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ʠ [81+82.09](043.2) ʠ ISBN978-985-515-605-6(.1) , ISBN 978-985-515-604- Š ʠ(UDC)005.57:614. J.Parrish-Sprowl INTERCULTURALISSUESINHEALTHCOMMUNICATION:

CREATINGAHEALTHYWORLD ,.  ,,*.

Healthcommunicationisarapidlygrowingareaofstudyandpractice[1].

Thisisdue,inpart;

totherealizationamonghealthcareprofessionalsthatimproved communicationisanimportantkeytoimprovingindividual,community,societal, andglobalhealth.Asanareaofappliedcommunicationresearch,itrestsatthe intersectionofscholarlyinvestigationandprofessionalpracticeasthetwogroups worktogethertoimprovehealthandhealthcaredeliveryaroundtheworld.Thus akeyaspectofhealthcommunicationisitsinterculturaldimension,bothinterms of scholars and practitioners working together and in the engagement of multiculturalcommunitiesinresearchandpractice.

ThisiswhywecreatedtheGlobalHealthCommunicationCenter(GHCC)at theIndianaUniversitySchoolofLiberalArts.Ourmissionisasfollows:Dedicated toimprovinghealtharoundtheworldbycreatinggreateraccesstohealthcareand betterhealthcarepractices,throughmoreeffectivehealthcommunication.We engageinresearch,consultationandpracticeintheareaofhealthcommunication.

WecollaboratewithWHOandHealthMinistriestoimprovehealthcommunication incountriesaroundtheworldtodevelopgreatercapacitytoengageineffective healthcommunication.CurrentprojectsfortheGHCCareinIndonesia,Vietnam, andtheUnitedStates,coveringareasofavianflu,saltconsumption,childhood obesity,andincreasingcommunityengagementinhealthresearch.

Tounderstandthescopeofthisdomain,considerthesequestions:What arehealth&healthcommunication?AccordingtoWHO,healthisastateof completephysical,mental,andsocialwellbeingandnotmerelytheabsenceof diseaseorinfirmity[2].Fromthisperspectivehealthincludesmuchmorethan medicaltreatment,italsoinvolvesgoodrelationships,homes,communities andschoolswherepeoplecanbenurturedanddevelopedintohealthadults.

Thismorebroadimpactonhumandevelopment,life,andthedeliveryofhealth servicescomprisethedomainofhealthcommunication * .

-3 ..۠ɠ Oneway toillustrate thisistoposethequestions:Whatdoallof the followinghealthconditionshaveincommon?

HIV Stroke DomesticViolence HumanTrafficking Diabetes ChildAbuse Flu Alcoholism Tuberculosis DrugAddiction HeartDisease TrafficAccidents Oneansweristhattheyareallglobalhealthproblemsthatcanbereduced oreliminatedthroughbetterhealthcommunication.Medicaltreatmentalone cannotsolvetheseproblems.Thequalityofourcommunicationplaysacritical roleinthelevelofourindividual,community,societal,andglobalhealth.Thus from the moment we are born, as we interact with others, we develop the communicationpracticesthatmakeadifferenceinourhealth[3].

Thisleadsustothequestion:Howdoeschildbecomeahealthyperson?





Fromacommunicationperspectiveweliveincommunicationanditcreates andshapesusasmuchaswecreateandshapecommunication.Whenweare bornwedonothaveafullydevelopedbrain.Itsevolutionissubstantiallyshaped bytheinteractionthechildhaswiththeenvironmentandallofthepeoplewho areinit.Throughtheseinteractionsasenseofselfandidentitybegintodevelop andformintochangeablebutrelativelystablepatternsofbeing.Oursenseof whoweare,ourplaceinthefamily,thecommunity,nation,andculturalareall shapedbycommunicationasourbrainsarereflexivelyengagedininteraction.

This includes our communication style, both verbal and nonverbal, languageandlanguagecapabilities,styleofdress,andotherfactorsthatwe humansusetomakecommunicationwitheachother.Thus,ataverybasic biologicallevel,communicationplaysacriticalroleincreatingcultureandby extensionpatternsofinterculturalcommunication.Simultaneously,itplaysa roleinshapingthehealthofindividuals,families,communities,nations,and beyond.Inthatwaywemustconsiderthequalityofourhealthisinmanyways afunctionofinterculturalcommunication.Wecanconsidertwocriticalaspects ofthis.First,itisthroughinterculturalsharingthatwe learnof manynew medicines,medicalpractices,andotherwaysofmakingourlivesmorehealthful.

