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.
Ahmad WIU . (1997) Making black people sick: ‘race’, ideology and health research. In: WIU Ahmad . (ed.), ‘Race’ and health in contemporary Britain, Open University Press , Buckingham , 11–33.
2.
Browne A . (2005) Discourses influencing nurses' perceptions of patients.Canadian Journal of Nursing Research37: 62 – 87 .
3.
Canadian Institute of Health Information (CIHI) . (2006) Pan-Canadian Primary Health Care Indicators. Report 1, Volume 2, Pan-Canadian Primary Health Care Indicator Development Project. Canadian Institute for Health Information . Ottawa .
4.
Centre for Health Services & Policy Research (CHSPR) . (2005) Planning for Renewal: Mapping Primary Health Care in British Columbia.Vancouver , College of Health Disciplines, University of British Columbia .
5.
Culley L . (2006) Transcending transculturalism? Race, ethnicity and health care.Nursing Inquiry, 13(2): 144 – 153 .
6.
7.
Farmer PENizeye BStulac SKeshavjee S . (2006) Structural violence and clinical medicine.PLoS Medicine3: 1686 – 1691 .
8.
Gordon DShaw MDorling DDavey SG . (1999) Inequalities in health: The evidence.Bristol , The Policy Press England .
9.
Graham H . (2004) Social determinants and their unequal distribution: Clarifying policy understandings.The Milbank Quarterly82: 101 – 124 .
10.
Hall S . (1980). Sage Journals Online http://mcs.sagepub.com/cgi/reprint/2/1/57, 2: 57-72.
11.
Hay DVarga-Toth JHines E . (2006) Frontline healthcare in Canada: Innovations in delivering services to vulnerable populations. In: Canadian policy research networks (ed), Research Report F/63. Family Network.
12.
Health Officer’s Council of British Columbia . (2007) Taking action on child poverty. In: PW Group . (ed), British Columbia Conversation on Health.Richmond, Canada
13.
Hertzman C . (2005) Report on early development indicators mapping in BC.Vancouver, Canada , Human Early Learning Partnership .
14.
Holtz THHolmes SStonington SEisenberg L . (2006) Health is still social: Contemporary examples in the age of the genome.PLoS Medicine3: 1663 – 1666 .
15.
James O . (1995) Juvenile violence in a winner-loser culture.London , Free Association Books .
16.
Julien G . (2004) A different kind of care: the social pediatrics approach.Montreal, Canada , McGill-Queen’s University Press .
17.
Kershaw PTrafford KHertzman C . (2005) The BC atlas of child development. Human Early Learning Partnership.Vancouver, CanadaWestern Geographical Press, 40.
18.
Kitzman HOlds DLHenderson CRHanks CCole RTatelbaum R . MCConnochie KM, Sidora K, Luckey D, Shaver D, Engelhardt K, James D, Barnard K (1997) Effect of prenatal and infancy home visitation by nurses on pregnancy outcomes, childhood injuries, and repeated childbearing. A randomized controlled trial.JAMA, 278: 644 – 652 .
19.
Kitzman HOlds DLSidora KHenderson CRHanks CCole RLuckey DWBondy JCole KGlazner J . (2000) Enduring effects of nurse home visitation on maternal life course: a 3-year follow-up of a randomized trial.JAMA, 283: 1983 – 1989 .
20.
Lynam MJ . (2007) Does discourse matter? Using critical inquiry to engage in knowledge development for practice.Primary Health Care Research and Development, 8: 54 – 67 .
21.
Lynam MJBrowne AJReimer Kirkham SAnderson JM . (2007). Re-thinking the complexities of 'culture': what might we learn from Bourdieu?Nursing Inquiry, 14: 23 – 34 .
22.
Lynam MJCowley S . (2007) Understanding marginalization as a social determinant of health.Critical Public Health, 17: 137 – 149 .
23.
Lynam MJ . (2005) Health as a socially mediated process: Theoretical & practice imperatives emerging from research on health inequalities.Advances in Nursing Science, 28: 25 – 37 .
24.
