Social Marginalization Research Articles

Beautifiation through exclusion. City image versus social marginalization on the example of the Summer Olympic Games

Beautifiation through exclusion. City image versus social marginalization on the example of the Summer Olympic Games

HIV and hepatitis C virus infection and co-infection among trans women in San Francisco, 2020.

Transgender women (hereafter "trans women") face social marginalization, stigma, and discrimination and experience a high burden of HIV. More recently, trans women have been identified as having a high risk for hepatitis C (HCV) infection. The interaction between these two diseases and the risks for HIV/HCV co-infection among trans women are understudied. To characterize epidemiological, behavioral, and socio-structural interactions between HIV and HCV infections among trans women. This cross-sectional study examined data from a community-based survey of trans women in San Francisco recruited through respondent-driven sampling (RDS) in 2019/2020. Face-to-face interviews collected data on demographics, medical history, drug injection practices, sexual behavior, and socio-structural factors (e.g., poverty, housing insecurity, incarceration, social support). HIV and HCV antibodies were detected using oral fluid rapid tests and prior diagnosis and treatment were collected by self-report. Blood specimens were collected to confirm antibodies using ELISA. Multinomial logistic regression analysis characterized factors associated with HIV infection alone, HCV infection alone, and HIV/HCV co-infection compared to neither infection. Among 201 trans women recruited, HIV prevalence was 42.3%; HCV infection by history or current seroprevalence was 28.9%; evidence for both HIV and HCV infection was present for 18.9%. Two-thirds of trans women (67.2%) had been incarcerated; 30.8% had ever injected drugs. History of injection drug use and receiving emotional support from family were factors found in common for HIV infection, HCV infection, and HIV/HCV co-infection compared to no infection. Having a sexual partner who injects drugs was associated with HIV infection alone. Not lacking care due to cost and older age were associated with co-infection. Older age was also associated with HCV infection. Of trans women with HIV infection, 91.8% had accessed HIV care, whereas only 62% with HCV had accessed some form of care. Our study found high levels of HIV, HCV, and HIV/HCV co-infection among trans women in San Francisco. We found common associations between HIV and HCV through injection practices and emotional support, but having a sexual partner who injects drugs was not associated with HCV infection alone or co-infection. We note a substantial gap in the treatment of HCV for trans women, including those in HIV care, that needs to be urgently addressed.

Assessing biosocial vectors in water contamination, the incidence of water-borne illnesses, and insecurity in Kathmandu, Nepal

ABSTRACT In this study, we use water quality tests, epidemiological data, and ethnographic interviews gathered in Kathmandu in 2017 to provide an interdisciplinary analysis of water insecurity, illness, and targeted responses. Our findings fit the pattern of the past 20 years: the concentration of coliform bacteria across water sources remains unsafe. Our epidemiological data documents high rates of water-borne infectious diseases consistent with fecal contamination of water sources. Our ethnographic interviews suggest that social marginalization, poverty, and dislocation are major drivers in the incidence of illness. Evaluating some of the collective responses to water insecurity and contamination, we argue that effectively addressing water pollution, scarcity, and health outcomes in Kathmandu requires redirecting the focus of programs and the primary methods of implementation. Instead of large-scale top-down infrastructural interventions such as the Melamchi Water Supply Project, programs should target women's leadership in and subsidize funding for small-scale, community-managed interventions.

The Impact of Social Marginalisation on Science Engagement and the Extent of Barrier Reduction

This paper examines the impact of social marginalisation, including race, gender, and social class, on science engagement. Socially marginalised groups, such as women, people of colour, and lower socioeconomic classes, face significant barriers in science education and careers due to discrimination, stereotyping, and limited access to science capital. The paper explores how these factors intersect to influence the formation of scientific identity and contribute to underrepresentation in scientific fields. Efforts to reduce these barriers, such as inclusive science communication and stereotype manipulation, are critically evaluated. Although these interventions offer potential solutions, they remain idealistic and face significant challenges. The paper concludes that addressing these barriers requires deep structural and cultural reforms within the scientific community.

Exploring the Connection between Social Housing and Employment: A Scoping Review.

Adequate housing is a social determinant of health and well-being, providing stability from which people can engage in important life activities, including self-care and productivity. Social housing is a system-level intervention that aims to provide affordable housing to people vulnerable to experiencing social and economic marginalisation. Given the importance of employment to social-economic status and overall health and well-being, we sought to better understand the available knowledge and research related to employment and living in a social housing environment. We used scoping review methodology to explore peer-reviewed research published between 2012-2022 regarding social housing and employment, identifying 29 relevant articles. Using the Psychology of Working Theory and neighbourhood effects as interpretive theoretical frameworks, we analysed the extracted data. Overall, the results affirmed that social housing residents have low employment rates conceptualised as related to the complex interplay of a range of personal and environmental factors. Most published literature was quantitative and originated from the United States. Policy and research implications are discussed, including the need for more multifaceted, person-centred interventions that support employment and ultimately promote health and quality of life for social housing residents.

