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Journal of Research in Nursing
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research-article

Culture, health, and inequalities: new paradigms, new practice imperatives

M Judith Lynam

Culture, Gender & Health Research Unit, School of Nursing, University of British Columbia, Vancouver, Canada

Christine Loock

Department of Pediatrics, University of British Columbia, Faculty of Medicine, Vancouver, British Columbia (BC), Canada

Lorine Scott

Community Pediatrics, BC Children’s and Women’s Health Centre, Vancouver, BC, Canada

Koushambhi Basu Khan

Culture, Gender and Health Research Unit, School of Nursing, University of British Columbia, Vancouver, BC, Canada

Abstract

This paper builds upon insights from a programme of research on culture and health that is informed by critical theoretical perspectives. The evidence generated through this research programme is drawn upon to critically examine the assumptions about the prevailing understandings of the links between culture, health, and health inequalities and to illustrate the need for new paradigms of practice. Using the case of children at risk because of their social, cultural, and material circumstances, the tenets of an alternative model of health care practice, the RICH-ER (Responsive, Intersectoral-Interdisciplinary, Child Health – Education and Research) model was introduced and studied.

Key Words: culture and health • social pediatrics • social determinants of health • critical inquiry

Journal of Research in Nursing, Vol. 13, No. 2, 138-148 (2008)
DOI: 10.1177/1744987108088639
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[Abstract] [PDF]