142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

Health is a daily negotiated dynamic experience: Lessons from indigenous populations for Health Communication

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Tuesday, November 18, 2014

Lalatendu Acharya, PhD, MBA , Department of Consumer Sciences, College of Health and Human Sciences, Purdue University, West Lafayette, IN
This research explores the construction of meanings to health and HIV/AIDS in the lives of indigenous/ tribal people of Koraput, India and offers a grounded theory highlighting the alternate rationalities and understandings of health.  The study conducted in-depth ethnographic interviews with 67 indigenous participants in the marginalized community over a period of 8 weeks of data collection. Their responses about health and HIV/AIDS were analyzed using the thematic grounded theory and themes identified. The tribal participant’s voices conveyed that health was polysemous in its meaning and located within their structural and cultural framework. The analysis of the tribal voices underlined that “health is a daily negotiated dynamic experience” for them. Two sub-themes viz., “multiple dynamic meanings of health and ii) money enables and constraints access to health”; supported and explained the nuanced daily experiences and negotiation of health for the tribal participants. This research extended the previous culture centered concepts of health by affirming the complex nature of health communication and providing new insights into ways in which we can design more efficient health communication campaigns taking community meanings of health into consideration, particularly in tribal, indigenous and remote communities. The results also inform US and International policy that health policies and communication interventions with tribal indigenous populations, minorities, should make space for the community voices that bring in the local structural and cultural conditions into foreground.

Learning Areas:

Administer health education strategies, interventions and programs
Diversity and culture
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs

Learning Objectives:
Explain the polysemous meanings and alternate rationalities of health in indigenous/ tribal populations Discuss how local structures, cultures and lived experience construct those meanings Discuss the impact of the local health meanings on health communication interventions

Keyword(s): Minority Health, Communication

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am professor teaching and researching on global health at Purdue focusing on health communication programs with tribal/ indigenous, under-served, minority populations, marginalized communities.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.