Superdiversity, population health and health care: opportunities and challenges in a changing world.

Abstract:

OBJECTIVES:Ethno-national approaches to research public health and migrant outcomes have dominated for decades but lack efficacy in a globalised world and in view of the intractable nature of health outcome inequalities for migrant and minority groups. This article highlights some of the challenges and opportunities associated with a superdiversity perspective in public health research. SUPERDIVERSITY AND ETHNO-NATIONAL APPROACHES:Migration patterns have changed with more people arriving from more places and the diversification of diversity meaning that the ethno-national categories utilised in public health research have reduced explanatory potential. THE EXAMPLE OF MATERNAL AND PERINATAL MORTALITY IN THE UNITED KINGDOM: Adjusting UK perinatal mortality rates by five ethnic groups based on assumptions of relationships between high levels of risk and ethnic groups masks the scale of inequality faced by groups wherein mortality rates are increasing and highlights some of the difficulties associated with using ethno-national classifications. A SUPERDIVERSITY PERSPECTIVE:A superdiversity approach moves beyond ethno-nationalism to socially locate groups focussing on commonalities and differences across spaces and characteristics and employing intracategorical or anticategorical approaches. CONCLUSIONS:Superdiversity brings new levels of demographic complexity and fluidity. Greater reflexivity is needed in diversity research with justification of classifications used for analysis necessary when research questions are developed.

journal_name

Public Health

journal_title

Public health

authors

Phillimore JA,Bradby H,Brand T

doi

10.1016/j.puhe.2019.01.007

subject

Has Abstract

pub_date

2019-07-01 00:00:00

pages

93-98

eissn

0033-3506

issn

1476-5616

pii

S0033-3506(19)30007-1

journal_volume

172

pub_type

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