Agency & Identity Negotiations of "Good DNA" by Children with Incarcerated Parents Amidst Stigmatizing Mental Health Structures: A Culture-Centered Analysis.

Children with incarcerated parents (CIP) face higher burdens of mental illness owing to an accumulation of adverse childhood experiences (ACEs) marked by racialized and classed stigma. Utilizing instruments co-created by our CIP advisory board youth within a broader Youth Voice project, semi-structured in-depth interviews were conducted with 30 CIP, forming the primary data set for analysis within the present manuscript, in addition to two advisory board focus groups and 21 questionnaires. Drawing upon the culture-centered approach (CCA), this study explores CIP's articulations of agency and positive identification, including narratives of strength, survival, and "good DNA" in making meaning of mental health experiences. Demonstrating a complex interplay of silence and voice, CIP agentically reframe mainstream narratives about problematic behavior as overt responses to inadequate structural support, challenge notions of the absent incarcerated parent, engage in the praxis of retailoring state mental health resources to align with their lived experiences and participate as active content creators and storytellers within community media spaces.

Culture, Structure, and Health: Narratives of Low-income Bangladeshi Migrant Workers from the United Arab Emirates.

Increasingly, health scholars are paying attention to the health experiences of immigrant communities, particularly in the backdrop of the global flows of goods, services, and people across borders. In spite of the increasing public health emphasis on health outcomes of immigrants within the Middle Eastern (ME) countries, immigrant communities are often constructed as monoliths and the voices of immigrant communities are traditionally absent from mainstream health policy and program discourses. The health experiences of immigrants, their access to resources, and the health trajectories through the life-course followed by them and their descendants influence the deep-seated patterns of ethnic health disparities documented in the ME. Based on the culture-centered approach, we engaged in in-depth face-to-face interviews, and focus groups discussions with a total of 44 research participants, to understand how low-income Bangladeshi migrant workers in the United Arab Emirates (UAE), who live at the borders of mainstream Arab society, define, construct, and negotiate health issues. Participants articulate in their narratives their nuanced cultural understanding of good health as a complex, holistic practice, the achievement of which is obstructed by barriers such as immigration and insurance structures. Further, they enact their agency in resource impoverished circumstances to protect their mental health and physical well-being through daily strategies and acts of resistance.

Refugee Articulations of Health: A Culture-Centered Exploration of Burmese Refugees' Resettlement in the United States.

Grounded in the culture-centered approach that emphasizes dialogic engagement with communities at the margins to disrupt mainstream health discourses, this article explores articulations of health by the Burmese refugee community in the United States post resettlement. Due to forced migration, often fleeing violent political regimes in their home countries and surviving itinerantly in refugee camps and host countries, they face further disenfranchisement upon resettlement as a subset of immigrants who are thrust into an unfamiliar sociocultural setting with marginal federal support. Against this backdrop, the present research explores the narratives of Burmese refugees in the United States through in-depth interviews focusing on their meaning-making practices surrounding health and displays of agency in the face of structural healthcare barriers. The participants' narratives articulate health as communal and familial safety in contrast to the mainstream discourse of disease prevention and individual lifestyle choices. They describe structural barriers to healthcare access in the form of the employment-insurance nexus, and also an intricate web of lack of access to health services resulting from linguistic isolation. Within such constraints they locate agency by utilizing community networks as mediators for infrastructural and cultural access and engage in practices seeking out providers with interpreters from within the Burmese community, as well as utilizing technology such as listservs and e-mails through informal networks often ignored by mainstream healthcare providers in the community.

Labor, Health, and Marginalization: A Culture-Centered Analysis of the Challenges of Male Bangladeshi Migrant Workers in the Middle East.

Based on the culture-centered approach, we examine the meanings of health and negotiations of health care structures among low socioeconomic status (SES) Bangladeshi male migrant workers in the United Arab Emirates (UAE). We engage in coconstructive problem definition and strategizing through 44 semistructured in-depth interviews/focus groups about health, migration, and well-being. Our analysis of the participants' narratives elucidates the intersectionality of health as a lived experience of migrant labor within neoliberal structures focused on labor extraction, highlighting health not as a static or purely epidemiological construct, but as a combination of the physical, mental, spiritual, and socioeconomic material realities within which they are located. These include a recognition of the importance of interconnectedness of physical and mental well-being, drawing upon one's cultural and familial roles and responsibilities, as well as locating health within structurally exploitative practices. Specifically, the participants articulate the absence of substantive health and labor protections that result in poor health outcomes for them.

A Culture-Centered Community-Grounded Approach to Disseminating Health Information among African Americans.

This study highlights the role of local communities in creating culturally rooted health information resources based on comparative effectiveness research (CER), depicting the role of culture in creating entry points for building community-grounded communication structures for evidence-based health knowledge. We report the results from running a year-long culture-centered campaign that was carried out among African American communities in two counties, Lake and Marion County, in Indiana addressing basic evidence-based knowledge on four areas of cardiovascular disease (CVD). Campaign effectiveness was tested through an experimental design with post-test knowledge of CER among African Americans in these counties compared to CER knowledge among African Americans in a comparable control county (Allen). Our campaign, based on the principles of the culture-centered approach (CCA), increased community CER knowledge in the experimental communities relative to a community that did not receive the culturally centered health information campaign. The CCA-based campaign developed by community members and distributed through the mass media, community wide channels such as health fairs and church meetings, postcards, and face-to-face interventions explaining the postcards improved CER knowledge in specific areas (ACE-I/ARBs, atrial fibrillation, and renal artery stenosis) in the CCA communities as compared to the control community.

Narratives of Stress in Health Meanings of African Americans in Lake County, Indiana.

Across the life course, African Americans bear an unequal burden of disease compared to other racial groups. In spite of the widespread acknowledgment of racial health disparities, the voices of African Americans, their articulations of health and their local etiologies of health disparities are limited. In this article, we highlight the important role of communication scholarship to understand the everyday enactment of health disparities. Drawing upon the culture-centered approach (CCA) to co-construct narratives of health with African Americans residents of Lake County, Indiana, we explore the presence of stress in the everyday narratives of health. These narratives voice the social and structural sources of stress, and articulate resistive coping strategies embedded in relationship to structures.