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Breaking the Silence: Unveiling Microaggressions and Cultivating Support for Women's Stigmatized Health Care
Breaking the Silence: Unveiling Microaggressions and Cultivating Support for Women's Stigm...
Breaking the Silence: Unveiling Microaggressions and Cultivating Support for Women's Stigmatized Health Care

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자료유형  
 학위논문 서양
최종처리일시  
20260202103621
ISBN  
9798288835391
DDC  
020
저자명  
Ryu, Hyeyoung.
서명/저자  
Breaking the Silence: Unveiling Microaggressions and Cultivating Support for Womens Stigmatized Health Care
발행사항  
[Sl] : University of Washington, 2025
발행사항  
Ann Arbor : ProQuest Dissertations & Theses, 2025
형태사항  
227 p
주기사항  
Source: Dissertations Abstracts International, Volume: 87-01, Section: B.
주기사항  
Advisor: Pratt, Wanda.
학위논문주기  
Thesis (Ph.D.)--University of Washington, 2025.
초록/해제  
요약Stigma surrounding sexual and reproductive health often silences women, limiting their access to essential care. Fear of social judgment deters many from seeking treatment for conditions like sexually transmitted infections, or even non-sexually transmitted conditions such as cervical cancer, as discussing these topics remains taboo. In South Korea, despite government efforts to promote sexual and reproductive health (SRH) care and shifts in sociocultural beliefs to decouple female sexuality from marriage, cultural norms continue to discourage unmarried women from seeking SRH care. This has resulted in significantly higher cervical cancer rates among Korean women compared to other populations and put them at high risk for severe health complications, including pelvic inflammatory disease, ectopic pregnancies, and infertility. Through my dissertation research, I aimed to empower and protect women seeking support on these culturally taboo topics while raising community awareness and building strategies to prevent the inadvertent perpetuation of harmful microaggressions. Ultimately, I sought to foster resilience and safety within these communities.In alignment with this goal, my research makes four contributions. First, I uncovered microaggressions as a primary barrier to accessing SRH care for unmarried Korean women, a contributor to health disparities that has received little attention in prior research. I identified how these microaggressions occur, who perpetrates them, and how emotional proximity shapes their harm. To explain these dynamics, I developed a framework illustrating how even well-meaning allies can become covert agents of stigma, reframing how microaggressions are understood in stigmatized healthcare contexts.Second, I introduced culturally sensitive strategies to counteract microaggressions, co-developed with unmarried Korean women. These strategies emphasized reflection, empathy, and education over punishment, aligning with cultural values such as emotional restraint and not burdening others, and offering a constructive alternative to punitive approaches.Third, I designed an anonymous online space using the Asynchronous Remote Communities (ARC) method that fostered mutual support and deep reflection among unmarried Korean women. This space enabled participants to safely discuss stigmatized health topics and reflect on in-group microaggressions, which are rarely addressed in existing research. Based on this study, I offer design insights for creating culturally sensitive and emotionally safe online spaces, emphasizing the importance of rapport-building, sequenced activities, and expanded evaluation criteria. These design choices supported meaningful engagement and led to real-world changes, including increased care-seeking and more open conversations. This work extends ARC beyond data collection to inform the design of empowering digital spaces for stigmatized communities.Finally, I examined the limitations and unintended harms of generative artificial intelligence in producing counterspeech for culturally stigmatized health contexts. Current AI-generated responses often fail to recognize cultural nuance, validate the experiences of those targeted, or challenge the structural context of stigma. In response, I proposed a culturally sensitive framework for improving counterspeech generation that embeds cultural sensitivity, affirms users' perspectives, and accounts for social and structural factors shaping stigma.Together, these contributions offer new directions for designing inclusive technologies and support systems that reduce stigma, challenge harmful norms, and promote culturally sensitive care. By reimagining how communities and technologies can respond to microaggressions, this work helps create a future where individuals navigating stigmatized health concerns feel seen, supported, and empowered to seek the care they deserve.
일반주제명  
Information science
일반주제명  
Web studies
일반주제명  
Womens studies
키워드  
Asynchronous remote communities
키워드  
Microaggression
키워드  
Sexual and reproductive health
키워드  
Stigmatized health
키워드  
Women's health
기타저자  
University of Washington Information School
기본자료저록  
Dissertations Abstracts International. 87-01B.
전자적 위치 및 접속  
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MARC

