Item Details

Assumptions about culture in discourse on ethnic minority health

Issue: Vol 10 No. 2 (2013)

Journal: Communication & Medicine

Subject Areas: Healthcare Communication Linguistics

DOI: 10.1558/cam.v10i2.141

Abstract:

This paper is interested in the way the concept of culture is deployed in documents aimed at investigating, informing on and promoting aspects of ethnic minority health. Within a health-political discourse focusing increasingly on individual lifestyles, ethnic minority health became subject to increased political and professional interest in the last decades of the twentieth and the first decade of the twenty-first century. Analysis of the discourse on ethnic minority health emerging in five texts addressing health professionals shows that the culture of ethnic minority citizens is primarily seen as contributing to low levels of knowledge about health and to adverse health behavior. Thus, the texts present cultural beliefs and practices as contributing to the high prevalence of lifestyle diseases among ethnic minority population groups. The analysis, however, demonstrates that a more nuanced discourse is evolving, taking the complexity of the culture concept into account. In accordance with Danish health-political priorities, the most recent text analyzed in this study promotes an individualistic approach to both ethnic minority and Danish ethnic majority citizens.

Author: Kirsten Jaeger

View Original Web Page

References :

Arribas-Ayllon, M. and Walkerdine, V. (2008) Foucauldian Discourse Analysis. In C. Willig and W. Stainton-Rogers (eds) The SAGE Handbook of Qualitative Research in Psychology, 91–109. Los Angeles: Sage.
Berbyuk-Lindström, N. (2008) Intercultural Communication in Health Care: Non-Swedish Physicians in Sweden. Gothenburg: University of Gothenburg.
Blas, E. and Kurup, A. S. (eds) (2010) Equity, Social Determinants and Public Health Programmes. Geneva: WHO Press.
Brannigan, M. C. (2012) Cultural Fault Lines in Healthcare: Reflections on Cultural Competency. Plymouth: Lexington Books.
Breinholdt, M. (2007) Sundhedsprofessionelle i en multikulturel verden [Health Professionals in a Multicultural World]. Copenhagen: The Danish Board of Health.
Briggs, C. L. (2003) Why nation-states and journalists can’t teach people to be healthy: Power and pragmatic miscalculation in public discourses on health. Medical Anthropology Quarterly 17 (3): 287–321. http://dx.doi.org/10.1525/maq.2003.17.3.287
Diaz-Bone, R., Bührmann, A. D., Gutiérrez Rodríguez, E., Schneider, W., Kendall, G. and Tirado, F. (2008) The field of Foucaultian Discourse Analysis: Structures, developments and perspectives. Historical Social Research 33 (1): 7–28.
Egede, L. E. and Dagogo-Jack, S. (2005) Epidemiology of type 2 diabetes: Focus on ethnic minorities. The Medical Clinics of North America 89 (5): 949–975. http://dx.doi.org/10.1016/j.mcna.2005.03.004
El-Sayed, A. M., Scarborough, P. and Galea, S. (2011) Ethnic inequalities in obesity among children and adults in the UK: A systematic review of the literature. Obesity Reviews 12 (5): 516–534. http://dx.doi.org/10.1111/j.1467-789X.2010.00829.x
Fage-Butler, A. M. (2011) The discursive construction of risk and trust in patient information leaflets. Hermes: Journal of Language and Communication Studies 46: 61–76.
Folmann, N. and Jørgensen, T. (2006) Etniske minoriteter: Sygdom og brug af sundhedsvæsenet [Ethnic Minorities and Use of the Healthcare System]. Copenhagen: The Danish Board of Health.
Foucault, M. (1980 [1977]) Two lectures. In Power/Knowledge: Selected Interviews and Other Writings, 1972–1977, 78–108. Ed. and Trans. C. Gordon. Brighton: Harvester Press.
Foucault, M. (2002 [1972]) The Archaeology of Knowledge. London: Routledge.
Fredsted Villadsen, S., Mortensen, L. and Nybo Andersen, A. (2009) Ethnic disparity in stillbirth and infant mortality. Journal of Epidemiology and Community Health 63: 106–112.
