+ It’s not just about gambling: towards a gendered understanding of gambling prevention in immigrant and refugee women Dr Regina Quiazon Dr Joyce Jiang Multicultural Centre for Women’s Health
+ About MCWH Improving the health and wellbeing of immigrant and refugee women Community-based, national focus Multilingual health education program (industry, community and prisons) Professional development National research and policy program and network 10,000+ multilingual library collection Why does MCWH continue to be relevant?
+ Where to begin?
+ The landscape and language of public health Challenges to scientific/biomedical models The goal: Empowerment through capacity building Voluntary participation (neoliberal underpinnings; governmentality perspective) How might this apply to an immigrant woman? (case study)
+ The concept of risk Most health communication involves risk Experts assess likelihood and magnitude of risk Individuals are forced to negotiate their own lives around risk and to rely on judgments about risk: understandings of a given risk takes on meaning through cultural practices The apparatus through which self-regulation occurs: external government becomes self-government Degree of choice but within structures of authority
+ Health promotion Health communication Knowledge-attitude-behaviour model limited The contest over the production of meaning is missing ‘Discourse’: a system of knowledge and practice representing social and material phenomena that shape individuals’ perceptions of reality and self Profound differences across class, gender, race, ethnicity, age and other variables in the ways people understand, interpret and respond to health risk Contextualised knowledge lacking in evaluation studies
+ Intersectionality : the MCWH approach to health promotion A heuristic tool Officially coined by Law Prof Kimberle Crenshaw (1989) Moves beyond single categories of analysis to consider interactions between different aspects of social identity, as well as the impact of systems and processes of oppression and domination Research, policy and programs need to be attuned to these interactions and what they reveal about power and hierarchies Gender + Race + or anything else = the wrong equation!
+ Diversity changes the equation A unique analysis of how different oppressions intersect based on different life realities, affiliations and experiences
+ Health education delivery: the MCWH model The woman-to-woman approach ‘Communicative democracy’ (Iris Marion Young) Lay criticism and comment just as important as expert opinion and knowledge Inter/active and productive dialogue: a better understanding of the management and communication of risk; of success and failure
+ Investigating the interplay
+ Working towards success ‘Culturalist’ perspective (a move away from knowledge- attitude-behaviour): what do and can people bring to the intervention? Intersectional approach: paying meaningful attention to diversity changes the questions being asked; the kind of data collected and how; and how it is disaggregated Culturally appropriate messaging Monitoring and evaluation : realistic, formative and long- term Dissemination for sustainability
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