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首页> 外文期刊>BMC International Health and Human Rights >Debt, shame, and survival: becoming and living as widows in rural Kerala, India
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Debt, shame, and survival: becoming and living as widows in rural Kerala, India

机译：债务，羞耻与生存：在印度喀拉拉邦乡村生活并成为寡妇

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Background The health and well-being of widows in India is an important but neglected issue of public health and women’s rights. We investigate the lives of Indian women as they become widows, focussing on the causes of their husband’s mortality and the ensuing consequences of these causes on their own lives and identify the opportunities and challenges that widows face in living healthy and fulfilling lives. Methods Data were collected in a Gram Panchayat (lowest level territorial decentralised unit) in the south Indian state of Kerala. Interviews were undertaken with key informants in order to gain an understanding of local constructions of ‘widowhood’ and the welfare and social opportunities for widows. Then we conducted semi-structured interviews with widows in the community on issues related to health and vulnerability, enabling us to hear perspectives from widows. Data were analysed for thematic content and emerging patterns. We synthesized our findings with theoretical understandings of vulnerability and Amartya Sen’s entitlements theory to develop a conceptual framework. Results Two salient findings of the study are: first, becoming a widow can be viewed as a type of ‘shock’ that operates similarly to other ‘economic shocks’ or ‘health shocks’ in poor countries except that the burden falls disproportionately on women. Second, widowhood is not a static phenomenon, but rather can be viewed as a multi-phased process with different public health implications at each stage. Conclusion More research on widows in India and other countries will help to both elucidate the challenges faced by widows and encourage potential solutions. The framework developed in this paper could be used to guide future research on widows.
机译：背景技术印度寡妇的健康和福祉是公共卫生和妇女权利的重要但被忽视的问题。我们调查印度妇女成为寡妇的生活，着重研究丈夫死亡的原因以及这些原因对她们自身生活造成的后果，并确定寡妇在健康和充实生活中面临的机遇和挑战。方法在印度南部喀拉拉邦的Gram Panchayat（最低级别的地区分权单位）中收集数据。与主要信息提供者进行了访谈，以了解当地的“寡妇”结构以及寡妇的福利和社会机会。然后，我们对社区中的寡妇进行了有关健康和脆弱性问题的半结构化访谈，使我们能够聆听寡妇的观点。分析数据的主题内容和新兴模式。我们将对脆弱性的理论理解与阿玛蒂亚·森（Amartya Sen）的应享权利理论进行了综合，以建立概念框架。结果该研究的两个主要发现是：首先，寡妇可以看作是一种“冲击”，在贫穷国家中的行为与其他“经济冲击”或“健康冲击”类似，只是妇女的负担不成比例。其次，丧偶并不是一个静态现象，而是可以看作是一个多阶段的过程，每个阶段都有不同的公共卫生影响。结论在印度和其他国家，对寡妇的更多研究将有助于阐明寡妇面临的挑战并鼓励潜在的解决方案。本文开发的框架可用于指导寡妇的未来研究。

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