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首页> 外文学位 >Sex Worker Health and Social Justice: A Critical Ethnography of Sex Worker Mobilization to Address Health Inequalities.
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Sex Worker Health and Social Justice: A Critical Ethnography of Sex Worker Mobilization to Address Health Inequalities.

机译：性工作者健康与社会正义：为解决健康不平等而动员性工作者的重要民族志。

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摘要

Purpose The purpose of this critical ethnographic study is to examine sex workers' engagement with the health policy issues they identify as harmful to their health.;Background The "problem" of sex work and health is situated at the nexus of multiple competing perspectives and moral paradigms that define health priorities for sex workers in research and policy. Sex workers' own perspectives are rarely central to analysis of this problem, leading to research and policy solutions that contribute to silencing sex workers' priorities.;Methods I collected ethnographic data from four sources: In-depth qualitative interviews with 35 sex worker activists and advocates in a metropolitan area of the North American West Coast; 60 hours of participatory and observational fieldwork of sex worker activist and advocacy events; 14 informal field interviews; and public discourse analysis on sex work in the state and local area. I analyzed data following a grounded theory approach.;Findings Sex workers were active participants in defining health issues and setting policy agendas to address the inequalities that impacted them. These efforts were transformative in challenging the dominant social constructions of sex work, and in clarifying the social structures that shape sex workers' health and human rights. Sex workers challenged homogenous portrayals of sex work as a violent sexual risk behavior, and claimed structural drivers of health inequalities as policy priorities. Violence experienced by sex workers at the interpersonal level was perpetuated and justified by structural and symbolic violence, devaluing sex workers' lives. Sex workers' potential to contribute to social change was largely dismissed in society, as dominant understandings of sex work portrayed them as social deviants or victims.;Conclusions Sex worker activism is focused on addressing broad social injustices that drive health inequalities and their associated risks within sex work. Through collective action and grassroots organizing, sex workers are shifting the paradigm of the "problem" of sex work, situating it in multiple systems of oppression. Creating formal mechanisms to include sex workers' perspectives and experiences in the development of policies that have direct health implications for them is necessary for the improvement of sex worker health.
机译：目的这项重要的人种志研究的目的是检查性工作者是否参与了他们认为有害于健康的健康政策问题。；背景性工作和健康的“问题”位于多种相互竞争的观点和道德的联系中在研究和政策中定义性工作者健康优先事项的范例。性工作者自己的观点很少是分析该问题的中心，从而导致研究和政策解决方案有助于降低性工作者的优先级。方法：我从四个来源收集了人种学数据：与35名性工作者活动家进行了深入的定性访谈；北美西海岸都会区的倡导者；性工作者活动家和倡导活动的参与和观察现场工作60小时； 14次非正式的现场采访；以及有关州和地方性工作的公众话语分析。我根据扎根的理论方法分析了数据。发现性工作者是积极参与定义健康问题和制定政策议程以解决影响他们的不平等现象的人。这些努力具有变革性，可以挑战性工作的主要社会结构，并阐明塑造性工作者健康和人权的社会结构。性工作者挑战性工作的同质描述，将其视为一种暴力的性风险行为，并声称将健康不平等的结构性驱动因素作为政策重点。性工作者在人际交往中遭受的暴力由于结构性和象征性暴力而永久存在并且是合理的，这降低了性工作者的生活。性工作者对社会变革做出贡献的潜力在社会中被大部分人摒弃了，因为对性工作的主流理解将其描绘为社会上的背叛者或受害者。结论性工作者行动主义的重点是解决导致健康不平等及其相关风险的广泛社会不公正现象。性工作。通过集体行动和基层组织，性工作者正在转移性工作“问题”的范式，将其置于多重压迫系统中。在改善对性工作者健康的工作中，必须建立正式的机制，将性工作者的观点和经验纳入对他们有直接健康影响的政策的制定中。

著录项

  • 作者

    Gruenke-Horton, Kate.;

  • 作者单位

    University of California, San Francisco.;

  • 授予单位 University of California, San Francisco.;
  • 学科 Nursing.;Public health.;Ethnic studies.;Social research.
  • 学位 Ph.D.
  • 年度 2016
  • 页码 202 p.
  • 总页数 202
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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