Graham, L. J. (2011) The product of text and ‘other’ statements: Discourse analysis and the critical use of Foucault. Educational Philosophy and Theory 43 (6): 663–674. http://dx.doi.org/10.1111/j.1469-5812.2010.00698.x
Hansen, L. and Hedegaard, R. (2002) Kan små børn se og høre? [Are infants able to see and hear?] Sygeplejersken [The Nurse] (24).
Hemminki, E. (2009) Perinatal health in the Nordic countries. Current challenges. Scandinavian Journal of Public Health 37: 671–673. http://dx.doi.org/10.1177/1403494809346096
Henriksson, G., Kildsgaard, L., Kronborg, T., Rasch, V. and Samuelsen, H. (2005) Viden og Forandring: En kvalitativ undersøgelse af flygtning og indvandreres viden, holdninger og erfaringer med prevention og reproduktiv sundhed samt brug af sundhedstilbud [Knowledge and change: A Qualitative Study of the Knowledge, Attitudes and Experience of Birth Control and Reproductive Health among Refugees and Immigrants and their Use of Health Services]. Copenhagen: The Danish Board of Health.
Jäger, S. and Maier, F. (2009) Theoretical and methodological aspects of Foucauldian critical discourse analysis and dispositive analysis. In R. Wodak and M. Meyer (eds) Methods of Critical Discourse Analysis, 34–64. London: Sage.
Jørgensen, T., Mortensen, L. and Nybo Andersen, A. M. (2008) Social inequality in fetal and perinatal mortality in the Nordic countries. Scandinavian Journal of Public Health 36 (6): 635–649. http://dx.doi.org/10.1177/1403494808089653
Kendall, G. and Wickham, G. (1999) Using Foucault’s Methods. London: Sage Publications.
Kristensen, N. (2001). Dansk livsstil giver indvandrerne diabetes [Danish lifestyle causes diabetes among immigrants]. Sygeplejersken [The Nurse] (44).
Kurian, A. K. and Cardarelli, K. M. (2007) Racial and ethnic differences in cardiovascular disease risk factors: A systematic review. Ethnicity and Disease 17 (1): 143–152.
Larsen, L. T. (2011) The birth of lifestyle politics: The biopolitical management of lifestyle diseases in the United States and in Denmark. In U. Bröckling, S. Krasmann and T. Lemke (eds) Governmentality. Current Issues and Future Challenges, 201–224. New York: Routledge.
Mallinson, C. and Kendall, T. (2013) Interdisciplinary approaches. In R. Bayley, R. Cameron and C. Lucas (eds) The Oxford Handbook of Sociolinguistics, 153–171. New York: Oxford University Press.
Nielsen, B. and Birkelund, R. (2009) Minority ethnic patients in the Danish healthcare system – A qualitative study of nurses’ experiences when meeting ethnic patients. Scandinavian Journal of Caring Sciences 23 (3): 431–437. http://dx.doi.org/10.1111/j.1471-6712.2008.00636.x
Rutkær, K. (2007) Inddrag etniske minoriteters sundhedsopfattelse i vejledningen [Include ethnic minorities’ health concepts in counseling]. Sygeplejersken [The Nurse] (20).
Scheurich, J. J. and McKenzie, K. B. (2008) Foucault’s methodologies: Archaeology and genealogy. In N. K. Denzin and Y. S. Lincoln (eds) Collecting and Interpreting Qualitative Materials, 313–350. Los Angeles: Sage.
Schouten, B., Meeuwesen, L. and Harmsen, H. A. M. (2009) GPs’ interactional styles in consultations with Dutch and ethnic minority patients. Journal of Immigrant and Minority Health 11 (6): 468–475. http://dx.doi.org/10.1007/s10903-008-9131-9
Singhammer, J. (2008) Etniske minoriteters sundhed [Ethnic minority health]. Copenhagen: Center of Public Health.
Soyland, A. J. and Kendall, G. (1998) Abusing Foucault: Methodology, critique and subversion. History and Philosophy of Psychology Newsletter 25: 9–17.
Van Dijk, T. A. (2005) Racism and Discourse in Spain and Latin America. Amsterdam: John Benjamins Publishing Company. http://dx.doi.org/10.1075/dapsac.14
Wickham, G. and Kendall, G. (2008) Critical Discourse Analysis – description, explanation, causes: Foucault’s inspiration versus Weber’s perspiration. Historical Social Research 33 (1): 141–161.