ABSTRACT

This article offers a conceptual overview of the key principles of the culture-centered approach (CCA) as a meta-theoretical framework for addressing health inequalities by building communicative infrastructures for listening to the voices of subaltern communities that are hitherto erased from dominant discursive spaces. Complementing a growing body of scholarship that draws on the CCA to address the structural contexts of health in the subaltern margins across the globe, this article lays out the methodological framework of the CCA. It highlights the key conceptual anchors that serve as foundations of the approach, suggesting that participation, partnerships, communication, dialogue, and reflexivity offer methodological tools that interrogate the reproduction of erasures within dominant structures, and create entry points for subaltern voices to arrive into hegemony. The essay wraps up by offering specific strategies and tools for designing culture-centered projects that may be adopted by activists, community advocates and organizers, and academics working in academic-community partnerships in the backdrop of health disparities.

摘要

本文提供了以文化为中心的方法（CCA）的主要原理的概念性概述，该方法是通过建立可通信的基础结构来收听健康的不平等现象的元理论框架，以聆听从主流话语空间中消失的次生社区的声音。补充了越来越多的利用CCA来解决全球范围内次生边缘健康状况的学术研究，本文提出了CCA的方法论框架。它强调了作为该方法基础的关键概念锚点，并表明参与，伙伴关系，沟通，对话和反思性提供了方法方法工具，可用于在主导结构中质疑擦除的再现，并为次级声音创建进入霸权的切入点。本文通过提供特定的策略和工具来设计以文化为中心的项目，以在健康方面存在差异的情况下，可以由活动家，社区倡导者和组织者以及与学术社区合作的学者采用。