Situating Health Experiences: A Culture-Centered Interrogation.

IF 3 3区 医学 Q1 COMMUNICATION Health Communication Pub Date : 2024-11-01 Epub Date: 2023-12-22 DOI:10.1080/10410236.2023.2296772
Phoebe Elers, Mohan J Dutta
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Abstract

Culture-centered studies of health communication de-center the theorization of health as an individual behavior and reveal the structural conditions that shape inequalities in health outcomes. The present study examines the ways in which space and housing shape experiences of health in a low-income site in Auckland undergoing radical redevelopment. We draw from a culture-centered project undertaken in 2018-2021 predominantly among Māori and Pasifika peoples involving 60 initial in-depth interviews, seven focus groups, a series of filmed interviews, and 32 additional in-depth interviews conducted during the COVID-19 pandemic. The residents' narratives foregrounded the detrimental health impact of inadequate housing, financial constraints, transience, and displacement that severs ties to place and community. These findings reveal the relationship between housing challenges, economic marginalization, and neoliberal capitalism, highlighting the need for policy interventions to address housing as a fundamental determinant of health disparities among marginalized communities.

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健康体验情景化:以文化为中心的审讯。
以文化为中心的健康传播研究将健康作为个人行为的理论去中心化,揭示了形成健康结果不平等的结构性条件。本研究探讨了在奥克兰一个正在进行大刀阔斧重建的低收入地区,空间和住房如何影响人们的健康体验。我们借鉴了 2018-2021 年开展的一个以文化为中心的项目,该项目主要针对毛利人和帕西菲卡人,涉及 60 个初步深度访谈、7 个焦点小组、一系列拍摄访谈,以及在 COVID-19 大流行期间进行的 32 个额外深度访谈。居民们的叙述强调了住房不足、经济拮据、迁移和流离失所对健康的不利影响,这些因素切断了与地方和社区的联系。这些发现揭示了住房挑战、经济边缘化和新自由主义资本主义之间的关系,强调了政策干预的必要性,以解决住房问题,将其作为边缘化社区健康差异的基本决定因素。
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来源期刊
CiteScore
8.20
自引率
10.30%
发文量
184
期刊介绍: As an outlet for scholarly intercourse between medical and social sciences, this noteworthy journal seeks to improve practical communication between caregivers and patients and between institutions and the public. Outstanding editorial board members and contributors from both medical and social science arenas collaborate to meet the challenges inherent in this goal. Although most inclusions are data-based, the journal also publishes pedagogical, methodological, theoretical, and applied articles using both quantitative or qualitative methods.
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