Ifeachcountryorculturewereleftentirelyinisolationhumandevelopment wouldunfoldverydifferentlywithrespecttohealth.

Asecondwaythismattersinisthedevelopmentofmorehealthfulways ofinteractingbetweenandamongcultures.Thisisattheheartoftheworkwe dointheGHCC.InVietnam,forexample,weareworkingwiththeMinistryof HealthandWHOtoreduce saltconsumptionin a provincetoassist in the reductionofthe numberof casesof hypertension.Asweworktogetherwe mustmanageinterculturalcommunication,usingideasandtechnologiesacross cultures,alongwithlanguageandpatternsofinteractionswithintheculture.In -4 . Indonesia,collaborationbetweentheMinistryofHealth,WHO,andtheGHCC mustgrapplewiththesameissues.EveninourworkwithintheUSwemust workacrossdifferingculturesthatresidewithinthecountry.

Theimportanceoftheinterculturaldimensionofhealthcommunication cannotbeoveremphasized.Asweworktoimproveaccesstoqualityhealthcare andhealthitselfwemustrecognizethatthisrequireschangingfundamentalaspects ofculturalpatterns.Forexample,inVietnam,wheremanyhaveaculturaltradition ofusinghighlevelsofsaltwhilecooking,asweengageinacommunication campaigntoreducesaltconsumptionweareaskingpeopletoalterculturalpatterns.

Thuswemustworkacrossculturestodeviseacampaignthatmakessensewithin culturetoultimatelychangeculturewiththegoalofmakingbasicculturalpractices morehealthful.Asweworktodevelopbothscholarshipandpracticerelatedto healthcommunication,wemustalsorecognizethatinterculturalknowledgeand skillsformanintegralpartoftheprocess.

Eachculturehasitsownassumptionsandtraditionswithrespecttohowlife shouldbelived.Communicationpatternsbothgiverisetothesenotionsandaswe enactthemcreatetheircontinuance.Peoplewhoteachandlearnintheareaof interculturalcommunicationhavethepotentialtomakechangesintheirowncultures, intheculturesofothers,andintheinteractionbetweenthem.Whenitcomesto healthitisimportanttorealizethattheveryefforttoimprovethehealthofaperson, community,nation,orculturerequireschangesandthatthenewpatternswillfoster yetanotherroundofinterculturalchanges.Thusallwhoteachlanguagesandstudy interculturalpatterns,withtheintentoffacilitatingdialogueacrosscultures,also havetheopportunitytohelpmakethisahealthyworldthroughtheirefforts.

References 1.Thompson, T. The Routledge Handbook of Health Communication/T. Thompson, R.Parrott,J.Nussbaum. 2ndedition.NewYork:Routledge, 2011.

2. https://apps.who.int/aboutwho/en/definition.html.

3.Siegel,D.Thedevelopingmind/D.Siegel.2ndedition.NewYork:GuilfordPress,2012.

Health communication is a rapidly growing area of study and practice, having intercultural dimensions. The paper highlights some results of activities provided by Global HealthCommunicationCenter(GHCC), createdatthe IndianaUniversityPurdueUniversity SchoolofLiberalArts,Indianapolis,Indiana,USA.

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1.NauczaniejzykwobcychPolskaaEuropa/RedakcjanaukowaH.Komorowska. Warszawa:ACADEMICA SWPS,2007.236 s.

2. Griniewicz, S. Antropolingwistyka (Nowa nauka XXI wieku)/ S. Griniewicz, J.Zaniewski,T.Skopiuk,E.Sorokina.Biaystok:WSFiZ, 2009.130 s.

3. Nizhneva, N. Crosscultural competence development / N. Nizhneva,A. Nizhneva Ksenofontova,A. ukaszuk // Edukacja dla przyszoci/ Pod red. J. F. Nosowicz, J. Gorbacz Pazera.Biaystok:WSFiZ,2008.T.V.S. 4758.

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andnew countries of EuropeanCommunity, namely, the concept of multilingual language education,itsstrongandweakpointsbeingshown.

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