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Representations of people with HIV and hepatitis C in editorials of medical journals: discourses and interdiscursive

Henrike Körner1, Carla Treloar

  • 1National Centre in HIV Social Research, University of New South Wales, Sydney NSW 2052, Australia. h.korner@unsw.edu.au

Communication & Medicine
|July 1, 2006
PubMed

Insights

Medical journal editorials represent people with HIV multidimensionally, integrating social factors. Hepatitis C coverage remains narrowly biomedical, often objectifying patients. Discursive diversity is crucial for effective health policy and public understanding.

Area of Science:

  • Medical Discourse Analysis
  • Public Health Communication
  • Sociology of Health

Background:

  • HIV and Hepatitis C are chronic, blood-borne viral infections affecting marginalized populations.
  • Previous research indicates varied representation of patient groups in medical literature.
  • Understanding discourse in medical journals is key to analyzing health communication.

Purpose of the Study:

  • To compare the representation of individuals with HIV and Hepatitis C in medical journal editorials from 1989-2001.
  • To analyze the discursive strategies used in editorials concerning these two viral infections.
  • To assess the impact of discourse on public perception and health policy.

Main Methods:

  • Critical Discourse Analysis (CDA)
  • Systemic Functional Linguistics (SFL)
  • Comparative analysis of medical journal editorials (1989-2001)

Main Results:

  • Hepatitis C editorials predominantly used a biomedical discourse, often portraying patients as absent or objects.
  • HIV editorials integrated diverse discourses (social, economic, cultural), representing patients as agents in decision-making.
  • The gay community's engagement influenced discursive change in HIV representation.

Conclusions:

  • Discursive diversity in medical journals is essential for informed health policy and professional development.
  • Multidimensional representation enhances understanding of complex health issues like HIV and Hepatitis C.
  • Effective health communication requires moving beyond purely biomedical narratives.

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