Trapped Neighborhoods, Trapped Identities: Wadi Salib and Musrara Compared, 1949-1967

Using the concept of “trapped neighborhoods,” this paper focuses on two impoverished neighborhoods between the years 1949 and 1967 that were a symbol of Mizraḥi protest in Israel: Wadi Salib in Haifa and Musrara in Jerusalem. We consider their residents as not only people living in the margins of the city but also as communities that were trapped within the cultural, social and geographical margins on the border of the Arab existence and recent past, and the Jewish-Israeli present. While Musrara was “trapped” between a physical border in the Eastern-Arab part of the Jerusalem, and an imagined border on its western side, Wadi Salib was “trapped” between “upper” and “lower” Haifa, and between the Palestinian repressed past and the Arab-Jewish identity of its residents. The article examines both the nature of the borders and the mechanisms of crossing them.

The Roma Population: Migration, Settlement, and Resilience

The Roma population—with a unique history marked by migration, settlement issues, and ongoing resilience—has always faced significant social marginalization and has often been subjected to forced migration. Despite being one of the largest and most diverse ethnic groups in Europe, Roma continue to face systemic discrimination and social exclusion, leading to poor outcomes in education, employment, health, and housing. This article analyses the migration pathways, settlement experiences, and persistent obstacles faced by Roma. We argue that removing historical and systemic barriers to create a more equitable and welcoming environment for the Roma community is their right. The resilience of the Roma community in the face of adversity is a testament to their cultural strength and adaptability. This research aims to document these aspects and thus provide a basis for policies that promote social inclusion, equality, and respect for cultural diversity.

The Process of Constructing an Inter-Korean Identity Reflective of the Two Koreas: North Korean Refugee Students’ Hybrid Identity in South Korea

As of March 2024, 34,121 North Korean refugees reside in South Korea, with 12% enrolled in schools. Despite being automatically granted South Korean citizenship upon arrival, these refugees face social exclusion and marginalization, effectively forming a second class within South Korean society. The 70-year division between the two Koreans has resulted in vastly different lifestyle, making it challenging for North Korean refugees to adapt. This difficulty is compounded by a prejudiced social reception and discrimination toward their North Korean identity. The study aims to explore the daily experiences of North Korean refugees with their newfound South Korean citizenship, employing Straussian grounded theory and semi-structured interviews. The study recruited 17 North Korean refugees, including five with experience in elementary, middle and high schools, and five parents with school-going children. The findings reveal that academic deficits, exacerbated by discrimination and stereotypes linked to their North Korean identity, result in a disparity between their legal citizenship and school participation. In response, North Korean refugee students adopt a strategy of ‘being one of them,’ leveraging ethnic homogeneity to facilitate interactions with their South Korean peers. These interactions enable the formation of supportive networks and foster the development of an inter-Korean identity reflective of both Koreas. The study underscores the critical role of multicultural education in achieving educational equality for North Korean refugee students and advocates for social bridging programs that acknowledge and embrace the differences of refugees. Despite being granted citizenship, they continue to be treated as outsiders within South Korean society.

Artistic Living for the Elderly of Shanghai

Over-60 seniors in Shanghai have at their disposal arts courses, community activities, and arts education, all geared toward their physical and mental well-being, according to the traditional Chinese theory of “artistic living.” If current university programs for the elderly accurately identify the artistic needs of the elderly, further individualizing curricula and holding more varied events at community centers, it would help to solve elderly people’s anxieties around loneliness and social marginalization, while allowing them to live in harmony with nature.

HCV testing and linkage to care for hepatitis C virus infection for marginalized drug user populations attending a harm reduction service in Bologna, Italy.

Our aim was to estimate the prevalence of HCV in a highly vulnerable population of substance users living with social difficulties and marginality who came into contact with the mobile harm reduction service in the city of Bologna (Northern Italy). Testing was offered in a van (mobile unit) by using a point-of-care HCV antibody test. For the HCV RNA test, the Xpert HCV Viral Load Fingerstick Test was used. Participants with a detectable HCV RNA were accompanied within two weeks to the Infectious Diseases Department Sant' Orsola Hospital Bologna to start HCV treatment. With regard to the main study findings, 54% reported having never been HCV tested before; a prevalence of HCV RNA of 6% among all participants and 22% among those injecting drugs was found; among the HCV RNA positive participants, 80% were accompanied to treatment. Our study suggests that mobile harm reduction services, in networks with healthcare facilities, are able to offer a continuous HCV screening service and linkage to care for people with drug use living in socially marginalized conditions.

