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Session Overview
RN16_05a: Class, Gender and Ethnic Inequalities in Health
Thursday, 22/Aug/2019:
11:00am - 12:30pm

Session Chair: Trude Gjernes, Nord universitet
Location: UP.4.204
University of Manchester Building: University Place, Fourth Floor Oxford Road

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Ethnicity and Health Participation on Social Media: A Test and an Extension of Social Diversification Hypothesis

Dennis Rosenberg, Rita Mano, Gustavo Mesch

University of Haifa, Israel

Ethnic inequalities in both general and health-related use of the Internet gained an extensive academic attention in the last decade. These studies usually tested the social diversification hypothesis, according to which disadvantaged minorities in a given society use the Internet to a greater extent than the advantaged groups in order to improve their position in the social structure of the society. However, health-related use of a specific segment of the Internet, namely social media, has not been extensively studied in both general and ethnic perspectives. The goal of this study is twofold: to both understand the effect of ethnicity on health participation employing social diversification hypothesis, and extend it by considering size of locality of the disadvantaged minorities. The sample consisted of social media users (N=803). The dependent variables of the study are health-related activities on social media and social media sites in which these activities are performed. Using logistic regression analyses, the results provide partial support the social diversification hypothesis. In addition, it provides partial justification for including the size of locality into the hypothesis. The results imply that the disadvantaged minorities residing in small localities use social media for health purposes to a greater extent than both their counterparts from larger localities and the advantaged group (Israeli Jews). This signals a great need for accessible health services of quality in small localities, where disadvantaged minorities reside.

Patient Participation In A Therapeutic Education Program (TEP) In Oncology And Social Inequalities: A Selection Linked To The Proximity Of Patient’s And Caregiver’s Disposition

Lucie Forté, Emilie Gaborit, Philippe Terral

Toulouse 3, France

This paper addresses the issue of social and territorial inequalities in health by considering the cancer patients’ recruitment into a therapeutic education program (TEP) aimed at empowering patients in the delicate management of home medication. It is part of a broader research project investigating the effects of a TEP program on the patient’s care pathways and life courses. Here, we will focus on the question of the engagement in an TEP program by analyzing both quantitative (patient tracking files) and qualitative (interviews with patients and professionals, observation of ‘‘early educational diagnoses’’ and of TEP modules) data in order to understand why this program, which is supposed to have an inclusive recruitment strategy, recruits or discards certain patient profiles. The first step will look at the dispositions of the participants involved in the TEP program by analyzing their proximity/distance to the relationships to (1) knowledge, (2) body (3) and others mobilized by health professionals. An analysis in terms of social and cultural capital will help to understand the selection processes. In addition, we will analyze the social and territorial characteristics of the patients enrolled in this program in the light of the institutional conditions of its deployment. Indeed, during a ‘‘first educational diagnosis’’, some patients are strategically referred by professionals who identify them as corresponding to the target of this program, while others are excluded. The second stage of our paper will therefore examine the social and territorial characteristics which are likely to function as a filter in patient recruitment - this filter may vary from one professional to another and result from more conjunctural factors.

Barriers to Accessing Dementia Care by Minority Ethnic Groups in Norway

Elzbieta Anna Czapka

Oslo Metropolitan University, Norway

Evidence suggest that in the Nordic countries elderly members of different ethnic minority groups underuse dementia services. Few older members from ethnic minority groups live in care facilities. There are significant barriers to accessing dementia services but they haven’t been well studied in the Nordic context. This situation may lead to poorer dementia outcome and care for people from ethnic minorities.

The paper presents the partial results of the study “Aging, dementia and the need for care”. One of the aims was to identify the barriers to accessing dementia care experienced by the families with minority ethnic backgrounds in Norway.

The empirical data come from semi-structured in-depth interviews with 1) the family caregivers to individuals with cognitive impairment/dementia from different ethnic minority groups, 2) key participants from formal/informal migrant networks and 3) caregivers/health personnel working in care institutions. The interviews were collected in Oslo and Akershus in 2017/2018. Thematic analysis was performed to identify barriers related to the use of Norwegian dementia care services.

The results of the study show that minority ethnic groups in Norway experience several barriers to accessing dementia services. They include: language barriers, different help-seeking patterns, misconceptions about dementia and different cultural views on caregiving.

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