Singapore's Extreme Neoliberalism and the COVID Outbreak: Culturally Centering Voices of Low-Wage Migrant Workers.

I draw on the key tenets of the culture-centered approach to co-construct the everyday negotiations of COVID-19 (coronavirus disease 2019) among low-wage male Bangladeshi migrant workers in Singapore. The culture-centered approach foregrounds voices infrastructures at the margins as the basis for theorizing health. Based on 87 hours of participant observations of digital spaces and 47 in-depth interviews, I attend to the exploitative conditions of migrant work that constitute the COVID-19 outbreak in the dormitories housing low-wage migrant workers. These exploitative conditions are intertwined with authoritarian techniques of repression deployed by the state that criminalize worker collectivization and erase worker voices. The principle of academic-worker-activist solidarity offers a register for alternative imaginaries of health that intervene directly in Singapore's extreme neoliberalism.

Health Information Seeking Among Singaporeans: Roles and Collective Contexts.

This article seeks to contribute to the literature on health information seeking (HIS) by culturally locating the search for health information within the local contexts of everyday life in Singapore, and within the meaning-making processes that individuals participate in. Based on in-depth interviews with 100 participants selected through stratified sampling, it asks: How do Singaporeans make sense of HIS in the realm of their everyday lived experiences? The study contributes to the literature on the roles familial ties play in information gathering and sharing in a collective context. More importantly, these familial ties provide perspective on the ways in which culture spatio-temporally constitutes HIS. HIS is informed by familial role expectations in a collectivist context where filial piety and "respect for the elderly" are guiding anchors for behavior. Moreover, harmony and community well-being define societal roles and responsibilities of caregiving, directed broadly at communal care. These collective-oriented contexts therefore inform HIS.

Narratives of Food Insecurity in Tippecanoe County, Indiana: Economic Constraints in Local Meanings of Hunger.

Food insecurity and its most extreme form, hunger, have increased exponentially in the United States since 2006. This essay seeks to contribute to our understanding of hunger by attending to the context of the financial crisis as an organizing frame for understanding local meanings of hunger. Within a broader framework of the culture-centered approach (CCA) that works to identify and develop locally rooted solutions to food insecurity, we describe through locally grounded stories of food insecurity the financial climate where large percentages of U.S. households have been cast into poverty because of the crash of an unregulated economy. These local understandings of hunger in the context of the economy offer entry points for organizing a food-insecure coalition that seeks to address the stigma around food insecurity.

Deconstructing the portrayals of HIV/AIDS among campaign planners targeting tribal populations in Koraput, India: a culture-centered interrogation.

This article deconstructs the portrayal of HIV/AIDS in the tribal dominated district of Koraput, India, among program planners, service delivery personnel, nongovernmental organizations (NGOs), etc. who plan, implement, and evaluate HIV/AIDS interventions targeting tribal communities in the region. Drawing upon postcolonial and subaltern studies approaches, we critically examine the ideological assumptions that circulate in the dominant discursive spaces among campaign planners and implementers who target HIV/AIDS among the tribal population in Koraput, India. Based on our critical examination, we suggest guidelines for engaging with program planners and implementers through health communication pedagogy informed by the culture-centered approach.

Meanings of health: interrogating structure and culture.

Based on the argument that context ought to be centralized in discourses of health communication, this article applies the culture-centered approach to engage in dialogue about issues of health with 18 men in rural West Bengal. The culture-centered approach is based on dialogue between the researcher and the community members, with the goals of listening to the voices of cultural members in suggesting culture-based health solutions. In this project, our discursive engagement with the participants suggests that health is primarily constructed as an absence, framed in the realm of minimal access to healthcare resources. In a situation where the resources are limited, the participants discussed the importance of trust in their relationship with the local provider. Health was also seen as a collective resource that was both an asset of the collective and a responsibility of the collective. Finally, the participants also pointed out the ways in which corruption in the structure introduced a paradox in policy discourse and the material conditions of the participants.

Communication choices of the uninsured: implications for health marketing.

According to published scholarship on health services usage, an increasing number of Americans do not have health insurance coverage. The strong relationship between insurance coverage and health services utilization highlights the importance of reaching out to the uninsured via prevention campaigns and communication messages. This article examines the communication choices of the uninsured, documenting that the uninsured are more likely to consume entertainment-based television and are less likely to read, watch, and listen to information-based media. It further documents the positive relationship between interpersonal communication, community participation, and health insurance coverage. The entertainment-heavy media consumption patterns of the uninsured suggests the relevance of developing health marketing strategies that consider entertainment programming as an avenue for reaching out to this underserved segment of the population.

