Medierepresentationer av etnicitetsochmigrationsrelaterade frågor inomäldreomsorgen i Sverige och Finland

Media representations of ethnicity- and migration-related issues within the elderly care in Sweden and Finland Research on welfare regimes and migration regimes has shown that Sweden and Finland have similar elderly care regimes but different migration regimes. It is against this backdrop that we set out to study what Swedish and Finnish daily press focusing on elderly care has written about ethnic minorities, migrants and migration. The study uses quantitative content analysis to analyze 241 daily newspaper articles published between 1995 and 2008. This article presents the themes that have been discussed, the elderly care actors that have been in focus (i.e. whether the focus has been on elderly care recipients, elderly care providers or informal caregivers), the ethnic backgrounds that these actors have had (i.e. whether the focus has been on the ethnic majority or on ethnic minorities) and the type of explanatory frameworks that the newspaper articles in focus have used. On the basis of this, we problematize the representations of ethnic minorities, migrants and migration that the newspaper articles in question put forth and the fact that the Swedish and Finnish daily press treats the issues at hand as if migration is mostly an issue that can be relegated to the periphery of the elderly care sectors’ agenda. 

The panorama and outcomes of reported pregnancies within a well defined population in rural Vietnam 1999-2004

Background Pregnancy outcomes in the general population are important public health indicators. Purpose The overall aim of this study was to investigate the outcomes of reported pregnancies within a well-defined population, to identify risk groups for adverse pregnancy outcomes, and to suggest preventive measures. Method A prospective population-based cohort study of pregnant women in Bavi district, Vietnam between 1 January 1999 and 30 June 2004. Results Pregnancy outcome was reported for 5,259 cases; 4,152 (79%) resulted in a live birth, 67 (1.3%) in a stillbirth, 733 (14%) in an induced abortion, and 282 (5.4%) in a spontaneous abortion. There was an increased risk of home delivery for women from ethnic minorities (OR?=?1.85; 95%CI?=?1.06–3.24) or with less than 6 years of schooling (OR?=?7.36; 95%CI?=?3.54–15.30). The risk of stillbirth was increased for ethnic minorities (OR?=?6.34; 95%CI?=?1.33–30.29) and women delivering at home (OR?=?6.81; 95%CI?=?2.40–19.30). The risk of induced abortion increased with maternal age. Conclusion Our findings emphasize the public health significance of access to adequate family planning, counselling, and maternal health care for all women. Policies should specifically target women from high-risk groups.

I skuggan av kulturella stereotypier : perspektiv på forskning om genus, jämställdhet och etniska relationer i Sverige

In the shadow of ethno-cultural stereotypes: gender, equity and ethnic relations in Sweden Scientific debates about cultural differences between ”Swedes” and migrants/ethnic minorities in Sweden have fuelled stereotypical categorizations and a socio-cultural demarcation between ”us” and ”them”. The authors argue that this development has underpinned constructions of foreignness. In the light of a critical review of the current debate on honour related violence, the authors discuss – inspired by Georg Simmel’s and Erving Goffman’s classic texts on the stranger, the stigma and the construction of foreignness – alternative understandings of culture and politics of belonging with a focus on gender, agency and identity formation. Formation of cultural and ethnic identity should be related, the authors conclude, to a dynamic interplay between the past and the present. Moreover, the social dimension should be highlighted, in order to avoid a stigmatizing culturalism.

Cultural racism, language prejudice and discrimination in hospital contexts : an Australian study

This article explores the idea that racial and ethnic disparities in healthcare may be expressive of unacknowledged practices of cultural racism. In conducting this exploration, the researchers identify, describe and discuss the practice of language prejudice and discrimination by health service providers, discovered serendipitously in the context of a broader study exploring cultural safety and cultural competency in an Australian healthcare context. The original study involved individual and focus groups interviews with 145 participants recruited from over 17 different organisational and domestic home sites. Participants included health service managers, ethnic liaison officers, qualified health interpreters, cultural trainers/educators, ethnic welfare organisation staff, registered nurses, allied health professionals, and healthcare consumers. Participants self-identified as being from over 27 different ethnocultural and language backgrounds.