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■1001  ▼aRyu,  Hyeyoung.
■24510▼aBreaking  the  Silence:  Unveiling  Microaggressions  and  Cultivating  Support  for  Women's  Stigmatized  Health  Care
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■500    ▼aSource:  Dissertations  Abstracts  International,  Volume:  87-01,  Section:  B.
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■5021  ▼aThesis  (Ph.D.)--University  of  Washington,  2025.
■520    ▼aStigma  surrounding  sexual  and  reproductive  health  often  silences  women,  limiting  their  access  to  essential  care.  Fear  of  social  judgment  deters  many  from  seeking  treatment  for  conditions  like  sexually  transmitted  infections,  or  even  non-sexually  transmitted  conditions  such  as  cervical  cancer,  as  discussing  these  topics  remains  taboo.  In  South  Korea,  despite  government  efforts  to  promote  sexual  and  reproductive  health  (SRH)  care  and  shifts  in  sociocultural  beliefs  to  decouple  female  sexuality  from  marriage,  cultural  norms  continue  to  discourage  unmarried  women  from  seeking  SRH  care.  This  has  resulted  in  significantly  higher  cervical  cancer  rates  among  Korean  women  compared  to  other  populations  and  put  them  at  high  risk  for  severe  health  complications,  including  pelvic  inflammatory  disease,  ectopic  pregnancies,  and  infertility.  Through  my  dissertation  research,  I  aimed  to  empower  and  protect  women  seeking  support  on  these  culturally  taboo  topics  while  raising  community  awareness  and  building  strategies  to  prevent  the  inadvertent  perpetuation  of  harmful  microaggressions.  Ultimately,  I  sought  to  foster  resilience  and  safety  within  these  communities.In  alignment  with  this  goal,  my  research  makes  four  contributions.  First,  I  uncovered  microaggressions  as  a  primary  barrier  to  accessing  SRH  care  for  unmarried  Korean  women,  a  contributor  to  health  disparities  that  has  received  little  attention  in  prior  research.  I  identified  how  these  microaggressions  occur,  who  perpetrates  them,  and  how  emotional  proximity  shapes  their  harm.  To  explain  these  dynamics,  I  developed  a  framework  illustrating  how  even  well-meaning  allies  can  become  covert  agents  of  stigma,  reframing  how  microaggressions  are  understood  in  stigmatized  healthcare  contexts.Second,  I  introduced  culturally  sensitive  strategies  to  counteract  microaggressions,  co-developed  with  unmarried  Korean  women.  These  strategies  emphasized  reflection,  empathy,  and  education  over  punishment,  aligning  with  cultural  values  such  as  emotional  restraint  and  not  burdening  others,  and  offering  a  constructive  alternative  to  punitive  approaches.Third,  I  designed  an  anonymous  online  space  using  the  Asynchronous  Remote  Communities  (ARC)  method  that  fostered  mutual  support  and  deep  reflection  among  unmarried  Korean  women.  This  space  enabled  participants  to  safely  discuss  stigmatized  health  topics  and  reflect  on  in-group  microaggressions,  which  are  rarely  addressed  in  existing  research.  Based  on  this  study,  I  offer  design  insights  for  creating  culturally  sensitive  and  emotionally  safe  online  spaces,  emphasizing  the  importance  of  rapport-building,  sequenced  activities,  and  expanded  evaluation  criteria.  These  design  choices  supported  meaningful  engagement  and  led  to  real-world  changes,  including  increased  care-seeking  and  more  open  conversations.  This  work  extends  ARC  beyond  data  collection  to  inform  the  design  of  empowering  digital  spaces  for  stigmatized  communities.Finally,  I  examined  the  limitations  and  unintended  harms  of  generative  artificial  intelligence  in  producing  counterspeech  for  culturally  stigmatized  health  contexts.  Current  AI-generated  responses  often  fail  to  recognize  cultural  nuance,  validate  the  experiences  of  those  targeted,  or  challenge  the  structural  context  of  stigma.  In  response,  I  proposed  a  culturally  sensitive  framework  for  improving  counterspeech  generation  that  embeds  cultural  sensitivity,  affirms  users'  perspectives,  and  accounts  for  social  and  structural  factors  shaping  stigma.Together,  these  contributions  offer  new  directions  for  designing  inclusive  technologies  and  support  systems  that  reduce  stigma,  challenge  harmful  norms,  and  promote  culturally  sensitive  care.  By  reimagining  how  communities  and  technologies  can  respond  to  microaggressions,  this  work  helps  create  a  future  where  individuals  navigating  stigmatized  health  concerns  feel  seen,  supported,  and  empowered  to  seek  the  care  they  deserve.
■590    ▼aSchool  code:  0250.
■650  4▼aInformation  science
■650  4▼aWeb  studies
■650  4▼aWomens  studies
■653    ▼aAsynchronous  remote  communities
■653    ▼aMicroaggression
■653    ▼aSexual  and  reproductive  health
■653    ▼aStigmatized  health
■653    ▼aWomen's  health
■690    ▼a0723
■690    ▼a0453
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■690    ▼a0769
■71020▼aUniversity  of  Washington▼bInformation  School.
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■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T17357946▼nKERIS▼z이  자료의  원문은  한국교육학술정보원에서  제공합니다.

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