| 1. |
- Borkowska, Magda, et al.
(författare)
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Civil Society, Neighbourhood Diversity and Deprivation in UK and Sweden.
- 2023
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Ingår i: VOLUNTAS - International Journal of Voluntary and Nonprofit Organizations. - 0957-8765 .- 1573-7888.
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Tidskriftsartikel (refereegranskat)abstract
- This paper explores the relationship between neighbourhood level density of civil society organisations (CSOs), diversity, and deprivation. We compare the UK and Sweden, two countries with different civil society traditions and welfare state regimes. We use data on formal civil society organisations to examine whether diverse neighbourhoods have lower levels of civil society infrastructure. In the UK, contrary to what could be expected from Putnam's assertion that diversity has a negative effect on trust, thus limiting civil society activities at the neighbourhood level, we observe a positive relationship between the density of CSOs and diversity. In Sweden, we find different patterns. First, we observe a negative correlation between CSO density and diversity. Second, we find lower density of formal CSOs in areas with high diversity and high economic disadvantage and higher density in areas characterised by low diversity and high disadvantage.
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| 2. |
- Bradby, Hannah, 1966-, et al.
(författare)
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‘If there were doctors who could understand our problems, I would already be better’ : dissatisfactory health care and marginalisation in superdiverse neighbourhoods
- 2020
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Ingår i: Sociology of Health and Illness. - : Wiley. - 0141-9889 .- 1467-9566. ; 42:4, s. 739-757
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Tidskriftsartikel (refereegranskat)abstract
- How people in community settings describe their experience of disappointing health care, and their responses to such dissatisfaction, sheds light on the role of marginalisation and underlines the need for radically responsive service provision. Making the case for studying unprompted accounts of dissatisfaction with healthcare provision, this is an original analysis of 71 semi‐structured interviews with healthcare users in superdiverse neighbourhoods in four European cities. Healthcare users spontaneously express disappointment with services that dismiss their concerns and fail to attend to their priorities. Analysing characteristics of these healthcare users show that no single aspect of marginalisation shapes the expression of disappointment. In response to disappointing health care, users sought out alternative services and to persuade reluctant service providers, and they withdrew from services, in order to access more suitable health care and to achieve personal vindication. Promoting normative quality standards for diverse and diversifying populations that access care from a range of public and private service providers is in tension with prioritising services that are responsive to individual priorities. Without an effort towards radically responsive service provision, the ideal of universal access on the basis of need gives way to normative service provision.
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| 3. |
- Bradby, Hannah, 1966-, et al.
(författare)
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Making Gendered Healthcare Work Visible : Over-Looked Labour in Four Diverse European Settings
- 2019
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Ingår i: Social Inclusion. - : Cogitatio. - 2183-2803. ; 7:2, s. 33-43
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Tidskriftsartikel (refereegranskat)abstract
- Healthcare has long been a gendered enterprise, with women taking responsibility for maintaining health and engaging with service providers. Universal healthcare provision notwithstanding, women nonetheless undertake a range of health- care work, on their own account and on behalf of others, which remains largely invisible. As part of a multi-method com- parative European study that looked at access to healthcare in diverse neighbourhoods from the point of view of people’s own health priorities, the concept of ‘healthcare bricolage’ describes the process of mobilizing resources and overcoming constraints to meet particular health needs. Bricolage mediates between different kinds of resources to meet particular challenges and describing these processes makes visible that work which has been unseen, over-looked and naturalised, as part of a gendered caring role. Drawing on 160 semi-structured interviews and a survey with 1,755 residents of highly diverse neighbourhoods in Germany, UK, Sweden and Portugal, this article illustrates the gendered nature of healthcare bricolage. The complex variations of women’s bricolage within and beyond the public healthcare system show how gen- dered caring roles intersect with migration status and social class in the context of particular healthcare systems.
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| 4. |
- Bradby, Hannah, 1966-, et al.
(författare)
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Public health aspects of migrant health: a review of the evidence on health status for refugees and asylum seekers in the European Region
- 2015
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- Refugees and asylum seekers are defined in many ways, but can be considered as those who did not make a voluntary choice to leave their country of origin and cannot return home in safety. Outcome data are limited and mostly focused on perinatal and mental health but do suggest significant levels of unmet need. This scoping review considered 72 studies in which refugees and asylum seekers formed part or all of the population studied. The results show that access to appropriate health care across the WHO European Region is very varied and is overwhelmingly shaped by legal frameworks and the regulation of the migration process. The need for improved communication with asylum seekers and coordinated action between agencies within and beyond the health care system is widely noted. Improved data are imperative to support intersectoral work to address the health care needs of asylum seekers and refugees.
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| 5. |
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| 6. |
- Bradby, Hannah, 1966-, et al.
(författare)
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Something is (still) missing? : Feminist services for forced migrants surviving sexual and gender-based violence in Sweden, Australia, Turkey and the United Kingdom
- 2023
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Ingår i: Women's Studies. - : Elsevier. - 0277-5395 .- 1879-243X. ; 98
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Tidskriftsartikel (refereegranskat)abstract
- AimSexual and gender-based violence (SGBV) is a clear harm for individual and family health, as well as for society at large. A feminist public health should ensure that services meet women's self-identified needs, with an inclusive definition of woman-kind and an understanding of the intersectional nature of the disadvantage that forced migrant women face.MethodsSemi-structured interviews with 166 forced migrants who have suffered SGBV and 107 providers of services to forced migrants in Australia, Sweden, Turkey and the UK, were undertaken as part of wider project. After translation and transcription, thematic analysis sought all mentions of feminism, descriptions of services along feminist lines and evaluations of the feminist-nature of services.ResultServices were said to be hard to approach much of the time and did not always focus on forced migrants' assessments of their own needs. Those services that did attend to migrants' own expression of their needs were said to be helpful in the recovery process. Interviews with service providers indicated that, while feminism was regularly a personal philosophy, it less often informed service design and delivery. A tension between individual empowerment and a collective assertion of women's rights is part of the contested understanding of feminism, with an intersectional criticism of secular, individualist assumptions of a wholly rights-based approach. The co-opting of women's rights to pursue a securitization agenda indicates tensions between different versions of feminism.ConclusionThe failure to design and deliver services that facilitate forced migrants' recovery from SGBV represents an ongoing failure to understand, apply and test the insights of decades of feminism.
