+ Its not just about gambling: towards a gendered understanding - - PowerPoint PPT Presentation

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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

• f how different
• ppressions

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

• pinion and knowledge

 Inter/active and productive dialogue: a better understanding

• f 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