scholarly journals Using Boundary Objects to Co-Create Community Health and Water Knowledge with Community-Based Medical Anthropology and Indigenous Knowledge

2020 ◽  
Vol 6 (1) ◽  
pp. 49-76
Author(s):  
Sarah Duignan ◽  
Tina Moffat ◽  
Dawn Martin-Hill
Keyword(s):  
Community Health ◽  
Indigenous Knowledge ◽  
Medical Anthropology ◽  
Health Survey ◽  
Water Contamination ◽  
Boundary Work ◽  
Boundary Objects ◽  
Boundary Object ◽  
Health Priorities ◽  
Community Based

This article explores how Indigenous Knowledge and medical anthropology can co-construct community health knowledge through boundary work and the use of boundary objects. It will highlight how community-based participatory research (CBPR) in medical anthropology can help co-develop methods and strategies with Indigenous research partners to assess the human health impact of the First Nations water crisis. We draw on a case study of our community-based approach to health research with Six Nations of the Grand River First Nation community stakeholders and McMaster University researchers. We highlight how framing a co-constructed health survey as a boundary object can create dialogical space for Indigenous and western academic pedagogies and priorities. We also explore how this CBPR anthropology approach, informed by Indigenous Knowledge, allows for deeper foundations of culturally centered health to guide our work in identifying current and future community health needs concerning these ongoing water contamination and access issues. Through three health survey versions, priorities and research questions shifted and expanded to suit growing community health priorities. This led to collaborative action to communicate specific messages around water contamination and access across governance, community, and institutional boundaries. We demonstrate how our co-constructed approach and boundary work allows for the respectful and reciprocal development of these long-term research partnerships and works in solidarity with the Two-Row Wampum (Kaswentha) treaty established by the Haudenosaunee Nation and European settler nations. 

scholarly journals Boundary work in value co-creation practices: the mediating role of cognitive assistants

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Cristina Mele ◽  
Tiziana Russo-Spena ◽  
MariaLuisa Marzullo ◽  
Andrea Ruggiero
Keyword(s):  
Intelligent Agents ◽  
Healthy Lifestyle ◽  
Boundary Work ◽  
Boundary Objects ◽  
Boundary Object ◽  
Ageing Population ◽  
Content Type ◽  
Formal Caregivers ◽  
Mediating Role

PurposeHow to improve healthcare for the ageing population is attracting academia attention. Emerging technologies (i.e. robots and intelligent agents) look relevant. This paper aims to analyze the role of cognitive assistants as boundary objects in value co-creation practices. We include the perceptions of the main actors – patients, (in)formal caregivers, healthcare professionals – for a fuller network perspective to understand the potential overlap between boundary work and value co-creation practices.Design/methodology/approachWe adopted a grounded approach to gain a contextual understanding design to effectively interpret context and meanings related to human–robot interactions. The study context concerns 21 health solutions that had embedded the Watson cognitive platform and its adoption by the youngest cohort (50–64-year-olds) of the ageing population.FindingsThe cognitive assistant acts as a boundary object by bridging actors, resources and activities. It enacts the boundary work of actors (both ageing and professional, caregivers, families) consisting of four main actions (automated dialoguing, augmented sharing, connected learning and multilayered trusting) that elicit two ageing value co-creation practices: empowering ageing actors in medical care and engaging ageing actors in a healthy lifestyle.Originality/valueWe frame the role of cognitive assistants as boundary objects enabling the boundary work of ageing actors for value co-creation. A cognitive assistant is an “object of activity” that mediates in actors' boundary work by offering novel resource interfaces and widening resource access and resourceness. The boundary work of ageing actors lies in a smarter resource integration that yields broader applications for augmented agency.

Boundary Work and Boundary Objects: Synthesizing Two Concepts for Moments of Controversy

2020 ◽  
pp. 004728162094735
Author(s):  
Jessica R. Houf
Keyword(s):  
Boundary Work ◽  
Human Microbiome ◽  
Boundary Objects ◽  
Fecal Microbiota ◽  
Professional Communication ◽  
Boundary Object ◽  
Dialectical Relationship ◽  
Work Functions ◽  
Technical And Professional Communication

There are two boundary concepts utilized in technical and professional communication (TPC) scholarship: boundary work and, to a lesser degree, boundary objects. Boundary work functions to demarcate, incorporate, and expel particular ideas, groups, and practices from a field or profession. Boundary objects enhance the capacity of ideas, practices, and theories to translate across different groups. Together, these concepts are useful to TPC scholars interested in moments of controversy. In this essay, I explore the dialectical relationship between these two concepts and apply the resulting synthesis to a contemporary case study, the use of fecal microbiota transplants. I argue that the human microbiome functions as a boundary object and opens space within medicine’s own boundary work for the inclusion of fecal microbiota transplants. Together, the dialectical concepts of boundary work and boundary object create a new kind of analytic that allows TPC scholars to map boundary transformations, recognize moments for intervention, and create strategies for collaboration.