Analysis of the data revealed that English language proficiency, like skin colour, was used as a social marker to classify, categorise, and negatively evaluate people of non-English speaking backgrounds (NESB) in the contexts studied. Negative evaluations, in turn, were used to justify the exclusion of NESB people from healthcare relationships and resources. Further data analysis revealed that underpinning the negative attitudes and behaviours in hospital domains concerning people who spoke accented English or who did not speak English proficiently were a dislike of difference, fear of difference, intolerance of difference, fear of competition for scarce healthcare resources, repressed hostility toward difference, and ignorance.

Highlighting the implications of language prejudice for the safety and quality care of NESB people, the researchers call for further internationally comparative research and debate on the subject.

Ethics and advance care planning in a culturally diverse society

Emerging international research suggests that in multicultural countries, such as Australia and the United States, there are significant disparities in end-of-life care planning and decision making by people of minority ethnic backgrounds compared with members of mainstream English-speaking background populations. Despite a growing interest in the profound influence of culture and ethnicity on patient choices in end-of-life care, and the limited uptake of advance care plans and advance directives by ethnic minority groups in mainstream health care contexts, there has been curiously little attention given to cross-cultural considerations in advance care planning and end-of-life care. Also overlooked are the possible implications of cross-cultural considerations for nurses, policy makers, and others at the forefront of planning and providing end-of-life care to people of diverse cultural and language backgrounds. An important aim of this article is to redress this oversight.

Culture, language, and patient safety : making the link

It has been well recognized internationally that hospitals are not as safe as they should be. In order to redress this situation, health care services around the world have turned their attention to strategically implementing robust patient safety and quality care programmes to identify circumstances that put patients at risk of harm and then acting to prevent or control those risks. Despite the progress that has been made in improving hospital safety in recent years, there is emerging evidence that patients of minority cultural and language backgrounds are disproportionately at risk of experiencing preventable adverse events while in hospital compared with mainstream patient groups. One reason for this is that patient safety programmes have tended to underestimate and understate the critical relationship that exists between culture, language, and the safety and quality of care of patients from minority racial, ethno-cultural, and language backgrounds. This article suggests that the failure to recognize the critical link between culture and language (of both the providers and recipients of health care) and patient safety stands as a ‘resident pathogen’ within the health care system that, if not addressed, unacceptably exposes patients from minority ethno-cultural and language backgrounds to preventable adverse events in hospital contexts. It is further suggested that in order to ensure that minority as well as majority patient interests in receiving safe and quality care are properly protected, the culture–language–patient-safety link needs to be formally recognized and the vulnerabilities of patients from minority cultural and language backgrounds explicitly identified and actively addressed in patient safety systems and processes.

Social inclusion in local places

With the decline of official multiculturalism in Australia the focus of the government has turned to promoting programs and services that will provide greater social inclusion.  This paper illustrates that although institutions within society such as the media, federal government agencies, and local governments aim to value cultural diversity, social practices unintentionally regulate inclusion by privileging whiteness and scrutinising ethnic minorities on local places.  An analysis of metropolitan and local newspaper reports and government document provides an insight into these practices that construct 'ethnic' citizens in particular ways.

Ethnonationalism : the challenge for twenty first century Asia

Most twenty-first century Asian states will continue to experience high levels of ethnonationalist activity because: they are actually multi-nation states rather than nation-states, dominant ethnic groups practice "majority ethnonationalism," most have unitary political models, most have experienced rapid mobilisation, and many ethnic minorities live on significant state border areas.

