Marseille 2007
Marseille 2007
Abstract book
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Abstract #56  -  Critical sociology of migrantshealth.
Session:
  26.86: Posters B (Poster) on Tuesday   in  Chaired by
Authors:
  Presenting Author:   Ms Sandra Bascougnano - URMIS/Paris7, France
 
  Additional Authors:   
Aim:
There are at the present time only few sociological researches in France on racial discrimination regarding health. Following the work done by Didier Fassin, few studies treated of this subject and there is still work to do. This presentation is based on two studies taking place in a French research centre called URMIS (Unit de Recherche Migrations et Socit) that is associated to the University of Paris 7 and to the CNRS (French national centre of scientific research). The first one is financed by la DREES-MiRe (interministerial organism part of the health and solidarities French ministry) and steered by a sociologist, Marguerite Cognet (Paris7/URMIS). The second one is my PhD research that I will finish this year with the financial help of Sidaction. The two studies investigate racial discrimination in health in French hospitals and explore representations between practitioners and patients and how these representations which are social and historic constructions have some particular effects on how hospital department staff takes care of patients.
 
Method / Issue:
The first research implicated HIV and/or tuberculosis patients and their doctors. We use questionnaires and interviews with patients and doctors to explore the question of discrimination. At the time of the 8th Aids Impact Conference, preliminary results will be available and will be discussed. The second research is interesting with people living with HIV-AIDS and based on a fieldwork of 6 months in two different hospital services at lle de la Runion (a small French island in the Indian Ocean) and 4 months in a hospital in Paris. Observations (medical consultations, nursing cares, meetings, etc.) and interviews were done with patients and staff of these hospitals.
 
Results / Comments:
In this presentation, I will more develop the work done in la Runion. We will see how much social status and ethnic origins are playing an important role in these relations, how do they structure the way of how hospital staff takes care of patients. Three observations emerge from this fieldwork:  hospitals like other social institutions are social spaces where discriminations can occur;  racial/ethnic categorisations are widely used in the different social spaces but the consequences regarding health are specific for HIV-AIDS patients;  racial/ethnic discriminations can happen when HIV-AIDS patients tend to be reduced by medical and nursing staff to their true or imaginary racial/ethnic origins.
 
Discussion:
The two studies presented use two different methods to explore the same questions. It will be interesting to compare these researches considering their different methods leading to the same or different conclusions (?). We hope that the two studies will contribute to improve HIV-AIDS patients care.
 
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