Injury Recidivism, Structural Vulnerability, And Embodied Violence: Analyzing Social Patterns Of Fracture Occurrence And Surgical Intervention In A Modern Forensic Ct Sample From New Mexico
Emily Margaret Romdenne
University of West Florida Libraries
Master of Arts (MA), University of West Florida
2024
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Abstract
In inequitable societies, people with marginalized social identities may face violence,adverse health outcomes, and early death when structural violence becomes physically embodied. Structural vulnerability describes how people with certain identities can be at higher risks of experiencing structural violence due to social inequity that generally maps onto the axes
of social race, sex, and class (Quesada et al., 2011). This study explores how injury recidivism,
or recurrent injuries, illuminates the lived experiences of injury and violence, direct or indirect,
over the life course. When integrated with these theoretical frameworks, injury recidivism can
elucidate how sociocultural and economic inequities, along with the systems that reinforce them,
perpetuate further violence on vulnerable bodies as they attempt to heal. It was therefore
hypothesized that people with increased structural vulnerability experienced more injury
recidivism and fewer antemortem surgical interventions than those with greater social privilege.
To test these predictions, skeletal trauma data were collected from 339 anonymized
forensic decedent cases—authorized and contextualized by next-of-kin—curated by the New
Mexico Decedent Image Database (NMDID), a repository of CT imagery (Edgar et al., 2020).
Black, Hispanic, and Native American females generally had higher frequencies of injury
recidivism than their White counterparts, regardless of socioeconomic status (SES). Overall,
males had higher frequencies of injury recidivism than females, particularly males of low SES,
except for high-SES Native American males, who had the highest frequency at 52%. There was
some evidence of social privilege among high-SES White males, who had the second highest
frequency of surgical interventions. The hypothesized embodied effects of social marginalization
and structural vulnerability did not mirror a single axis of identity. This presents a strong
argument for how these identities come together to create a new positionality that cannot be explained by a single axis alone. Intersectionality theory encourages the holistic interpretation of
these findings as they reflect the lived experiences of people facing a continuum of violence
amidst the everyday realities of social inequity.
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Preprint Dissertation pre-print Open Access
Details
Title
Injury Recidivism, Structural Vulnerability, And Embodied Violence
Resource Type
Thesis
Contributors
Allysha P Winburn (Committee Chair)
Meredith G Marten (Committee Member)
Katherine A Miller Wolf (Committee Member)
Derek A Boyd (Committee Member)
Publisher
University of West Florida Libraries; Argo Scholar Commons