An Institutional Ethnography of the Social Relations that Shape Reproductive Health Care Experiences for Women with Female Genital Mutilation/Cutting/Circumcision (FGC) in Toronto, Ontario, Canada
Notice bibliographique
Résumé
In recent social science research, it has been reported that women with female genital mutilation/cutting/circumcision (FGC) often experience stigmatization during reproductive health care. However, there has not been investigation into how these experiences come to take place. To address this gap in knowledge, the social relations that shape the reproductive health care experiences of women with FGC were investigated using Institutional Ethnography. Qualitative interviews were conducted with eight women with FGC, seven obstetrician/ gynecologists, and two general practitioners. Interviews revealed a set of social relations that organized women with FGC’s experiences of feeling “different” during care, which included anti-FGM discourse, organization of obstetric/gynecological work, and legislation. Immigrant women with FGC learned they were “different” in Canada from anti-FGM discourse in public conversations that opposed FGC. Women worked to mitigate this stigmatization before entering the clinic by engaging in “emotional health work”. This work carried over into the appointment itself and was shaped by the organization of doctors’ work, which was surgically focused. Finally, aspects of the Canadian legal and health care systems disproportionately disadvantaged women with FGC since the Criminal Code of Canada (Bill C-27) guarantees women their rights, but limits such rights to what is “normal” in the west through the dictation of surgeries to which women have access. This dissertation highlights how the ruling discursive knowledge of the “normal” reproductive body holds women’s bodies up against western ideals. These ideals have a normalizing function that shaped women with FGC’s reproductive health care experiences, as they learned how “normality” was inaccessible to them. Women also viewed their racialization as overlooked within medical training and by health care personnel. Racialization has not often been explicitly discussed in the broader FGC literature. It is imperative to actively make space for the perspectives of Black women with FGC in strategies that work toward their protection and to also modify the focus in FGC research and advocacy from gendered discrimination instead onto intersectional stigmatization. By better addressing the intersectional stigmatization to which women with FGC are exposed, they may not have to work so hard to navigate reproductive health care.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,001 | 0,001 |
| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,000 | 0,001 |
| Études des sciences et des technologies | 0,002 | 0,000 |
| Communication savante | 0,000 | 0,001 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,001 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».