流动女工健康话语的建构与传播研究
发布时间：2018-10-30 09:03
【摘要】：流动女工群体是城市里的底层工作者,较低的社会经济地位让她们面临着严重的健康不平等问题。从国家到地方,政府出台了一系列保护流动女工权益和促进健康的政策,推行了改善流动女工生殖健康的发展项目,但是并未触动到健康问题的根源,即权力关系和社会制度安排。面对困境,一批由流动女工自发组织的草根NGO迅速成长起来,她们在国际NGO和政府部门的支持下,建立了女工小组,开展了丰富多样的健康传播活动。因此需要关注草根NGO的活动给流动女工的健康带来了什么样的影响。健康传播研究的“新兴”理论取向质疑了生物医疗范式和劝服人们行为改变的研究传统,在吸收了社会和文化理论之后,它认为人们对健康的理解是一个意义建构的过程,而语言是意义的载体。由此,健康传播研究开始了对健康、疾病、医疗的话语研究的转向。其中,批判性话语分析关注了社会结构因素、权力关系和意识形态的作用,适用于针对弱势群体健康不平等的研究。同时,流动女工的性别身份预设了采用女性主义健康研究理论的必要性。因此,研究者从批判的健康传播理论视角出发,结合批判性话语分析和社会性别理论,研究流动女工健康话语的建构和传播过程,即流动女工是怎样理解健康和疾病的,草根NGO的出现建构了何种健康话语,如何进行传播,又是如何影响到了流动女工甚至整个社区。通过与深圳草根NGO绿色蔷薇社会工作服务中心联系,研究者以机构实习生的身份进入深圳市六约社区开展田野调查。正式调查时间段为2016年10月到12月。研究者采用了参与观察法参与绿色蔷薇的日常工作和健康传播活动,搜集了大量的文本资料;另外使用深度访谈法和滚雪球抽样,访问并记录了44个流动女工、男工、儿童和NGO工作人员。随后研究者对文本和录音资料进行整理,采用批判性话语分析予以解读。研究发现,在从老家到深圳打工的时空转换过程中,流动女工的日常健康经验反映了健康缺席和在场的不同状态,老家的“贫困”话语、工厂的“苦力”话语和医患矛盾话语都体现了国家、资本和父权对流动女工身心健康的压迫。流动女工认为“最低工资”和排斥性的社会制度是她们被边缘化的原因。在这种情况下,她们只能“自我决策”“自我安慰”或寄希望于命运的改善。流动女工的健康话语受到了严重的压抑,再生产了主流的意识形态。在疾病情境下,职业病女工对自己患病经历的叙事,讲述了资本权力如何伤害了女工身心健康,以及她们如何理解职业病,如何积极寻求法律的援助来争取健康和生存的权利。在身份认同的过程中,她们经历了合法性认同、资本权力的“拖延术”和“作为武器的弱者身份”的抗争。草根NGO为职业病工友们提供法律话语援助,支持了反抗的意识形态。草根NGO最重要的话语贡献在于建构了女性主义的健康话语。从《工友天地》、Z机构的文本内容中可以看出,它们是如何从缺乏社会性别意识发展到建构了整合批判的女性主义健康话语的。绿色蔷薇吸收了两者的经验,建构了“我的身体我做主”的话语,通过揭露商业话语、利用医疗话语以及破除健康迷思,来突出社会性别意识形态的重要作用,发展流动女工的主体效能。其在话语策略上主要应用了叙事、隐喻和互文手段,强化了女性主义健康意识和女工对健康话语的认同。绿色蔷薇将建构的健康话语通过两个途径传播出去,一个是对内传播,另一个是对外倡导。对内传播以女工小组的形式展开,采用主题活动、同伴教育的方式传播了较多性健康知识。在对外倡导方面,运用视频、音频、图像、声音等来塑造女工健康的形象,并积极探索政策倡导的途径。随着传播实践的深入,绿色蔷薇探索出一条以文艺倡导的双向传播策略,并开发了“外围”策略解决流动女工在健康上的社会适应问题。草根NGO对流动女工健康话语的建构与传播具有赋权性的意义。一方面,流动女工身心健康状况有了一定程度的改善;另一方面,核心义工们开始有了健康权利的意识、社会性别意识,身体自主性意识,并积极为集体利益发声。尽管在机构层面上草根NGO不断发展了社会资源和机构间的合作,但却在社区赋权方面难以获得实质性的突破。结论部分强调了健康的社会性意义和健康传播研究置于社会情境的重要性。研究者认为必须从主体性视角出发来认识人们的健康经验,理解健康话语的建构过程和机制。草根NGO的所建构的女性主义健康话语揭示了其与主导话语和意识形态冲突。与此同时,草根NGO的话语传播经验值得借鉴,它能够提升女工在健康方面的社会性别意识,创造弱势群体发声的机会,并鼓励创造更多的社会行动。未来,草根NGO如何发展与学者、政府的关系和开展政策倡导活动是进一步研究的方向。
[Abstract]:The group of migrant workers is the bottom-level worker in the city, and the lower socioeconomic status makes them face serious health inequalities. From country to place, the government issued a series of policies to protect the rights and interests of women migrant workers and promote health, and promoted the development of reproductive health for women migrant workers, but did not touch the root causes of health problems, namely power relations and social system arrangement. In the face of the dilemma, a batch of grass-roots NGOs, organized by mobile women migrant workers, grew rapidly and, with the support of international NGOs and government departments, set up a group of women workers to carry out a variety of health dissemination activities. There is therefore a need to focus on the impact of grassroots NGO activities on the health of women migrant workers. Research on health propagation "Emerging" The theory orientation questions the research tradition of biological medical paradigm and persuasion of people's behavior change. After absorbing social and cultural theories, it thinks people's understanding of health is a process of meaning construction, and language is the carrier of meaning. Thus, health dissemination studies have begun to turn to health, disease, medical discourse studies. Critical Discourse Analysis focuses on the role of social structural factors, power relations and ideology, and is applicable to the study of health inequalities of vulnerable groups. At the same time, the gender identity of migrant workers presupposes the necessity of adopting feminist health research theory. Therefore, based on the critical health communication theory, the researcher combines the critical theory analysis and the social gender theory to study the construction and propagation process of healthy discourse of migrant workers, i.e. how women migrant workers understand health and disease, what kind of health discourse has been constructed by grass-roots NGOs, How to spread, and how to influence women migrant workers and even the entire community. Through the contact with the Green Rose Social Work Service Center of the grassroots NGO in Shenzhen, the investigators