{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,6]],"date-time":"2026-11-06T10:26:06Z","timestamp":1793960766462,"version":"4.8.0"},"reference-count":48,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2022,11,2]],"date-time":"2022-11-02T00:00:00Z","timestamp":1667347200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Boren Fellowship"},{"name":"Fulbright Research Award"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Community Health Equity Research &amp; Policy"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:p>Community Health Worker (CHW) home visits are central to primary care provision in S\u00e3o Paulo, Brazil. Yet CHWs receive little training prior to conducting these visits. In the neighborhood where I conducted ethnographic fieldwork, nearly half of patients were immigrants to Brazil, adding a layer of sociocultural and linguistic difference. I thus investigated how interactions between CHWs and patients unfolded and were shaped by cultural processes. Analyzing fieldnotes and interview data, I found that CHWs cherished relationships with older adult Portuguese-speaking patients, while expressing exasperation and even disgust with more recent immigrants and patients living with stigmatized health conditions. The cultural processes of recognition and stigma shaped CHWs\u2019 perceptions of and interactions with patients. I ground these analyses in the history of state-sponsored discourse linking immigrants with poor hygiene, concluding that home visits deserve greater scrutiny as a public health tool that may increase access to care at the expense of health equity.<\/jats:p>","DOI":"10.1177\/2752535x221137384","type":"journal-article","created":{"date-parts":[[2022,11,2]],"date-time":"2022-11-02T18:16:31Z","timestamp":1667412991000},"page":"303-313","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":14,"title":["Seeing Inside: How Stigma and Recognition Shape Community Health Worker Home Visits in S\u00e3o Paulo, Brazil"],"prefix":"10.1177","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1053-1158","authenticated-orcid":false,"given":"Emily S","family":"Pingel","sequence":"first","affiliation":[{"name":"Department of Sociology, Emory University, Atlanta, GA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,11,2]]},"reference":[{"key":"bibr1-2752535X221137384","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(08)61402-6"},{"key":"bibr2-2752535X221137384","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2016.07.019"},{"key":"bibr3-2752535X221137384","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.soc.32.082905.093959"},{"key":"bibr4-2752535X221137384","doi-asserted-by":"publisher","DOI":"10.1093\/ser\/mwu011"},{"key":"bibr5-2752535X221137384","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.publhealth.27.021405.102103"},{"key":"bibr6-2752535X221137384","volume-title":"Stigma, Discrimination and HIV\/AIDS in Latin America and the Caribbean","author":"Aggleton P","year":"2003"},{"key":"bibr7-2752535X221137384","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(06)68184-1"},{"key":"bibr8-2752535X221137384","volume-title":"Tempos cruzados: A sa\u00fade coletiva no estado de S\u00e3o Paulo, 1920-1980","author":"Mota A","year":"2020"},{"key":"bibr9-2752535X221137384","volume-title":"Navigating Life and Work in Old Republic S\u00e3o Paulo","author":"Ball MC","year":"2020"},{"key":"bibr10-2752535X221137384","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2014.301907"},{"key":"bibr11-2752535X221137384","doi-asserted-by":"publisher","DOI":"10.7208\/chicago\/9780226206868.001.0001"},{"key":"bibr12-2752535X221137384","doi-asserted-by":"publisher","DOI":"10.1177\/0049124114523396"},{"key":"bibr13-2752535X221137384","doi-asserted-by":"crossref","unstructured":"Rinaldo R, Guhin J. How and Why Interviews Work: Ethnographic Interviews and Meso-Level Public Culture. Sociological Methods & Research, 2019, p. 0049124119882471, https:\/\/doi.org\/10.31235\/osf.io\/87n34","DOI":"10.31235\/osf.io\/87n34"},{"key":"bibr14-2752535X221137384","doi-asserted-by":"publisher","DOI":"10.7208\/chicago\/9780226040998.001.0001"},{"key":"bibr15-2752535X221137384","volume-title":"Qualitative Research Methods","author":"Hennink