From desperation to best practice: Spatial decision-making in the regeneration of Gyldenrisparken

Post-war social housing estates in Europe have been undergoing wide-scale regeneration to improve the physical decay of these sites and address the concentration of vulnerable residents in these areas, which has resulted in their social segregation, marginalisation and stigmatisation. As these estates cover and affect quite large public spaces, holistic approaches have recently been adopted. Bearing in mind that each regeneration case is unique, this paper describes the collaborative approach taken in the regeneration of Gyldenrisparken in Denmark, which evolved from a desperate situation to a best practice case. The paper focuses on the spatial decision-making process — in particular, how the architectural quality of physical interventions was established and how participatory mechanisms were utilised and developed to enable liveable spaces and sustainable regeneration. Making use of a combination of qualitative documentary analysis and in-depth interviews with key actors, this study encompasses the whole regeneration process, including initiatives taken by the housing association and municipal agents, the methodology developed to collect ideas and implement them in the physical design of the public spaces, and the social effort to make the whole process sustainable and the estates liveable. It concludes that post-war estates have the potential to secure their future by embracing physical and social efforts through proactive empowerment strategies and creating new spatial identities.

From desperation to best practice: Spatial decision-making in the regeneration of Gyldenrisparken

Post-war social housing estates in Europe have been undergoing wide-scale regeneration to improve the physical decay of these sites and address the concentration of vulnerable residents in these areas, which has resulted in their social segregation, marginalisation and stigmatisation. As these estates cover and affect quite large public spaces, holistic approaches have recently been adopted. Bearing in mind that each regeneration case is unique, this paper describes the collaborative approach taken in the regeneration of Gyldenrisparken in Denmark, which evolved from a desperate situation to a best practice case. The paper focuses on the spatial decision-making process — in particular, how the architectural quality of physical interventions was established and how participatory mechanisms were utilised and developed to enable liveable spaces and sustainable regeneration. Making use of a combination of qualitative documentary analysis and in-depth interviews with key actors, this study encompasses the whole regeneration process, including initiatives taken by the housing association and municipal agents, the methodology developed to collect ideas and implement them in the physical design of the public spaces, and the social effort to make the whole process sustainable and the estates liveable. It concludes that post-war estates have the potential to secure their future by embracing physical and social efforts through proactive empowerment strategies and creating new spatial identities.

Breaking boundaries: children activist as epistemic agents within contours of epistemic marginalisation

The article delves into the realm of child environmental activism, portraying it as a concerted response aimed at challenging the prevailing social and political status quo, which systematically underestimates the role of children in decision-making within political and social spheres. It highlights the paramount importance of the epistemological framework that encompasses children's experiences, emphasising how their exclusion from political and social discourse leads to epistemic marginalisation. This exclusion not only prevents children from assuming the role of epistemic agents but also deprives them of agency and perpetuates existing inequalities. From a philosophical perspective, the article proposes a thorough analysis of children's epistemic agency, introducing the concept of 'epistemic capability'. It argues that, despite their social marginalisation, knowledgeable children can equip themselves with epistemic resources to interpret their reality and effect change. Furthermore, it posits that environmental activism plays a crucial role as an epistemic resource for children, facilitating the expression of their ideas, challenging dominant narratives, and addressing environmental and social issues head-on. The article emphasises the transformative potential of activism as an epistemic resource, enabling substantive participation and empowering children to navigate and transcend such marginalised circumstances. In conclusion, it highlights how child environmental activism not only challenges the status quo but also provides children with crucial tools for their development as epistemic and social agents, promoting significant change in power dynamics and in the fight for social and environmental justice.

Negotiating difficult (in)tangible heritage: the intricate journey of museum making for the “Dai-ichi Saloon” comfort station in Shanghai

ABSTRACT The heritage of comfort women has always remained on the periphery of authoritative heritage, classified as a “difficult heritage,” facing a predicament of social marginalization, government concealment, and international controversy. This article addresses the negotiations, discussions, and compromises involved in the process of safeguarding the Dai-ichi Saloon, which is on the verge of becoming a museum. It is a priority for the most difficult heritage to be musealized, which is one of the most common methods of “normalizing” to ensure preservation and dissemination. The museumization of Dai-ichi Saloon has involved four stages, through which, scholars, residents, Shanghai citizens, and the government, as the four major stakeholders, have developed different understandings of the Dai-ichi Saloon as a difficult heritage. This article argues that the key reason for this misalignment lies in the misplaced sequence of actions among agencies during the “normalization” process. Through the intricate process of the museum making for Dai-ichi Saloon, this article aims to offer lessons for the museum’s approach to the normalization of difficult heritage.

