Meanings of health and healthcare in a U.S. border region: a culture-centered approach to health disparities

Health disparities influence health and health-related outcomes in a multitude of ways, and can be attributed to the unequal distribution of social, political, economic, and environmental resources. This study uses the culture-centered approach (CCA) to illuminate health experiences, meanings, and n...

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Main Authors: Rebecca de Souza, Isabel Villegas-Glang, Brianna Pham
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-02-01
Series:Frontiers in Communication
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fcomm.2025.1500791/full
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author Rebecca de Souza
Isabel Villegas-Glang
Brianna Pham
author_facet Rebecca de Souza
Isabel Villegas-Glang
Brianna Pham
author_sort Rebecca de Souza
collection DOAJ
description Health disparities influence health and health-related outcomes in a multitude of ways, and can be attributed to the unequal distribution of social, political, economic, and environmental resources. This study uses the culture-centered approach (CCA) to illuminate health experiences, meanings, and negotiations of 15 individuals residing in a border region of southern California. Through a qualitative semi-structured interview process, the study identified four main themes: the impact of structural deprivation and stress on health, barriers to U.S. healthcare and transborder negotiations, confronting English hegemony in healthcare interactions, and turning to traditional medicine when biomedicine is unavailable. The study contributes to health disparities research by providing a nuanced exploration of how power dynamics and systemic inequalities shape the experiences of cultural communities as they resist, negotiate, and adapt to inequitable health and healthcare environments. Through amplifying the voices of cultural participants, the study opens alternative pathways for constructing health and puts forth a vision of healthcare rooted in relational and anti-capitalist models of healthcare.
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spelling doaj-art-e3375251c03442b5b6dc55f31977bc152025-02-07T05:10:32ZengFrontiers Media S.A.Frontiers in Communication2297-900X2025-02-011010.3389/fcomm.2025.15007911500791Meanings of health and healthcare in a U.S. border region: a culture-centered approach to health disparitiesRebecca de SouzaIsabel Villegas-GlangBrianna PhamHealth disparities influence health and health-related outcomes in a multitude of ways, and can be attributed to the unequal distribution of social, political, economic, and environmental resources. This study uses the culture-centered approach (CCA) to illuminate health experiences, meanings, and negotiations of 15 individuals residing in a border region of southern California. Through a qualitative semi-structured interview process, the study identified four main themes: the impact of structural deprivation and stress on health, barriers to U.S. healthcare and transborder negotiations, confronting English hegemony in healthcare interactions, and turning to traditional medicine when biomedicine is unavailable. The study contributes to health disparities research by providing a nuanced exploration of how power dynamics and systemic inequalities shape the experiences of cultural communities as they resist, negotiate, and adapt to inequitable health and healthcare environments. Through amplifying the voices of cultural participants, the study opens alternative pathways for constructing health and puts forth a vision of healthcare rooted in relational and anti-capitalist models of healthcare.https://www.frontiersin.org/articles/10.3389/fcomm.2025.1500791/fullcritical health communicationculture-centered approachimmigrant healthhealth literacyborder health
spellingShingle Rebecca de Souza
Isabel Villegas-Glang
Brianna Pham
Meanings of health and healthcare in a U.S. border region: a culture-centered approach to health disparities
Frontiers in Communication
critical health communication
culture-centered approach
immigrant health
health literacy
border health
title Meanings of health and healthcare in a U.S. border region: a culture-centered approach to health disparities
title_full Meanings of health and healthcare in a U.S. border region: a culture-centered approach to health disparities
title_fullStr Meanings of health and healthcare in a U.S. border region: a culture-centered approach to health disparities
title_full_unstemmed Meanings of health and healthcare in a U.S. border region: a culture-centered approach to health disparities
title_short Meanings of health and healthcare in a U.S. border region: a culture-centered approach to health disparities
title_sort meanings of health and healthcare in a u s border region a culture centered approach to health disparities
topic critical health communication
culture-centered approach
immigrant health
health literacy
border health
url https://www.frontiersin.org/articles/10.3389/fcomm.2025.1500791/full
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