 最后，研究者将在服务联盟进行参与者观察，以检查实际问题和针对研究参与者的计划的物流。 通过研究接受护理的妇女和她们的照顾者的日常生活，这项研究将有助于更广泛的社会科学文献之间的关系当代形式的种族，性别和基于阶级的差异和不平等在北美。本研究也将有助于研究生的教育。

Graduate student Alyson Anthony, guided by Dr. Mary Anglin of the University of Texas, will investigate whether social categories mediate health care outcomes. Earlier research has found that social inequalities affect Black women's chances for diagnosis with AIDS and for receiving medical care. However, such studies typically focus on health care access barriers faced by women who do not regularly participate in medical care and support services. In contrast, Anthony will focus on minority women who are receiving regular care but who nevertheless are at increased risk for HIV-related mortality compared to other women. Anthony will examine the relationship between historically-driven conditions of inequality, the care women receive, and women's own understandings of themselves and their disease course. The researcher will carry out the research in an urban center in the American south. She will conduct semi-structured interviews with Black women and women of other racial and ethnic backgrounds who are receiving health-related support services. She also will interview employees of a federally-funded care service coalition. Additional data will be gathered by participant-observation in women's daily lives and social networks to illuminate the daily life and personal contexts in which women grapple with health and survival. Finally, the researcher will carry out participant-observation at the service coalition in order to examine practical concerns and the logistics of programs targeted to research participants. By examining the daily lives of both women receiving care and of their caregivers, this research will contribute to the broader social science literature on the relationship between contemporary forms of racial, gendered, and class-based differentiations and inequalities in North America. The research also will contribute to the education of a graduate student.