Antitrans Policy Environment and Depression and Anxiety Symptoms in Transgender and Nonbinary Adults

With the increasing legislation restricting health care access for transgender and nonbinary (trans) populations in recent years, there has been limited research on how awareness of and concerns about legislative restrictions and protections influence mental health outcomes. To examine whether awareness of and concerns about the current policy environment regarding trans individuals are associated with depression and anxiety symptoms among trans adults. This study uses cross-sectional data collected between March and April 2023 from the Washington Priority Assessment in Trans Health (PATH) Project, an online study designed by, with, and for trans communities. All participants were trans adults, aged 18 years or older, living in Washington state. Awareness and concerns about the antitrans policy environment. The primary outcomes were depression and anxiety symptoms, assessed via the Patient Health Questionnaire-4. A series of multivariable regression models was used to assess the association between awareness and concerns about the antitrans policy environment and depression and anxiety symptoms. Models were adjusted for covariates, including demographics, social marginalization, and health care experiences. A total of 797 participants (653 women [81.93%]; 455 aged 18-29 years [57.09%]) were included. The majority screened positive for current depression (689 individuals [86.45%]) and anxiety (686 individuals [86.07%]) symptoms. Trans individuals who were concerned or worried about their rights being taken away (vs not) had significantly higher odds of current depression symptoms (adjusted odds ratio [aOR], 1.66; 95% CI, 1.08-2.54), as well as current anxiety symptoms (aOR, 2.67; 95% CI, 1.63-4.36). Those who knew (vs did not know) about state-level protective legislation had significantly lower odds of current depression symptoms (aOR, 0.44; 95% CI, 0.28-0.67), as well as current anxiety symptoms (aOR, 0.11; 95% CI, 0.04-0.25). When examining interaction effect estimates, trans individuals who correctly knew about the protective policies and were not worried about having their rights taken away reported the lowest odds of depression and anxiety. The findings of this cross-sectional study are consistent with research elucidating the negative mental health consequences of policies limiting health care access and provide insights into informing policies and interventions that target trans populations' worsened mental health outcomes as a result of antitrans legislation.

Fair space for life: A dynamic care monitor working up to growth and flourishing for all.

Mental health disparities persistently cause inequity and social exclusion. Extensive research underpins the need to embrace the social determinants of health and facilitate network learning at various ecosystem levels. Despite valuable quality frameworks and ratified conventions, local practices which counter health inequity are scarce. The Dutch HOP-TR study collected health and needs of Homeless Service Users (HSU) in a rights-based, transdiagnostic, recovery framework. We assessed the survival modes and conducted a socio-ecological analysis, exploring what happened in care pathways at three ecosystem levels: individual HSU, caregiver networks, society. While documenting vital conditions for growth and citizenship, we explore major opportunities to develop 'fair space for life'. Under low distress levels, prosocial behavior is prominent (32.9%). High distress levels are found with an avoidant (42.0%) or aggressive mode (24.9%). Rising distress levels give more frictions in relations, psychiatric admissions, and police-justice contacts. The distress-induced descent in the social hierarchy causes social withdrawal, alienation, and marginalization. At society level, fair conditions for growth and citizenship are challenged by the cumulative impact of distress over the HSU' lives. This care monitor uncovers the impact of distress on caregiver interactions. The care pathways reveal that the survival strategies reflect a systematic, pervasive neglect. Unfair representations hold HSU personally responsible of their situation, disregarding the cumulative impact of environmental conditions over their lives. The diverse sources of unfairness are intrinsic to the health care system and culture. Therefore, the survival modes ask for profound culture transformations in a whole-system-whole-society approach. Given the need for action on health equity and the social determinants of health, this paper provides an example of a dynamic care monitor. The actionable data elicit dialogs and stimulate to enrich opportunities for inclusion and growth in communities and societies.