A community-based qualitative housing and health survey in the Cree community of Chisasibi, Eeyou Istchee, Northern Quebec

2000 ◽  
Author(s):  
Robert Harris-Giraldo ◽  
Amelie Hebert ◽  
Karine Soares ◽  
Ricky Angatookaluk ◽  
Joanne Matowahom ◽  
...  
Keyword(s):  
Health Survey ◽  
Community Based

scholarly journals The failure of community-based health insurance schemes in Tanzania: opening the black box of the implementation process

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ramadhani Kigume ◽  
Stephen Maluka
Keyword(s):  
Health Insurance ◽  
Community Health ◽  
Rural Areas ◽  
Health Coverage ◽  
Access To Health Services ◽  
Community Based ◽  
Community Based Health Insurance ◽  
Urban Districts ◽  
Health Fund ◽  
The Government

Abstract Background Globally, there is increased advocacy for community-based health insurance (CBHI) schemes. Like other low and middle-income countries (LMICs), Tanzania officially established the Community Health Fund (CHF) in 2001 for rural areas; and Tiba Kwa Kadi (TIKA) for urban population since 2009. This study investigated the implementation of TIKA scheme in urban districts of Tanzania. Methods A descriptive qualitative case study was conducted in four urban districts in Tanzania in 2019. Data were collected using semi-structured interviews, focus group discussions and review of documents. A thematic approach was used to analyse the data. Results While TIKA scheme was important in increasing access to health services for the poor and other disadvantaged groups, it faced many challenges which hindered its performance. The challenges included frequent stock-out of drugs and medical supplies, which frustrated TIKA members and hence contributed to non-renewal of membership. In addition, the scheme was affected by poor collections and management of the revenue collected from TIKA members, limited benefit packages and low awareness of the community. Conclusions Similar to rural-based Community Health Fund, the TIKA scheme faced structural and operational challenges which subsequently resulted into low uptake of the schemes. In order to achieve universal health coverage, the government should consider integrating or merging Community-Based Health Insurance schemes into a single national pool with decentralised arms to win national support while also maintaining local accountability.

scholarly journals Association between alcohol consumption status and obesity-related comorbidities in men: data from the 2016 Korean community health survey

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Bo-Yeon Kim ◽  
Hyewon Nam ◽  
Jeong-Ju Yoo ◽  
Yoon-Young Cho ◽  
Dug-Hyun Choi ◽  
...  
Keyword(s):  
Alcohol Consumption ◽  
Binge Drinking ◽  
Community Health ◽  
Health Survey ◽  
High Alcohol ◽  
High Alcohol Consumption ◽  
Community Health Survey ◽  
Alcoholic Drinks ◽  
Binge Drinkers ◽  
Obesity Hypertension

Abstract Background This study was performed to investigate the association between the amount of alcohol consumption or binge drinking and obesity-related comorbidities in Korean men. Methods A total of 103,048 men aged 19 years or older were investigated in the 2016 Korean Community Health Survey. The participants were divided into five groups according to the standard number of alcoholic drinks consumed per week. Results Of the total participants, 20.7% were in the high alcohol consumption group, consuming more than 28 drinks per week. After adjustment for clinical factors, high alcohol consumption was significantly associated with higher odds ratios (ORs) of obesity (OR, 1.449; 95% confidence interval [CI], 1.412 to 1.591; P < 0.0001), hypertension (OR, 1.76; 95% CI, 1.636 to 1.894; P < 0.0001), and dyslipidemia (OR, 1.356; 95% CI, 1.247 to 1.474; P < 0.0001). In contrast, mild to moderate alcohol consumption was associated with a lower risk of diabetes (OR, 0.799; 95% CI, 0.726 to 0.88; P = 0.0015) and high alcohol consumption was not associated with a higher risk of diabetes (OR, 0.945; 95% CI, 0.86 to 1.039; P = 0.0662). Among drinkers, except for social drinkers, binge drinking was significantly associated with higher risks of obesity, hypertension, diabetes, and dyslipidemia. Conclusions High alcohol consumption was associated with higher risks of obesity, hypertension, and dyslipidemia in Korean men. In contrast, high consumption was not associated with a higher risk of diabetes. In particular, binge drinkers were associated with higher risks of obesity, hypertension, diabetes, and dyslipidemia compared to non-binge drinkers.

