A tale of two diseases: Discourses on TB, HIV/AIDS and im/migrants and ethnic minorities in the United Kingdom
A tale of two diseases: Discourses on TB, HIV/AIDS and im/migrants and ethnic minorities in the United Kingdom
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DOI：
10.1057/s41285-017-0026-5
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发表时间：
2017-08-01
影响因子：
1.6
通讯作者：
Odukoya, Dennis
中科院分区：
文献类型：
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作者：
Scott, Penelope;von Unger, Hella;Odukoya, Dennis
保健报告中的族裔和与移民有关的类别构成了关于结核病和艾滋病毒/艾滋病等传染病知识生产的一种具体做法。这些类别与身份归属息息相关，是独特的社会历史因素的产物。我们使用知识社会学的话语分析方法(Skad)，来考察英国结核病和艾滋病毒/艾滋病健康报告中使用的类别，以及关于移民/移民、少数民族和传染病的话语。解释性分析表明，这些话语建立的“知识顺序”是历史上的偶然现象，话语中常见的解释模式是移民/移民和少数民族群体是传染病的“危险”和“危险”。然而，这些模式的优势根据疾病的不同而不同。自20世纪60年代以来，结核病一直被认为是一种移民疾病，移民/移民和少数民族更有可能对国家健康构成风险，但艾滋病毒/艾滋病与新的公共卫生和这些群体脆弱性的概念更明确地联系在一起。我们考虑了这些论述对当前结核病控制战略和关于结核病/艾滋病毒合并感染的知识构成的影响。
Ethnicity and migrant-related categories in health reporting constitute a discursive practice in knowledge production on infectious diseases such as TB and HIV/AIDS. These categories are bound up with the ascription of identities and are a product of unique socio-historical factors. We use a sociology of knowledge approach to discourse analysis (SKAD), to examine the categories used in TB and HIV/AIDS health reporting in the UK and the discourses on im/migrants, ethnic minorities and infectious disease in which they are embedded. The interpretative analysis shows that the 'order of knowledge' instituted by these discourses is historically contingent and that common interpretative patterns in the discourses are of im/migrants and ethnic minority groups as being 'a risk' and 'at risk' of infectious diseases. However, the dominance of these patterns varies according to the disease. While TB has consistently been constructed since the 1960s as a disease of immigration, with im/migrants and ethnic minorities being more of 'a risk' to the nation's health, HIV/AIDS has been more explicitly linked to the new public health and notions of these groups' vulnerability. We consider the implications of these discourses in relation to the current TB control strategy and the constitution of knowledge on TB/HIV co-infection.