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Long Distance Truck Drivers and the Structural Context of Health: A Culture-Centered Investigation of Indian Truckers' Health Narratives

机译:长途卡车司机和健康状况的结构语境:以文化为中心的印度卡车司机健康状况调查

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Long-distance truck drivers (truckers) in India have been identified as a high-risk group for the HIV/AIDS epidemic, and are consequently the targets of prevention and education-based interventions. While such interventions have addressed risk at the level of individual behavior, little attention has been paid to the structural barriers to health for truckers. Research among truckers in India has ignored the economic, social, and cultural context of health. In this article, I employ the culture-centered approach (CCA) to health communication in documenting truckers' narratives of health, which are innately connected to social and institutional structures around their lives. The data included 36 narrative interviews that I conducted as part of my fieldwork with Indian truckers, in addition to field notes and a reflexive journal. Through a reflexive analysis of these narratives, I present three themes: (a) the everyday violence of trucking, (b) health as sacrifice, and (c) migration and HIV/AIDS. I discuss how communication interventions can attend to the relationship between trucker health and the structural barriers they encounter.
机译:在印度,长途卡车司机(卡车)已被确定为是HIV / AIDS流行的高风险人群,因此是预防和教育干预措施的目标。尽管此类干预措施已从个人行为的角度解决了风险,但对卡车司机健康的结构性障碍却鲜有关注。印度卡车司机的研究忽略了健康的经济,社会和文化背景。在本文中,我采用了以文化为中心的方法来进行健康交流,以记录卡车司机的健康经历,这些叙述与他们生活中的社会和体制结构有着内在的联系。数据包括我在与印度卡车司机进行的实地调查中进行的36次叙述性采访,此外还包括实地记录和反省性日记。通过对这些叙述的反思性分析,我提出了三个主题:(a)卡车的日常暴力行为;(b)作为牺牲的健康;以及(c)移民与艾滋病毒/艾滋病。我讨论了沟通干预如何影响卡车司机的健康与其遇到的结构性障碍之间的关系。

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