entered the six communities in Shenzhen to conduct field investigation as an intern. The formal investigation period was from October to December 2016. The researchers used the observation method to participate in the daily work and health dissemination activities of the Green Rose and collected a large number of text data; in addition, 44 mobile women workers, male workers, children and NGO staff were accessed and recorded using depth mapping and snowball sampling. The researchers then sort out the text and audio recordings and interpret them using critical analysis. It is found that in the process of space-time transformation from home to Shenzhen, the daily health experience of migrant workers reflects the different states of health absence and presence. "Poverty" Of words, factories. "Bitter force" Discourse and doctor-patient contradiction discourse embody the oppression of state, capital and father's right to the physical and mental health of migrant women workers. in that opinion of the migrant worker, Minimum Wage and exclusionary social systems are the reasons for their marginalization. in this case, they can only Self-decision Self-comfort or hope for an improvement in fate. The healthy speech of women migrant workers was severely suppressed and the mainstream ideology was reproduced. In the context of disease, occupational disease workers' narration of their own illness tells about how capital power hurts the physical and mental health of women workers, and how they understand the occupational disease, how to actively seek the assistance of law to strive for the right to health and survival. In the process of identity recognition, they experienced legal recognition and capital authority. "procrastination" and "The weak identity of a weapon." A struggle. Grass-roots NGOs provide legal discourse assistance to occupational-disease workers and support the ideology of resistance. The most important contribution of grass-roots NGOs is to construct the healthy discourse of feminism. It can be seen from the text content of "Friends and Heaven" and Z-mechanism how they developed from the lack of social gender consciousness to the feminist health discourse that constructed the criticism. The green rose absorbs the experience of both, and constructs" My body is my body. "The discourse, by exposing business discourse, using medical discourse and breaking health myth, to highlight the important role of social gender ideology, to develop the main body performance of migrant women workers. The discourse strategy mainly uses narrative, metaphor and intertextual means to strengthen the feminist consciousness of health and the recognition of female workers' health discourse. The healthy discourse of green rose is spread out through two ways, one is internal communication, and the other is external advocacy. Internal communication is carried out in the form of a group of women workers, and more sexual health knowledge is disseminated in the form of thematic activities and peer education. In the field of foreign advocacy, use video, audio, image, sound, etc. to shape the image of female worker's health, and actively explore the way of policy advocacy. With the deepening of dissemination practice, the green rose explored a two-way communication strategy advocated by literature and art and developed" Peripheral "Strategies address the social adaptation of women migrant workers to health. Grass-roots NGOs have an empowering sense for the construction and dissemination of healthy discourse of migrant workers. On the one hand, there has been some improvement in the physical and mental health of the women migrant workers; on the other hand, the core volunteers began to have the consciousness of the right to health, the gender consciousness, the consciousness of body autonomy, and the sound of collective interests. Although grass-roots NGOs continue to develop social resources and inter-agency cooperation at the institutional level, it is difficult to obtain substantive breakthroughs in the empowerment of communities. Conclusion Part emphasizes the social