M","year":"2020"},{"key":"bibr16-2752535X221137384","doi-asserted-by":"publisher","DOI":"10.7208\/chicago\/9780226180458.001.0001"},{"key":"bibr17-2752535X221137384","doi-asserted-by":"publisher","DOI":"10.5406\/illinois\/9780252040986.001.0001"},{"key":"bibr18-2752535X221137384","doi-asserted-by":"publisher","DOI":"10.1353\/cpr.0.0082"},{"key":"bibr19-2752535X221137384","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(18)30482-0"},{"key":"bibr20-2752535X221137384","doi-asserted-by":"publisher","DOI":"10.4025\/actascilangcult.v36i4.23169"},{"issue":"1","key":"bibr21-2752535X221137384","first-page":"e151","volume":"42","author":"Melo EA","year":"2018","journal-title":"Revista Panamericana de Salud Publica"},{"key":"bibr22-2752535X221137384","doi-asserted-by":"publisher","DOI":"10.1590\/S0104-12902009000100005"},{"key":"bibr23-2752535X221137384","doi-asserted-by":"publisher","DOI":"10.1590\/S1984-02922013000100004"},{"key":"bibr24-2752535X221137384","doi-asserted-by":"publisher","DOI":"10.1093\/heapol\/czx189"},{"key":"bibr25-2752535X221137384","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2011.12.025"},{"key":"bibr26-2752535X221137384","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2014.302411"},{"key":"bibr27-2752535X221137384","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2012.300649"},{"key":"bibr28-2752535X221137384","doi-asserted-by":"publisher","DOI":"10.1097\/JAC.0b013e31822cbdfd"},{"key":"bibr29-2752535X221137384","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp1501140"},{"key":"bibr30-2752535X221137384","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2007.06.028"},{"key":"bibr31-2752535X221137384","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6963-10-286"},{"key":"bibr32-2752535X221137384","doi-asserted-by":"publisher","DOI":"10.1007\/s10900-017-0369-9"},{"key":"bibr33-2752535X221137384","doi-asserted-by":"publisher","DOI":"10.1016\/j.apergo.2019.102944"},{"key":"bibr34-2752535X221137384","doi-asserted-by":"publisher","DOI":"10.1080\/09540121.2016.1195484"},{"key":"bibr35-2752535X221137384","doi-asserted-by":"publisher","DOI":"10.1080\/17441692.2014.941900"},{"key":"bibr36-2752535X221137384","doi-asserted-by":"publisher","DOI":"10.1177\/1049732319857059"},{"issue":"8","key":"bibr37-2752535X221137384","first-page":"465","volume":"10","author":"Kane S","year":"2021","journal-title":"International Journal of Health Policy and Management"},{"key":"bibr38-2752535X221137384","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2019.112551"},{"key":"bibr39-2752535X221137384","doi-asserted-by":"publisher","DOI":"10.1177\/1043659615592677"},{"key":"bibr40-2752535X221137384","doi-asserted-by":"publisher","DOI":"10.1353\/hpu.2010.0233"},{"key":"bibr41-2752535X221137384","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-030-51693-2_1"},{"key":"bibr42-2752535X221137384","doi-asserted-by":"crossref","first-page":"S441","DOI":"10.1590\/S0102-311X2003000800025","volume":"19","author":"Berqu\u00f3 E","year":"2003","journal-title":"Cadernos de saude publica"},{"key":"bibr43-2752535X221137384","doi-asserted-by":"publisher","DOI":"10.11606\/issn.2317-2762.v23i41p90-107"},{"key":"bibr44-2752535X221137384","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2018.304737"},{"issue":"1","key":"bibr45-2752535X221137384","first-page":"47","volume":"26","author":"Georges IPH","year":"2014","journal-title":"Tempo Social"},{"key":"bibr46-2752535X221137384","doi-asserted-by":"publisher","DOI":"10.1016\/j.cger.2008.10.005"},{"key":"bibr47-2752535X221137384","volume-title":"Carnavais, malandros e her\u00f3is: Para uma sociologia do dilema brasileiro","author":"Matta R","year":"1997"},{"issue":"1","key":"bibr48-2752535X221137384","volume":"10","author":"Santos EM","year":"2008","journal-title":"Revista Eletr\u00f4nica de Enfermagem"}],"container-title":["Community Health Equity Research &amp; Policy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2752535X221137384","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/2752535X221137384","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2752535X221137384","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T01:30:03Z","timestamp":1777599003000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/2752535X221137384"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,11,2]]},"references-count":48,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2024,4]]}},"alternative-id":["10.1177\/2752535X221137384"],"URL":"https:\/\/doi.org\/10.1177\/2752535x221137384","relation":{},"ISSN":["2752-535X","2752-5368"],"issn-type":[{"value":"2752-535X","type":"print"},{"value":"2752-5368","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,11,2]]}}}