Studying Chinese, studying in Chinese and studying with the Chinese: international students’ experiences and identity construction in Chinese-medium instruction (CMI) programs

ABSTRACT While extensive studies have been devoted to English-medium instruction (EMI) in the internationalisation of higher education, only a few studies have investigated the language-related experiences and perceptions of international students in non-Anglophone contexts where the local/national language(s) serve as a medium of instruction for academic purposes. Given that Chinese universities have adopted a strong Chinese-medium instruction (CMI) initiative for international students in the past decade, this article makes a critical analysis of interviews with 48 African students to uncover CMI implementation in Chinese universities. The findings reveal that the students generally held positive attitudes towards the top-down CMI policy being implemented, despite the challenges encountered. However, the uncritical curriculum ‘Sinicisation’ also raised concerns about Chinese-only practices, the absence of appropriate learning materials and testing regimes, a lack of institutional support for using Chinese as an academic lingua franca, epistemic and social marginalisation of international students. As such, the article presents a complex interplay of language attitudes, language practices and identity construction in CMI programs, highlighting a hiatus between policy intentions and actual practices in classrooms. I conclude the article with recommendations for policymakers and future research on CMI policies and practices in China.

A Sonic Vaccine for a White-Collar Disease

Abstract Members of the Matua religion, a displaced Dalit community from Bengal, believe that the coronavirus can affect only the upper-caste/class layers of society, those who sit in air-conditioned offices and live in the big cities. Matua devotees, on the other hand, are predominantly part of an agriculturist community inhabiting multiple fringes: the borderlands of India and Bangladesh, the peripheries of unorthodox Vaishnavism, and the social margins of untouchability. Conducting remote ethnography with Matua participants based in West Bengal, Bangladesh, and the Andamans, one comes across insistent narratives of immunity and recurrent interpretations of the pandemic that fit into the onto-cosmology and sociocultural imagination of the Matua religious movement. I discuss these as dissident tales of immunity that describe COVID-19 as an urban-based white-collar disease. Matua practitioners successfully prevent it through a sonic vaccine – the practice of kīrtan – and a kind of power (śakti) accumulated through physical agricultural labor.

Social, economic, and physical side effects impact PrEP uptake and persistence among transgender women in Peru

IntroductionOral pre-exposure prophylaxis (PrEP) for HIV-1 infection is over 99% effective in protecting against HIV acquisition when used consistently and appropriately. However, PrEP uptake and persistent use remains suboptimal, with a substantial gap in utilization among key populations who could most benefit from PrEP. In Latin America specifically, there is poor understanding of barriers to PrEP uptake and persistence among transgender (trans) women.MethodsIn April-May 2018, we conducted qualitative interviews lasting 25–45 min as part of an end-of-project evaluation of TransPrEP, a pilot RCT that examined the impact of a social network-based peer support intervention on PrEP adherence among trans women in Lima, Peru. Participants in the qualitative evaluation, all adult trans women, included individuals who either (1) screened eligible to participate in the TransPrEP pilot, but opted not to enroll (n = 8), (2) enrolled, but later withdrew (n = 6), (3) were still actively enrolled at the time of interview and/or successfully completed the study (n = 16), or (4) were study staff (n = 4). Interviews were audio recorded and transcribed verbatim. Codebook development followed an immersion/crystallization approach, and coding was completed using Dedoose.ResultsEvaluation participants had a mean age of 28.2 years (range 19–47). When describing experiences taking PrEP, participant narratives highlighted side effects that spanned three domains: physical side effects, such as prolonged symptoms of gastrointestinal distress or somnolence; economic challenges, including lost income due to inability to work; and social concerns, including interpersonal conflicts due to HIV-related stigma. Participants described PrEP use within a broader context of social and economic marginalization, with a focus on daily survival, and how PrEP side effects negatively contributed to these stressors. Persistence was, in some cases, supported through the intervention’s educational workshops.ConclusionThis research highlights the ways that physical, economic, and social side effects of PrEP can impact acceptability and persistence among trans women in Peru, amplifying and layering onto existing stressors including economic precarity. Understanding the unique experiences of trans women taking PrEP is crucial to informing tailored interventions to improve uptake and persistence.

Vocational Experiences of Korean Women With a High School Diploma: Insights into Work Precarity and Social Marginalization

A college education is a means to achieve upward social mobility and secure decent employment. Yet, college education tends to be accessible for families already part of privileged groups, such as those with financial resources. With attention to systemic oppression and varying degrees of access to education and employment, this study aims to describe the experiences of job-seeking and working among Korean women with a high school diploma as their highest educational attainment. The psychology of working theory, the work precarity framework, and intersectionality informed the study, exploring interview data from 13 Korean women. Findings from the reflective thematic analysis show that struggles in seeking and maintaining employment among the participants were particularly exacerbated by mistreatment, harassment, and disrespect due to having neither college degrees nor male privilege. Participants’ experiences with economic deprivation, lack of societal support and respect, and precarious work conditions led to psychological, social, and physical pain that went neglected. As they confront barriers to employment and undesirable work conditions, they affirm themselves and express the hope that the work society should better meet their fundamental needs as humans. Future research directions and practical implications are discussed.