Understanding health literacy for strategic health marketing: eHealth literacy, health disparities, and the digital divide.

Even despite policy efforts aimed at reducing health-related disparities, evidence mounts that population-level gaps in literacy and healthcare quality are increasing. This widening of disparities in American culture is likely to worsen over the coming years due, in part, to our increasing reliance on Internet-based technologies to disseminate health information and services. The purpose of the current article is to incorporate health literacy into an Integrative Model of eHealth Use. We argue for this theoretical understanding of eHealth literacy and propose that macro-level disparities in social structures are connected to health disparities through the micro-level conduits of eHealth literacy, motivation, and ability. In other words, structural inequities reinforce themselves and continue to contribute to healthcare disparities through the differential distribution of technologies that simultaneously enhance and impede literacy, motivation, and ability of different groups (and individuals) in the population. We conclude the article by suggesting pragmatic implications of our analysis.

The Radio Communication Project in Nepal: a culture-centered approach to participation.

Considerable research has been conducted on the topic of entertainment-education (DD), the method of using entertainment platforms such as popular music, radio, and television programming to diffuse information, attitudes, and behaviors via role modeling. A significant portion of the recently published EE literature has used the example of the Radio Communication Project (RCP) in Nepal to demonstrate the effectiveness of EE and to argue that EE campaigns can indeed be participatory in nature. In this project, we apply the culture-centered approach to examine the discursive space created by the RCP and its claim of being participatory, A critical examination of RCP discourse brings forth an alternative lens for approaching RCP and its participatory claim.

The past, present, and future of health development campaigns: reflexivity and the critical-cultural approach.

In contemporary society, health issues have gained increasing urgency in both political and academic spheres. Looking back at the failure of the modernist development initiatives, there is the need to realize that we live in a time of increasing sociopolitical complexity. The present moment is perhaps best understood in terms of a complex tension and linkage between the past and present, global and local, modern and postmodern. The critical-cultural approach to health campaigns is an approach that, through the reflexive interrogation of modernist assumptions underlying health communication campaigns, attempts to foreground the tensions inherent in the practice of health campaigns. This essay discusses the manner in which the critical-cultural approach interrogates modernist assumptions and provides an alternative paradigm for approaching the theory and practice of health campaigns by suggesting the necessity for reflexivity. Specifically, we discuss how the perspective interrogates the role of the media in development, the significance of culture, the locus of health responsibility, the impact of structural conditions, and the politics of knowledge, providing examples of campaigns that illustrate this reflexivity.

The relationship between health information seeking and community participation: the roles of health information orientation and efficacy.

Health communication scholarship has built on the health-promoting role of the community in exploring participatory communication techniques in community-based health promotion efforts. Community participation inculcates responsibility, strengthens community bonds, and provides a platform for diffusing health interventions. This power of a community to embody responsible action and promote participation in preventive behavior is examined in recent research on social capital. Exploring the link between community participation and health, this article demonstrates, through 2 survey studies, that health information orientation and health information efficacy are positively correlated with community participation. Furthermore, community participation is linked with prevention orientation, health beliefs, and health behaviors. Based on the findings, theoretical and pragmatic suggestions are presented.

Health among men in rural Bengal: Exploring meanings through a culture-centered approach.

Researchers in health communication usually adopt a linear approach to the study of health. Under this linear model, the emphasis is on the transmission of beliefs, information, and knowledge from key points at the core (the traditional senders) to the peripheral receivers of messages. A growing body of scholarship foregrounds the importance of understanding health communication from a culture-centered perspective that privileges the dialogue with community members. Drawing on a culture-centered approach, the authors examine the meanings of health among men in rural Bengal. Their dialogue with these men suggests that communication in the realm of health exists in the context of responsibility as care providers, work life, structural barriers, and solutions through participatory processes. The findings elucidate the connection between structure and the communication practices of marginalization. The authors' discursive engagement with the participants points toward spaces of entry for theorizing health communication and developing culture-centered praxis.

Theoretical approaches to entertainment education campaigns: a subaltern critique.

Entertainment education (E-E) is one of the most widely discussed areas in current scholarship on international health communication. In fact, much of the health communication scholarship has been historically dominated by E-E efforts directed at subaltern spaces. This article applies a subaltern studies perspective to interrogate the location of agency of the subaltern participant in the dominant E-E discourse. Based on a critical approach to E-E, the article offers points of departure for studying health communication in subaltern spaces. Subaltern voices point toward alternative definitions of problems beyond the narrow realm of problems defined by the core actors in E-E. Finally, alternative positions are suggested for applying participatory communication in engaging with subaltern participants for problem definition and solution development.