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¿Somos iguales? Using a structural violence framework to understand gender and health inequities from an intersectional perspective in the Peruvian Amazon

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dc.contributor.author Shannon, Geordan D.
dc.contributor.author Motta, Angelica
dc.contributor.author Cáceres, Carlos F.
dc.contributor.author Skordis-Worrall, Jolene
dc.contributor.author Bowie, Diana
dc.contributor.author Prost, Audrey
dc.date.accessioned 2019-01-25T15:02:13Z
dc.date.available 2019-01-25T15:02:13Z
dc.date.issued 2017
dc.identifier.uri https://hdl.handle.net/20.500.12866/4583
dc.description.abstract BACKGROUND: In the Peruvian Amazon, historical events of colonization and political marginalization intersect with identities of ethnicity, class and geography in the construction of gender and health inequities. Gender-based inequalities can manifest in poor health outcomes via discriminatory practices, healthcare system imbalances, inequities in health research, and differential exposures and vulnerabilities to diseases. Structural violence is a comprehensive framework to explain the mechanisms by which social forces such as poverty, racism and gender inequity become embodied as individual experiences and health outcomes, and thus may be a useful tool in structuring an intersectional analysis of gender and health inequities in Amazonian Peru. OBJECTIVE: The aim of this paper is to explore the intersection of gender inequities with other social inequalities in the production of health and disease in Peru's Amazon using a structural violence approach. DESIGN: Exploratory qualitative research was performed in two Loreto settings - urban Iquitos and the rural Lower Napo River region - between March and November 2015. This included participant observation with prolonged stays in the community, 46 semi-structured individual interviews and three group discussions. Thematic analysis was performed to identify emerging themes related to gender inequalities in health and healthcare and how these intersect with layered social disadvantages in the reproduction of health and illness. We employed a structural violence approach to construct an intersectional analysis of gender and health inequities in Amazonian Peru. RESULTS: Our findings were arranged into five interrelated domains within a gender, structural violence and health model: gender as a symbolic institution, systemic gender-based violence, interpersonal violence, the social determinants of health, and other health outcomes. Each domain represents one aspect of the complex associations between gender, gender inequity and health. Through this model, we were able to explore: gender, health and intersectionality; structural violence; and to highlight particular local gender and health dynamics. Intersecting influences of poverty, ethnicity, geography and gender served as significant barriers to healthcare in both rural and urban settings. en_US
dc.language.iso eng
dc.publisher Taylor & Francis
dc.relation.ispartof urn:issn:1654-9880
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Health Status Disparities en_US
dc.subject Sexism en_US
dc.subject Social Determinants of Health en_US
dc.subject Amazon en_US
dc.subject Female en_US
dc.subject Gender en_US
dc.subject Gender and Health Inequality - intersections with other relevant axes of oppression en_US
dc.subject Humans en_US
dc.subject intersectionality en_US
dc.subject Peru/epidemiology en_US
dc.subject Qualitative Research en_US
dc.subject social determinants of health en_US
dc.subject structural violence en_US
dc.subject Violence/ethnology en_US
dc.title ¿Somos iguales? Using a structural violence framework to understand gender and health inequities from an intersectional perspective in the Peruvian Amazon en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1080/16549716.2017.1330458
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.00 es_PE
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.03.05


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