A tale of two diseases: Discourses on TB, HIV/AIDS and im/migrants and ethnic minorities in the United Kingdom

Scott, Penelope; Unger, Hella von; Odukoya, Dennis

doi:10.1057/s41285-017-0026-5

Cited by 8 publications

(8 citation statements)

References 35 publications

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“…Compared to language barriers, racism, along with ethnocentrism, have been found to affect racial and ethnic minority MSMLWH in more profound ways. In addition to affecting their sexual health in similar ways that language barriers have [50], research has documented that racism and ethnocentrism have adversely affected health reporting on the HIV care and treatment of racial and ethnic minority MSMLWH [51], their perceptions of HIV risk and personal beliefs on HIV/AIDS [52,53], and the impact of HIV prevention strategies that they have successfully adopted [54].…”

Section: Discussionmentioning

confidence: 99%

Barriers and Facilitators to Promoting Resilience to HIV/AIDS: A Qualitative Study on the Lived Experiences of HIV-Positive, Racial and Ethnic Minority, Middle-Aged and Older Men Who Have Sex with Men from Ontario, Canada

Liboro

Bell

Ranuschio

et al. 2021

IJERPH

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Evidence-based research has highlighted the need for exploring factors that support the mental health of men who have sex with men living with HIV/AIDS (MSMLWH), and environmental influences that promote their resilience to HIV/AIDS. This exploratory study utilized a community-based participatory research approach to investigate barriers and facilitators to promoting resilience to HIV/AIDS, specifically among racial and ethnic minority, middle-aged and older MSMLWH, a population that continues to be significantly impacted by HIV/AIDS today. This collaborative, qualitative study recruited participants who identified as racial or ethnic minority MSMLWH, were aged 40 or older, and resided in Ontario, Canada. Participants (n = 24) discussed in their interviews barriers and facilitators to promoting resilience to HIV/AIDS, which they recognized from their lived experiences. Utilizing thematic analysis, themes related to barriers and facilitators to promoting resilience to HIV/AIDS were identified. Themes related to identified barriers included: (1) language proficiency, (2) racism, (3) pernicious norms in North American gay culture, and (4) HIV stigma. Themes related to identified facilitators included: (1) compartmentalization, (2) perseverance, and (3) community-based health and social services. This article discusses the implications of the study’s findings, particularly on how they may influence the development of future services for racial and ethnic minority, middle-aged and older MSMLWH.

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Section: Discussionmentioning

confidence: 99%

Barriers and Facilitators to Promoting Resilience to HIV/AIDS: A Qualitative Study on the Lived Experiences of HIV-Positive, Racial and Ethnic Minority, Middle-Aged and Older Men Who Have Sex with Men from Ontario, Canada

Liboro

Bell

Ranuschio

et al. 2021

IJERPH

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“…While substantial evidence existed that most 'Commonwealth immigrants' were healthy, and that migrant enclaves served to limit the spread of TB, thereby mitigating the risk from 'imported disease' (Bivins, 2015), an examination of the epidemiological discourse in the post-war period and over the ensuing half-century reveals the continual deployment of risk in interpretive frames attributing danger to specific categorised groups. Although this power effect of categorisation practices is not unique to TB, when compared to other communicable diseases such as HIV/AIDS, it is particularly evident in TB discourses that tend to involve more medical/scientific actors and fewer community-based actors despite the shift to 'new' public health approaches emphasising empowerment and community participation (Scott, von Unger, and Odukoya, 2017).…”

Section: Discussionmentioning

confidence: 99%

Discourses on im/migrants, ethnic minorities, and infectious disease: Fifty years of tuberculosis reporting in the United Kingdom

Scott

Unger

2021

History of the Human Sciences

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Ethnicity and im/migrant classification systems and their constituent categories have a long history in the construction of public health knowledge on tuberculosis in the United Kingdom. This article critically examines the categories employed and the epidemiological discourses on TB, im/migrants, and ethnic minorities in health reporting between 1965 and 2015. We employ a Sociology of Knowledge Approach to Discourse Analysis to trace the continuities and changes in the categories used and in the discursive construction of im/migrants, ethnic minorities, and TB. These continuities and disjunctures are analysed within their socio-historical context to demonstrate the historical contingency of epidemiological knowledge production. We outline two historical phases in knowledge construction. The first coincides with the period of decolonisation, which witnessed a change in discursive identity ascriptions from ‘immigrants’ to ‘ethnic groups’ in health reporting as the ‘other’. The second commenced after 1991, when the adoption of the census ethnicity categories as a standard in the collection of population statistics entrenched ethnicity categories in health reporting. We argue the health reporting discourse reveals that the ‘new’ public health exhibits continuities with the ‘old’ by targeting the immigrant ‘other’ through biosecuritisation practices. We contend that these categories originated within a postcolonial paradigm and that increasing immigration and new forms of mobility are creating the preconditions for new discourses on identity construction that have implications for the current collaborative TB strategy.

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“…creates these groups in a discourse dominated by interpretive frames connoting danger and fear. This power effect of categorization practices is not specific to TB, but is particularly strong in TB discourses which tend to involve less community stakeholders (and more medical stakeholders in strong speaker positions) as compared for example to other communicable diseases such as HIV/AIDS (Scott et al., 2017).…”

Section: Discussionmentioning

confidence: 99%

Constructing im/migrants and ethnic minority groups as ‘carriers of disease’: Power effects of categorization practices in tuberculosis health reporting in the UK and Germany

2019

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Migration-and ethnicity-related categories are a core feature of public health systems internationally, particularly in health reporting on communicable infectious diseases. The specific categories and classifications used differ from country to country and are subject to controversy and change. The article compares categorization practices in health reporting in the UK and Germany with regard to tuberculosis. Tuberculosis has been framed as a 'migrants' disease' in recent decades and new categories were introduced to collect and report epidemiological data. We reconstruct the genesis, change and power effects of categories related to im/migrants and ethnic minority groups. In both countries, migration-related categorizations entail constructions of im/migrants as 'carriers of disease'. However, the categories also connect with discourses on human rights, prevention, treatment and care for migrants as vulnerable

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A tale of two diseases: Discourses on TB, HIV/AIDS and im/migrants and ethnic minorities in the United Kingdom

Cited by 8 publications

References 35 publications

Barriers and Facilitators to Promoting Resilience to HIV/AIDS: A Qualitative Study on the Lived Experiences of HIV-Positive, Racial and Ethnic Minority, Middle-Aged and Older Men Who Have Sex with Men from Ontario, Canada

Barriers and Facilitators to Promoting Resilience to HIV/AIDS: A Qualitative Study on the Lived Experiences of HIV-Positive, Racial and Ethnic Minority, Middle-Aged and Older Men Who Have Sex with Men from Ontario, Canada

Discourses on im/migrants, ethnic minorities, and infectious disease: Fifty years of tuberculosis reporting in the United Kingdom

Constructing im/migrants and ethnic minority groups as ‘carriers of disease’: Power effects of categorization practices in tuberculosis health reporting in the UK and Germany

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