significance of health and the importance of health communication research in social context. The researchers believe that it is necessary to recognize people's health experience from the perspective of subjectivity and understand the construction process and mechanism of healthy discourse. The feminist health discourse constructed by grass-roots NGO reveals its conflict with dominant discourse and ideology. At the same time, grassroots NGO discourse dissemination experience is worth reference, it can improve the social gender consciousness of women workers in health, create opportunities for sound generation of vulnerable groups, and encourage the creation of more social action. In the future, how to develop the relationship between grass-roots NGO and scholar, government and conduct policy advocacy is the direction of further research.
【学位授予单位】：中国社会科学院研究生院
【学位级别】：博士
【学位授予年份】：2017
【分类号】：G206
，
本文编号：2299556
[Abstract]:The group of migrant workers is the bottom-level worker in the city, and the lower socioeconomic status makes them face serious health inequalities. From country to place, the government issued a series of policies to protect the rights and interests of women migrant workers and promote health, and promoted the development of reproductive health for women migrant workers, but did not touch the root causes of health problems, namely power relations and social system arrangement. In the face of the dilemma, a batch of grass-roots NGOs, organized by mobile women migrant workers, grew rapidly and, with the support of international NGOs and government departments, set up a group of women workers to carry out a variety of health dissemination activities. There is therefore a need to focus on the impact of grassroots NGO activities on the health of women migrant workers. Research on health propagation "Emerging" The theory orientation questions the research tradition of biological medical paradigm and persuasion of people's behavior change. After absorbing social and cultural theories, it thinks people's understanding of health is a process of meaning construction, and language is the carrier of meaning. Thus, health dissemination studies have begun to turn to health, disease, medical discourse studies. Critical Discourse Analysis focuses on the role of social structural factors, power relations and ideology, and is applicable to the study of health inequalities of vulnerable groups. At the same time, the gender identity of migrant workers presupposes the necessity of adopting feminist health research theory. Therefore, based on the critical health communication theory, the researcher combines the critical theory analysis and the social gender theory to study the construction and propagation process of healthy discourse of migrant workers, i.e. how women migrant workers understand health and disease, what kind of health discourse has been constructed by grass-roots NGOs, How to spread, and how to influence women migrant workers and even the entire community. Through the contact with the Green Rose Social Work Service Center of the grassroots NGO in Shenzhen, the investigators entered the six communities in Shenzhen to conduct field investigation as an intern. The formal investigation period was from October to December 2016. The researchers used the observation method to participate in the daily work and health dissemination activities of the Green Rose and collected a large number of text data; in addition, 44 mobile women workers, male workers, children and NGO staff were accessed and recorded using depth mapping and snowball sampling. The researchers then sort out the text and audio recordings and interpret them using critical analysis. It is found that in the process of space-time transformation from home to Shenzhen, the daily health experience of migrant workers reflects the different states of health absence and presence. "Poverty" Of words, factories. "Bitter force" Discourse and doctor-patient contradiction discourse embody the oppression of state, capital and father's right to the physical and mental health of migrant women