Hepatitis B among the Khmer. Issues of translation and concepts of illness

Journal of General Internal Medicine
J Carey JacksonD Buchwald

Abstract

To assess the comprehensibility of hepatitis B translations for Cambodian refugees, to identify Cambodian illnesses that include the symptoms of hepatitis, and to combine these observations with critical theoretical perspectives of language to reflect on the challenges of medical translations generally. Open-ended, semistructured interviews, and participant-observation of a refugee community in Seattle, Washington. Homes of Cambodian residents of inner-city neighborhoods. Thirty-four adult Cambodian refugees who had each been educated about hepatitis B through public health outreach. Medical interpreters translated hepatitis B as rauk tlaam, literally "liver disease." Unfortunately, while everyone knew of the liver (tlaam), rauk tlaam was a meaningless term to 28 (82%) of 34 respondents and conveyed none of the chronicity and communicability intended by refugee health workers for 34 (100%) of the respondents. In contrast, all respondents knew illnesses named after symptom complexes that include the symptoms of acute and chronic hepatitis, but do not refer to diseased organs. The Cambodian words chosen to translate hepatitis B reflect the medical thinking and medical authority that can unintentionally overwhelm attempts at meani...Continue Reading

References

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Citations

Apr 5, 2005·Family Practice·Patricia Hudelson
Oct 9, 2004·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Elizabeth D Barnett
Mar 15, 2006·The Milbank Quarterly·Elizabeth JacobsSunita Mutha

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