MacIntyre S . (1997) The black report and beyond: What are the issues?Social Science & Medicine, 44: 723 – 745 .
25.
Manciaux MBerenberg SRMasse NP . (1978) The international children’s centre: An experience in teaching social pediatrics.Pediatrics, 61: 1 – 4 .
26.
Margolis PAStevens RBordley WCStuart JHarlan CKeyes-Elstein LWisseh S . (2001) From concept to application: the impact of a community-wide intervention to improve the delivery of preventive services to children.Pediatrics, 108: 110 .
27.
Nazroo JY . (2003) The structuring of ethnic inequalities in health: Economic position, racial discrimination, and racism.American Journal of Public Health, 93: 277 – 284 .
28.
Olds DLEckenrode JHenderson CRKitzman HPowers JCole RSidora KMorris PPettitt LMLuckey D . (1997) Long-term effects of home visitation on maternal life course and child abuse and neglect. Fifteen-year follow-up of a randomized trial.JAMA, 278: 680 – 691 .
29.
Olds DLRobinson JPettitt LLuckey DWHolmberg JIsacks KSheff KHenderson CR . (2004) Effects of home visits by paraprofessionals and by nurses: age 4 follow-up results of a randomized trial.Pediatrics, 114: 1560 – 1568 .
30.
Power CManor OFox J . (1991) Health and class: The early years.London, England , Chapman & Hall .
31.
Power CStansfeld SMatthews SManor OHope S . (2002) Childhood and adulthood risk factors for socio-economic differentials in psychological distress: evidence from the 1958 British birth cohort.Social Science & Medicine, 55: 1989 – 2004 .
32.
Reimer Kirkham SBaumbusch JLSchultz A Anderson J . (2007) Knowledge development and evidence based practice: Insights and opportunities from a postcolonial feminist perspective for transformative nursing practice.Advances in Nursing Science, 30: 26 – 40 .
33.
Reimer Kirkham SAnderson J . (2002). Postcolonial nursing scholarship: From epistemology to method.Advances in Nursing Science, 25: 1 – 17 .
34.
Rutter M . (1975) Helping troubled children. Understanding problems, development, emotional disorders, underachievement, methods of treatment and their effects.Middlesex, England : Penguin Books .
35.
Shonkoff JPhillips D . (2001) From neurons to neighbourhoods: The science of early childhood development.Zero to Three .
36.
Smedley BDStith AYNelson AR . (2002) Unequal treatment. Confronting racial and ethnic disparities in health care.Washington DC , Institute of Medicine of the National Academies .
37.
Smye VBrowne A . (2002) ‘Cultural Safety’ and the analysis of health policy affecting aboriginal people.Nurse Researcher, 9: 42 – 56 .
38.
Spencer NColomer CAlperstein GBouvier PColomer JDuperrex OGokcay GJulien GKohler LLinclsfrom BMocfarlan AMercer RPanagopoulos TSchulpen T . (2005) Social Pediatrics.Journal of Epidemiology & Community Health, 59: 106 – 108 .
39.
Statistics Canada. (2005) Health regions 2005, by province and territory. Ottawa, Canada, http://www.statcan.ca/english/concepts/definitions/hlthreg-2005.htm.
40.
Waitzkin H . (2000) The second sickness: Contradictions of capitalist health care.New York : Rowman & Littlefield Publishers Inc.
41.
Werner E . (1989) High risk children in young adulthood: A longitudinal study from birth to 32 years.American Journal of Orthopsychiatry, 59: 72 – 81 .
42.
Werner EE . (1992) The children of Kauai: resiliency and recovery in adolescence and adulthood.Journal of Adolescent Health, 13: 262 – 268 .
43.
Werner EE . (1997) Vulnerable but invincible: high-risk children from birth to adulthood.Acta Paediatr, 422 (Suppl): 103 – 105 .
44.
Whitehead M . (1992) The health divide. With the black report, in inequalities in health.London : Penguin Books .
45.
Wilkinson RG . (1996) Unhealthy societies: The afflictions of inequality.London : Routledge .