Ecomuseum evaluation : experiences in Guizhou and Guangxi, China

In general, ecomuseums are new forms of open-air museum for the in-situ interpretation and conservation of heritage as well as for aiding community development. Chinese ecomuseums have been established in some villages for the conservation of cultural heritage values of its ethnic minorities. This research summarises international benchmarks for ecomuseum evaluation and uses them to examine three ecomuseums in Guizhou and three in Guangxi. The goal is to assess how much each meets international benchmarks. In the research it was discovered that in none of these six cases were originated or were led by local communities, negating the appropriateness of benchmarking them against international benchmarks. With interviews and observations undertaken in each six cases, the problems of each site were identified. The essence of Chinese ecomuseum is then considered at the end of this paper-- a trial approach for developing cultural tourism, carried out by low-level governments, for the purpose of poverty alleviation in minority villages.

Intercultural harmony and understanding in the city of Whittlesea

The City of Whittlesea is one of the most ethnically diverse urban areas in Melbourne that attracts settlers, often humanitarian migrants from countries in the Horn of Africa and the Middle East. With settlers arriving from a broader range of countries than ever before, increasing ethnic as well as ethno-religious diversity presents opportunities for local government to address intercultural harmony and understanding but also significant challenges. This paper reports the findings of fieldwork conducted in 2009 among residents focusing on attitudes towards ethnic diversity and evaluations of the capacity of local government to promote intercultural harmony and understanding. The results suggest that if local government is to be inclusive and gain the confidence and trust of residents necessary to foster empowering partnerships, political spaces that facilitate interactions between long-term residents, new residents, elected leaders and council officers must be facilitated. Such initiatives will contribute to strengthening programs and policies being developed by local government that aim to address discrimination experienced by ethnic minorities and encourage greater acceptance of cultural diversity among the broader community in ways that move beyond measurable outcomes.

Packaged good : responses from Australian journalism educators on the Reporting Diversity project

The Reporting Diversity Project provides teaching materials on reporting cultural diversity for journalism educators and university students. This article reports the findings from a survey designed to gauge journalism educators' awareness of the online curriculum resources and their views on the usefulness of these materials. The survey was also used to capture journalism academics' views on educational resources produced with government support. This article includes the findings from a series of trials of the Reporting Diversity teaching resources with a small cohort of academics from throughout Australia. It includes their evaluation of the resources and reveals ways in which the modules are being used and adapted for different classroom settings.

The New Zealand gaming and betting survey : Chinese and Indian people's experience

Purpose – The purpose of this paper is to analyse attitudes, understanding of gambling and gambling related harm among Asians in New Zealand using secondary data from the New Zealand 2006/07 Gaming and Betting Attitudes Survey (GBAS).

Design/methodology/approach – This survey interviewed 1,973 nationwide randomly selected youths and adults (=18 years) using structured questionnaire. Chinese (N=113) and Indian (N=122) data were analysed separately to compare between them and with NZ Europeans (N=792). Descriptive analysis was carried out and was subsequently tested for significant correlations by weighted (p<0.01) and un-weighted (p<0.05) variables.

Findings – A higher proportion of Chinese males (66.8 percent) represented in the survey compared to Indian (43.0 percent) and NZ European (48.9 percent) where Chinese consisted of more youthful age structure. Chinese respondents were more likely to be in the lowest income bracket (NZ$10,000) compared to others. Among the ten gambling activities “casino table gambling” and “casino electronic machines” (slot-style machine) were most popular among the Chinese where Indians preferred “gambling/casino evening”. A significant proportion of Chinese were unwilling to refer family or friends to gambling help services despite believing that gambling does more harm than good. Pre-committed gambling sum was the most common harm minimising strategy suggested by participants. They believed education and consultation could deter youths from harmful gambling.

Research limitations/implications – This survey highlighted gambling behaviours and thoughts of the ethnic minority population in New Zealand. Study outcomes would be valuable in formulating ethnic specific preventative programme and may have policy implication.

