Language as a Social Determinant of Health

Health inequalities experienced by Culturally, Ethnically and Linguistically Diverse people in the context of Covid-19

Authors

Keywords:

social determinants of health, language, Covid-19, CEALD, social work

Abstract

The Covid-19 pandemic has exacerbated health inequalities globally, indicating the need to reframe our understanding of the primary determinants of health as social and reveal the systematic link between health disparities and underlying social disadvantage (Bywaters 2009, p. 354). The social determinants of health (SDOH) provide a lens by which to interrogate the very “nature of society that leads to and tolerates inequalities in general” (Marmot 2017, p. 539). Accordingly, applying the SDOH to the Covid-19 context necessitates an understanding of the structural determinants that contributed to the disproportionate effects of the pandemic on vulnerable populations (Paremoer, Nandi, Serag & Baum 2021, p. 1). This paper will apply the SDOH of language, to the experiences of Culturally, Ethnically and Linguistically Diverse (CEALD) people in western Sydney, New South Wales (NSW), during the Covid-19 pandemic. An upstream lens will transcend reductionist conceptions of language as a deficit implicated in the current crisis, to instead interrogate how language is manifested as a broader factor in the marginalisation of CEALD people. In turn, it will be argued that incorporating the SDOH into social work practice can critically challenge the injustices perpetuated by the monolingual dominance of the English language.

Author Biography

Christy Fernance, The University of Sydney

Bachelor of Social Work & Bachelor of Arts Student

References

Ayre, J., Muscat, D., Mac, O., Batcup, C., Cvejic, E., Pickles, K., Dolan, H., Bonner, C., Mouwad, D., Zachariah, D., Turalic, U., Santalucia, Y., Chen, T., Vasic, G., & McCaffery, K. (2021). Comparison of reported main COVID- 19 information sources in national and culturally and linguistically diverse communities in Australia. MedRxiv [preprint]. https://www.medrxiv.org/content/10.1101/2021.0 7.29.21261321v1

Baines, D. (2017). ‘Anti-Oppressive Practice – Roots, Theory, Tensions’. In D. Baines (Ed.), Doing anti-oppressive practice: social justice social work (2–29). Fernwood Publishing.

Ballard, P. J., & Syme, S. L. (2016). Engaging youth in communities: a framework for promoting adolescent and community health. Journal of Epidemiology and Community Health (1979), 70(2), 202–206. https://doi.org/10.1136/jech-2015-206110

Bywaters, P. (2009). Tackling inequalities in health: a global challenge for social work. The British Journal of Social Work, 39(2), 353–367. https://doi.org/10.1093/bjsw/bcm096

Chenery, S., Cheshire, B., & Denyer, W. (2021, September 13). Jamal Rifi gives up his front yard and retirement plans to fight COVID-19 in heart of Sydney Delta strain outbreak. ABC Australian Story. https://www.abc.net.au/news/2021-09- 13/meet-the-doctor-fighting-covid19-from-his- front-yard/100428080

Dovchin, S. (2020). Introduction to special issue: linguistic racism. International Journal of Bilingual Education and Bilingualism, 23(7), 773– 777. https://doi.org/10.1080/13670050.2020.1778630

Gorman, J. (1993). Postmodernism and the Conduct of Inquiry in Social Work. Jane Affilia, 8(3), 247–264. https://doi.org/10.1177/088610999300800302

Green, L., Ashton, K., Bellis, M., Clemens, T., & Douglas, M. (2021). “Health in All Policies”-A Key Driver for Health and Well-Being in a Post- COVID-19 Pandemic World. International Journal of Environmental Research and Public Health, 18(18), 9468–. https://doi.org/10.3390/ijerph18189468

Hamiduzzaman, M., Siddiquee, N., McLaren, H., Tareque, M. I., & Smith, A. (2022). Risk Perception and Health Precautions Towards COVID-19 Among Older Culturally and Linguistically Diverse Adults in South Australia: A Cross-Sectional Survey. Journal of Multidisciplinary Healthcare, 15(1), 497–514. https://doi.org/10.2147/JMDH.S343985

Hill, S. E., Friel, S., & Collin, J. (2020). Positive effects of covid-19 and social determinants of health: all in it together? BMJ, 370, 1–1. https://doi.org/10.1136/bmj.m2633

Ife, J. (2013). ‘Chapter 12 – Principles of Community Development and their Application to Practice’. In J. Ife (Ed.), Community Development in an uncertain world: vision, analysis and practice (pp. 267–299). Cambridge University Press.

Marcus, K., Balasubramanian, M., Short, S., & Sohn, W. (2022). Culturally and linguistically diverse (CALD): terminology and standards in reducing healthcare inequalities. Australian and New Zealand Journal of Public Health, 46(1), 7– 9. https://doi.org/10.1111/1753-6405.13190

Marmot, M. (2017). Social justice, epidemiology and health inequalities. European Journal of Epidemiology, 32(7), 537–546. https://doi.org/10.1007/s10654-017-0286-3

Paremoer, L., Nandi, S., Serag, H., & Baum, F. (2021). Covid-19 pandemic and the social determinants of health. BMJ (Online), 372, 1–5. https://doi.org/10.1136/bmj.n129

Piekkari, R., Tietze, S., Angouri, J., Meyer, R., & Vaara, E. (2021). Can you Speak Covid-19? Languages and Social Inequality in Management Studies. Journal of Management Studies, 58(2), 587–591. https://doi.org/10.1111/joms.12657

Smith, J. & Judd, J. (2020). COVID-19: Vulnerability and the power of privilege in a pandemic. Health Promotion Journal of Australia, 31(2), 158–160. https://doi.org/10.1002/hpja.333

Spector, A. Y. (2019). Social determinants of health in the Human Services: a conceptual model and road map for action. Journal of Progressive Human Services, 30(2), 108–126. https://doi.org/10.1080/10428232.2018.14671

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Published

2022-12-06

Issue

Section

Student Papers exploring social justice