workers. in that opinion of the migrant worker, Minimum Wage and exclusionary social systems are the reasons for their marginalization. in this case, they can only Self-decision Self-comfort or hope for an improvement in fate. The healthy speech of women migrant workers was severely suppressed and the mainstream ideology was reproduced. In the context of disease, occupational disease workers' narration of their own illness tells about how capital power hurts the physical and mental health of women workers, and how they understand the occupational disease, how to actively seek the assistance of law to strive for the right to health and survival. In the process of identity recognition, they experienced legal recognition and capital authority. "procrastination" and "The weak identity of a weapon." A struggle. Grass-roots NGOs provide legal discourse assistance to occupational-disease workers and support the ideology of resistance. The most important contribution of grass-roots NGOs is to construct the healthy discourse of feminism. It can be seen from the text content of "Friends and Heaven" and Z-mechanism how they developed from the lack of social gender consciousness to the feminist health discourse that constructed the criticism. The green rose absorbs the experience of both, and constructs" My body is my body. "The discourse, by exposing business discourse, using medical discourse and breaking health myth, to highlight the important role of social gender ideology, to develop the main body performance of migrant women workers. The discourse strategy mainly uses narrative, metaphor and intertextual means to strengthen the feminist consciousness of health and the recognition of female workers' health discourse. The healthy discourse of green rose is spread out through two ways, one is internal communication, and the other is external advocacy. Internal communication is carried out in the form of a group of women workers, and more sexual health knowledge is disseminated in the form of thematic activities and peer education. In the field of foreign advocacy, use video, audio, image, sound, etc. to shape the image of female worker's health, and actively explore the way of policy advocacy. With the deepening of dissemination practice, the green rose explored a two-way communication strategy advocated by literature and art and developed" Peripheral "Strategies address the social adaptation of women migrant workers to health. Grass-roots NGOs have an empowering sense for the construction and dissemination of healthy discourse of migrant workers. On the one hand, there has been some improvement in the physical and mental health of the women migrant workers; on the other hand, the core volunteers began to have the consciousness of the right to health, the gender consciousness, the consciousness of body autonomy, and the sound of collective interests. Although grass-roots NGOs continue to develop social resources and inter-agency cooperation at the institutional level, it is difficult to obtain substantive breakthroughs in the empowerment of communities. Conclusion Part emphasizes the social significance of health and the importance of health communication research in social context. The researchers believe that it is necessary to recognize people's health experience from the perspective of subjectivity and understand the construction process and mechanism of healthy discourse. The feminist health discourse constructed by grass-roots NGO reveals its conflict with dominant discourse and ideology. At the same time, grassroots NGO discourse dissemination experience is worth reference, it can improve the social gender consciousness of women workers in health, create opportunities for sound generation of vulnerable groups, and encourage the creation of more social action. In the future, how to develop the relationship between grass-roots NGO and scholar, government and conduct policy advocacy is the direction of further research.
【学位授予单位】：中国社会科学院研究生院
【学位级别】：博士
【学位授予年份】：2017
【分类号】：G206
，
本文编号：2299556
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