2.50
Hdl Handle:
http://hdl.handle.net/10755/211589
Type:
Research Study
Title:
DISCOURSES OF ASTHMA DISPARITIES: STATE PLANS AND AFRICAN AMERICAN ADOLESCENTS
Abstract:
Purposes/aims: Describe the Asthma management disparities (AMD) policy-topics that are introduced, promoted, or minimized by African American adolescents with asthma and Washington State Asthma Planning (WSAP) stakeholders. Rationale/conceptual basis/Background: AMD continue to unfairly burden African American adolescents. Policies for the reduction of health disparity have been criticized for being limited in scope. Little is known about 1) how policymakers use language to describe the impacts of AMD to the public, and 2) how African American adolescents use language to voice their views on AMD to policymakers.  A study of the use of language in these contexts could expand the scope of future policies that target the reduction of AMD. Critical discourse analysis examines the ideologies that regulate and reinforce language use – those patterns of text, talk, and action - that provides an opportunity to identify new strategies for nursing research and advocacy. Methods: A contextual and linguistic approach to Critical discourse analysis was used to investigate: 1) the final draft publication of the 2011 Washington State Asthma Plan that was developed by WSAP stakeholders, 2) the texts adolescents produced to accompany photographs they took during a three-session Photovoice project expressing their opinions about AMD, and 3)observations made during and after the final photo-showing event discussion between adolescent and WSAP stakeholders. Results: Nineteen adolescents produced 38 photo-texts. Fifteen adolescent and twelve WSAP stakeholders attended the final event discussion. The WSAP draft plan introduced and promoted 11 identity-topics for advantaged groups (n=3) and disadvantaged groups (n=8), and minimized 7 identity-topics for advantaged groups (n=7). Policy-topics were described for the WSAP plan draft (n=7), the adolescent stakeholder photo-texts (n=14), and at the discussion by both WSAP and adolescent stakeholders at the final event (n=9).  A new policy-topic ("A permanent fix") was introduced by the adolescent stakeholders. The policy-topics of outdoor air pollution, inadequate housing, healthcare communication, and indoor air quality were common to all types of data. Implication: The findings suggest limitations and opportunities in the policy discourses for reducing AMD in African American adolescents. There is a need to develop more topics in the identities of advantaged groups with asthma if measurement of disparities is to truly occur.   The new policy-topic of "A permanent fix" locates oppressive and potentially racial ideologies within the discourses of Asthma management.  Photovoice activities can increase the diversity of discourses within a state planning process on health disparities. Policy recommendations for reducing AMD in African American adolescents should include multilevel approaches on outdoor air pollution, inadequate housing, healthcare communication, and indoor air quality.
Keywords:
African American adolescents; Asthma
Repository Posting Date:
20-Feb-2012
Date of Publication:
20-Feb-2012
Other Identifiers:
5546
Sponsors:
Western Institute of Nursing

Full metadata record

DC FieldValue Language
dc.typeResearch Studyen_GB
dc.titleDISCOURSES OF ASTHMA DISPARITIES: STATE PLANS AND AFRICAN AMERICAN ADOLESCENTSen_GB
dc.identifier.urihttp://hdl.handle.net/10755/211589-
dc.description.abstractPurposes/aims: Describe the Asthma management disparities (AMD) policy-topics that are introduced, promoted, or minimized by African American adolescents with asthma and Washington State Asthma Planning (WSAP) stakeholders. Rationale/conceptual basis/Background: AMD continue to unfairly burden African American adolescents. Policies for the reduction of health disparity have been criticized for being limited in scope. Little is known about 1) how policymakers use language to describe the impacts of AMD to the public, and 2) how African American adolescents use language to voice their views on AMD to policymakers.  A study of the use of language in these contexts could expand the scope of future policies that target the reduction of AMD. Critical discourse analysis examines the ideologies that regulate and reinforce language use – those patterns of text, talk, and action - that provides an opportunity to identify new strategies for nursing research and advocacy. Methods: A contextual and linguistic approach to Critical discourse analysis was used to investigate: 1) the final draft publication of the 2011 Washington State Asthma Plan that was developed by WSAP stakeholders, 2) the texts adolescents produced to accompany photographs they took during a three-session Photovoice project expressing their opinions about AMD, and 3)observations made during and after the final photo-showing event discussion between adolescent and WSAP stakeholders. Results: Nineteen adolescents produced 38 photo-texts. Fifteen adolescent and twelve WSAP stakeholders attended the final event discussion. The WSAP draft plan introduced and promoted 11 identity-topics for advantaged groups (n=3) and disadvantaged groups (n=8), and minimized 7 identity-topics for advantaged groups (n=7). Policy-topics were described for the WSAP plan draft (n=7), the adolescent stakeholder photo-texts (n=14), and at the discussion by both WSAP and adolescent stakeholders at the final event (n=9).  A new policy-topic ("A permanent fix") was introduced by the adolescent stakeholders. The policy-topics of outdoor air pollution, inadequate housing, healthcare communication, and indoor air quality were common to all types of data. Implication: The findings suggest limitations and opportunities in the policy discourses for reducing AMD in African American adolescents. There is a need to develop more topics in the identities of advantaged groups with asthma if measurement of disparities is to truly occur.   The new policy-topic of "A permanent fix" locates oppressive and potentially racial ideologies within the discourses of Asthma management.  Photovoice activities can increase the diversity of discourses within a state planning process on health disparities. Policy recommendations for reducing AMD in African American adolescents should include multilevel approaches on outdoor air pollution, inadequate housing, healthcare communication, and indoor air quality.en_GB
dc.subjectAfrican American adolescentsen_GB
dc.subjectAsthmaen_GB
dc.date.available2012-02-20T12:03:59Z-
dc.date.issued2012-02-20T12:03:59Z-
dc.date.accessioned2012-02-20T12:03:59Z-
dc.description.sponsorshipWestern Institute of Nursingen_GB
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