title: Burden of restraint, disablement, and ethnic identity: a case study of total joint replacement for osteoarthritis.
abstract: Health disparities in total joint replacement have been documented based on gender and ethnicity in multiple countries. Absent are studies exploring the meaning of the procedures among diverse women, which is necessary to fully understand the impact of the disparity. Drawing on ethnographic data from a life course exploration of disablement among Mexican American women with mobility impairments, one woman's reasons for forgoing a joint replacement are considered. It is suggested that inequalities in disablement cannot be understood without considering the multiple cultural conflicts and loyalties that push and pull women in multiple directions.
authors.affiliation: School of Nursing, University of Texas at Austin, Austin, Texas, USA. tharrison@mail.nur.utexas.edu
authors.forename: Tracie
authors.initials: T
authors.lastname: Harrison
mesh_terms: D000368:Aged; D000884:Anthropology, Cultural; D019643:Arthroplasty, Replacement; D006233:Persons with Disabilities; D005260:Female; D054625:Healthcare Disparities / Q000208:ethnology*; D006801:Humans; D007407:Interviews as Topic; D017058:Mexican Americans / Q000523:psychology*; D008875:Middle Aged; D010003:Osteoarthritis / Q000208:ethnology* / Q000601:surgery; D010342:Patient Acceptance of Health Care; D036301:Qualitative Research; D013781:Texas