Centre for Social Research in Health, UNSW Sydney, Sydney, Australia.
School of Population and Global Health, The University of Melbourne, Melbourne, Australia.
Health Sociol Rev. 2024 Nov;33(3):325-341. doi: 10.1080/14461242.2024.2356868. Epub 2024 Jun 5.
Language is important in health policy development. Policy changes in Australia to increase cervical screening offers a timely case example to explore the function of inclusive language in health policy. Gender and sexuality diverse people with a cervix have been largely invisible within health promotion programs, which has led to reduced awareness of, and access to, cervical screening. Twenty-eight semi-structured interviews were conducted with 29 key informants between April and October 2022 about the role of inclusive language in cervical screening policy, promotion, and delivery in the context of a national program to promote cervical screening. Three themes were identified from what key informants believed to be the role of inclusive language: (1) the common goal of inclusive language as policy advocacy for broader inclusivity; (2) the inevitable partiality of inclusive language in policy as an opportunity to start conversation; and (3) policy as a bridge between essential but diffuse components of the health sector with multidirectional influences. Inclusive language was seen to operationalise equity in health policy within the broader aim of eliminating cervical cancer among under-screened populations.
语言在卫生政策制定中至关重要。澳大利亚为增加宫颈癌筛查而进行的政策改革为我们提供了一个及时的案例,可借此探讨包容性语言在卫生政策中的作用。在促进健康的项目中,有子宫颈的性别和性多样化人群在很大程度上被忽视了,这导致他们对宫颈癌筛查的认识和获得机会减少。2022 年 4 月至 10 月期间,对 29 名关键知情人进行了 28 次半结构化访谈,内容是关于在全国性促进宫颈癌筛查计划的背景下,包容性语言在宫颈癌筛查政策、推广和实施中的作用。根据关键知情人认为的包容性语言的作用,确定了三个主题:(1)包容性语言作为政策倡导的共同目标,旨在实现更广泛的包容性;(2)政策中包容性语言的不可避免的偏见是开启对话的机会;(3)政策是卫生部门基本但分散的组成部分之间的桥梁,具有多方向的影响。包容性语言被视为在更广泛的消除宫颈癌目标下,在卫生政策中实现公平。