Talking about inequities: A comparative analysis of COVID-19 narratives in the UK, US, and Brazil

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorEVERED, Jane A.
dc.contributor.authorCASTELLANOS, Marcelo E. P.
dc.contributor.authorDOWRICK, Anna
dc.contributor.authorGERMANI, Ana Claudia Camargo Goncalves
dc.contributor.authorRAI, Tanvi
dc.contributor.authorSOUZA, Alicia Navarro de
dc.contributor.authorQURESHI, Kaveri
dc.contributor.authorCONCEICAO, Maria Ines Gandolfo
dc.contributor.authorCABRAL, Ivone
dc.contributor.authorGROB, Rachel
dc.date.accessioned2024-02-15T14:52:33Z
dc.date.available2024-02-15T14:52:33Z
dc.date.issued2023
dc.description.abstractDisproportionate mortality and morbidity burdens of the COVID-19 pandemic and coinciding media coverage of public acts of violence perpetrated against people of color in 2020 precipitated reckonings with structural inequities in global, national, and local contexts. This cross-country comparative analysis aims to describe how people voice and make sense race, racism, and privilege in their experiences with COVID-19 infection in the United States, United Kingdom, and Brazil. Anchored by continuous reflection on our individual and collective positionality, we conducted an inductive comparative analysis conceptually situated in intersectionality and critical race theory. Countries used a shared qualitative methodology to collect and analyze 166 narratives of people with experience of COVID-19 infection from 2020 to 2023. We selected 19 cases that illustrate crossnational differences in peoples' acknowledgment and narration of structural privilege and disadvantage in their observations of COVID-19 in their countries and in their personal experiences. People in the US had the most fluency with voicing race directly. In Brazil, while some respondents (especially younger people) demonstrated high racial consciousness, others struggled to identify and talk about racial relationships. In the UK, people voiced racial identifications, though often within white norms of politeness and an accompanying sense of discomfort. The findings overall illustrate moments the interview becomes or does not become a space for voicing social categories and systemic underpinnings of difference in COVID-19 infections and healthcare experiences. We reflect on cross-country differences in historical and contemporary racialized discourse and elaborate on implications of focusing on voicing in qualitative research.eng
dc.description.indexPubMed
dc.description.indexWoS
dc.description.indexScopus
dc.description.sponsorshipUniversity of Wisconsin-Madison Department of Family Medicine and Community Health small grant
dc.description.sponsorshipNIH-NCATS Clinical and Translational Science Award (CTSA) [1UL1TR002373]
dc.description.sponsorshipUW SMPH Wisconsin Partnership Program [WPP 4358]
dc.description.sponsorshipUniversity of Wisconsin-Madison Department of Family Medicine
dc.description.sponsorshipCommunity Health Primary Care Research Fellowship - Health Resources and Services Administration [T32HP10010]
dc.description.sponsorshipEconomic and Social Research Council [ES/V016032/1]
dc.description.sponsorshipBrazilian National Council for Scientific and Technological Development (CNPq)
dc.description.sponsorshipCoordenacao de Aperfeicoamento de Pessoal de Nivel Superior (CAPES PrInt)
dc.identifier.citationSSM-QUALITATIVE RESEARCH IN HEALTH, v.3, article ID 100277, 11p, 2023
dc.identifier.doi10.1016/j.ssmqr.2023.100277
dc.identifier.issn2667-3215
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/58007
dc.language.isoeng
dc.publisherELSEVIEReng
dc.relation.ispartofSsm-Qualitative Research in Health
dc.rightsopenAccesseng
dc.rights.holderCopyright ELSEVIEReng
dc.subjectInequityeng
dc.subjectRacismeng
dc.subjectCOVID-19eng
dc.subjectHealth experienceseng
dc.subjectCross-country comparisoneng
dc.subject.othercritical raceeng
dc.subject.otherintersectional analysiseng
dc.subject.othersystemic racismeng
dc.subject.otherhealtheng
dc.subject.otherwomeneng
dc.subject.otherdiscriminationeng
dc.subject.otherexperienceseng
dc.subject.otherframeworkeng
dc.subject.wosPublic, Environmental & Occupational Healtheng
dc.subject.wosSocial Sciences, Biomedicaleng
dc.titleTalking about inequities: A comparative analysis of COVID-19 narratives in the UK, US, and Brazileng
dc.typearticleeng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng
dspace.entity.typePublication
hcfmusp.affiliation.countryInglaterra
hcfmusp.affiliation.countryEstados Unidos
hcfmusp.affiliation.countryisous
hcfmusp.affiliation.countryisogb
hcfmusp.author.externalEVERED, Jane A.:Univ Wisconsin, Madison, WI USA; 1100 Delaplaine Ct, Madison, WI 53715 USA
hcfmusp.author.externalCASTELLANOS, Marcelo E. P.:Univ Fed Bahia, Salvador, BA, Brazil
hcfmusp.author.externalDOWRICK, Anna:Univ Oxford, Oxford, England
hcfmusp.author.externalRAI, Tanvi:Univ Oxford, Oxford, England
hcfmusp.author.externalSOUZA, Alicia Navarro de:Univ Fed Rio de Janeiro UFRJ, Rio De Janeiro, RJ, Brazil
hcfmusp.author.externalQURESHI, Kaveri:Univ Edinburgh, Edinburgh, Scotland; Univ Brasilia UnB, Brasilia, DF, Brazil
hcfmusp.author.externalCABRAL, Ivone:Univ Estado Rio de Janeiro UERJ, Rio De Janeiro, RJ, Brazil
hcfmusp.author.externalGROB, Rachel:Univ Wisconsin, Madison, WI USA
hcfmusp.citation.scopus3
hcfmusp.contributor.author-fmusphcANA CLAUDIA CAMARGO GONCALVES GERMANI
hcfmusp.description.articlenumber100277
hcfmusp.description.volume3
hcfmusp.origemWOS
hcfmusp.origem.pubmed37197405
hcfmusp.origem.scopus2-s2.0-85162770486
hcfmusp.origem.wosWOS:001089908300001
hcfmusp.publisher.cityAMSTERDAMeng
hcfmusp.publisher.countryNETHERLANDSeng
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Artigos e Materiais de Revistas Científicas - COVID-19
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