Originality/value – There has been limited research on gambling behaviour of ethnic minorities in New Zealand. This paper fills some of the gaps.

Diabetes MILES – The Netherlands: rationale, design and sample characteristics of a national survey examining the psychosocial aspects of living with diabetes in Dutch adults

Background : As the number of people with diabetes is increasing rapidly worldwide, a more thorough understanding of the psychosocial aspects of living with this condition has become an important health care priority. While our knowledge has grown substantially over the past two decades with respect to the physical, emotional and social difficulties that people with diabetes may encounter, many important issues remain to be elucidated. Under the umbrella of the Diabetes MILES (Management and Impact for Long-term Empowerment and Success) Study International Collaborative, Diabetes MILES – The Netherlands aims to examine how Dutch adults with diabetes manage their condition and how it affects their lives. Topics of special interest in Diabetes MILES - The Netherlands include subtypes of depression, Type D personality, mindfulness, sleep and sexual functioning.

Methods/design : Diabetes MILES – The Netherlands was designed as a national online observational study among adults with diabetes. In addition to a main set of self-report measures, the survey consisted of five complementary modules to which participants were allocated randomly. From September to October 2011, a total of 3,960 individuals with diabetes (40% type 1, 53% type 2) completed the battery of questionnaires covering a broad range of topics, including general health, self-management, emotional well-being and contact with health care providers. People with self-reported type 1 diabetes (specifically those on insulin pump therapy) were over-represented, as were those using insulin among respondents with self-reported type 2 diabetes. People from ethnic minorities were under-represented. The sex distribution was fairly equal in the total sample, participants spanned a broad age range (19–90 years), and diabetes duration ranged from recent diagnosis to living with the condition for over fifty years.

Discussion : The Diabetes MILES Study enables detailed investigation of the psychosocial aspects of living with diabetes and an opportunity to put these findings in an international context. With several papers planned resulting from a pooled Australian-Dutch dataset and data collections planned in other countries, the Diabetes MILES Study International Collaborative will contribute substantially to identifying potentially unmet needs of those living with diabetes and to inform clinical research and care across the globe.

Interethnic understanding and belonging in suburban Melbourne

Modelling and mapping ethnicity is a methodological approach used to understand the changing socio-spatial structure of the city. Such an approach uses a range of indicators to identify ethnic groups, map them in urban space and explain the changing nature of ethnic concentrations. The unintended consequences, however, are the labelling, marginalisation and exclusion of ethnic minorities. Critical approaches, in contrast, focus on making visible the politics of representation that mark and stereotype ethnic minorities and ethnic concentrations. Within contemporary research on ethnicity such work has drawn attention to the exercise of power in the constitution of ethnic identities, the invisibility of whiteness and the inherent tensions that are likely to arise in negotiating ethnic cultural differences in local places. Although this article draws attention to such tensions in a particular place, Dandenong, it engages in this discussion to argue that the everyday negotiation of cultural difference also provides the potential to blur fixed ethnic boundaries and contribute to interethnic understanding and a sense of belonging. Drawing on in-depth interviews with people who live and/or work in Dandenong, suburban Melbourne, this article underlines that such positive insights from everyday multiculturalism have the potential to inform and broaden policy debates on diversity and social inclusion in the multicultural city.

Higher education in Ethiopia : widening access and persisting inequalities

 This Chapter has argued that, even though socially and historically disadvantaged
groups (e.g., geo-politically peripheral ethnic groups and women) have been given a
nominal advantage at the entry point (by slightly lowering admission cut-off points)
and despite the fact that participation has considerably widened, social equity is far
from being a reality in Ethiopian HE. The persisting inequality in the form of high
attrition rates and low graduation rates among females and ethnic minorities, low
female participation in the fields of science and technology, prejudicial views and
hostilities against women and, overall, the subordinate position of women in HE
clearly shows that framing the problem of inequality as a mere lack of access and a
human capital disadvantage is misleading and counterproductive.