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| 7. |
- Elgenius, Gabriella, et al.
(författare)
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Problematising concepts and methods for civil society research in superdiverse neighbourhoods
- 2023
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Ingår i: Voluntary Sector Review. - 2040-8056 .- 2040-8064. ; 14:3, s. 480-497
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Tidskriftsartikel (refereegranskat)abstract
- This article analyses challenges for civil society research in superdiverse areas and proposes ways to overcome them. Key components of previous studies are problematised, such as the lack of attention to demographic complexity, the focus on formally registered organisations at the expense of informal ‘below the radar’ initiatives, the over-reliance on analyses using administrative data and building on dichotomous categorisations of social capital. The article calls for scholars to develop methodologies and theory that enable research across the full range of civil society activity. We argue for a holistic approach to researching civil society through comparative and mixed-methods designs that facilitate research about the nature of civil society action, its forms, patterns and experiences. The concept of ‘superdiversity’ is useful to reflect evolving demographic complexity, given age, gender, nationality, religion and immigration status, and divergent experiences of rights and the labour market.
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| 8. |
- Hourani, Jeanine, et al.
(författare)
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Structural and Symbolic Violence Exacerbates the Risks and Consequences of Sexual and Gender-Based Violence for Forced Migrant Women
- 2021
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Ingår i: Frontiers in Human Dynamics. - : Frontiers Media S.A.. - 2673-2726. ; 3
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Tidskriftsartikel (refereegranskat)abstract
- While much attention is focused on rape as a weapon of war, evidence shows that forced migrant women and girls face increased risks of Sexual and Gender-Based Violence (SGBV) both during and following forced displacement. In this paper, we argue that gendered forms of structural and symbolic violence enable and compound the harms caused by interpersonal SGBV against forced migrant women and girls. These forms of violence are encountered in multiple contexts, including conflict and post-conflict settings, countries of refuge, and following resettlement. This paper illustrates the consequences of resultant cumulative harms for individuals and communities, and highlights the importance of considering these multiple, intersecting harms for policy and practice.
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| 9. |
- Hübner, Wiebke, et al.
(författare)
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Assessing the contribution of migration related policies to equity in access to healthcare in European countries : A multilevel analysis
- 2023
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Ingår i: Social Science and Medicine. - : Elsevier. - 0277-9536 .- 1873-5347. ; 321
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Tidskriftsartikel (refereegranskat)abstract
- Access to good healthcare and the conditions for good health is one of the central dimensions of immigrant integration. National health policies play a major role in equipping residents with the necessary entitlements to accessible and acceptable healthcare services. Rarely analysed so far is the contribution of migration-related health policies to equity in access to healthcare between immigrants and the general population. To address this gap, this study analysed whether the extent to which migration is considered within national health policies moderates the association between immigration status and subjectively perceived unmet medical need in Europe. Using data from the 2019 European Union Statistics on Income and Living Conditions (EU-SILC) survey in combination with the Migration Integration Policy Index (MIPEX) a multilevel analysis was carried out assessing the cross-level interaction between immigration status and MIPEX scores controlling for individual-level factors such as age, gender, education and employment status. While our results showed that immigrants are more likely to report unmet medical need than the general population (adjusted Odds Ratio (aOR) = 1.32; 95% confidence interval (CI) 1.22–1.43), the cross-level interaction indicated increased relative inequality in unmet medical need between immigrants and the general population in countries with high MIPEX scores compared to countries with low MIPEX scores (aOR = 1.39, 95% CI: 1.18–1.63). The main reason for this increase of inequality on the relative scale was the overall lower prevalence of unmet medical need in countries with high MIPEX scores. In conclusion, our findings indicate that even in countries with relatively migration-friendly health policies inequalities in access to healthcare between immigrants and the general population persist.
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| 10. |
- Humphris, Rachel, et al.
(författare)
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After encounters : revealing patients’ unseen work through their pathways to care
- 2020
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Ingår i: International Journal of Migration, Health and Social Care. - : Emerald. - 1747-9894 .- 2042-8650. ; 16:2, s. 173-187
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: Research has long focused on the notion of access and the trajectory towards a healthcare encounter but has neglected what happens to patients after these initial encounters. This paper focuses attention on what happens after an initial healthcare encounter leading to a more nuanced understanding of how patients from a diverse range of backgrounds make sense of medical advice, how they mix this knowledge with other forms of information and how they make decisions about what to do next.Design/methodology/approach: Drawing on 160 in-depth interviews across four European countries the paper problematizes the notion of access; expands the definition of “decision partners”; and reframes the medical encounter as a journey, where one encounter leads to and informs the next.Findings: This approach reveals the significant unseen, unrecognised and unacknowledged work that patients undertake to solve their health concerns.Originality/value: De-centring the professional from the healthcare encounter allows us to understand why patients take particular pathways to care and how resources might be more appropriately leveraged to support both patients and professionals along this journey.
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