scholarly journals Gambling and Problem Gambling in Canada in 2018: Prevalence and Changes Since 2002: Le Jeu et le Jeu Problématique au Canada en 2018 : Prévalence et Changements Depuis 2002

2020 ◽  
pp. 070674372098008
Author(s):  
Robert J. Williams ◽  
Carrie A. Leonard ◽  
Yale D. Belanger ◽  
Darren R. Christensen ◽  
Nady el-Guebaly ◽  
...  
Keyword(s):  
Problem Gambling ◽  
Community Health ◽  
Health Survey ◽  
Canadian Community Health Survey ◽  
Problem Gamblers ◽  
Type Of Gambling ◽  
Community Health Survey ◽  
Electronic Gambling ◽  
Time Periods ◽  
Electronic Gambling Machine

Objective: The purpose of this study was to provide an updated profile of gambling and problem gambling in Canada and to examine how the rates and pattern of participation compare to 2002. Method: An assessment of gambling and problem gambling was included in the 2018 Canadian Community Health Survey and administered to 24,982 individuals aged 15 and older. The present analyses selected for adults (18+). Results: A total of 66.2% of people reported engaging in some type of gambling in 2018, primarily lottery and/or raffle tickets, the only type in which the majority of Canadians participate. There are some significant interprovincial differences, with perhaps the most important one being the higher rate of electronic gambling machine (EGM) participation in Manitoba and Saskatchewan. The overall pattern of gambling in 2018 is very similar to 2002, although participation is generally much lower in 2018, particularly for EGMs and bingo. Only 0.6% of the population were identified as problem gamblers in 2018, with an additional 2.7% being at-risk gamblers. There is no significant interprovincial variation in problem gambling rates. The interprovincial pattern of problem gambling in 2018 is also very similar to what was found in 2002 with the main difference being a 45% decrease in the overall prevalence of problem gambling. Conclusions: Gambling and problem gambling have both decreased in Canada from 2002 to 2018 although the provincial patterns are quite similar between the 2 time periods. Several mechanisms have likely collectively contributed to these declines. Decreases have also been reported in several other Western countries in recent years and have occurred despite the expansion of legal gambling opportunities, suggesting a degree of inoculation or adaptation in the population.

Determinants of food insecurity among elderly people: findings from the Canadian Community Health Survey

2021 ◽  
pp. 1-15
Author(s):  
Moses Mosonsieyiri Kansanga ◽  
Yujiro Sano ◽  
Isaac Bayor ◽  
Joseph Asumah Braimah ◽  
Abraham Marshall Nunbogu ◽  
...  
Keyword(s):  
Food Security ◽  
Food Insecurity ◽  
Community Health ◽  
Elderly People ◽  
Health Survey ◽  
Policy Issue ◽  
Integrated Approach ◽  
Canadian Community Health Survey ◽  
Health Concern ◽  
Community Health Survey

Abstract Food insecurity among elderly people is a major public health concern due to its association with several health conditions. Despite growing research and implementation of diverse income-based policy measures, food insecurity among elderly people remains a major policy issue in Canada. Additional research could inform food policy beyond strategies that target improving the financial resources of elderly people. Drawing data from the Canadian Community Health Survey (N = 24,930), we explored the correlates of food insecurity among older adults using negative log-log logistic regression techniques. Our findings show that certain categories of elderly people are more prone to food insecurity. These segments include seniors who are visible minorities (OR = 1.29, p < 0.01), live alone (OR = 1.13, p < 0.05), have a very weak sense of community belonging (OR = 1.40, p < 0.001), in poor physical health (OR = 1.20, p < 0.01), and those in lower age and income categories. These findings corroborate previous studies that demonstrate that food insecurity among elderly people is a complex phenomenon influenced by diverse socio-economic factors. In Canada, food security policies targeted at elderly people have largely prioritised poverty alleviation through income support programmes. While these programmes can improve the purchasing power of elderly people, they may not be sufficient in ensuring food security. There is a need to embrace and further investigate an integrated approach that pays attention to other contextual socio-economic dynamics.

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