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329155
Co-Creating Change through PhotoVoice: Latino/a Teens and Physicians-in-Training Combat Inequity Together


Tuesday, November 3, 2015

Kari Thatcher, MPH, Health Behavior, Gillings School of Global Public Health, Chapel Hill, NC
Alejandra Mendez, El Pueblo, Raleigh, NC
Rubén Suárez, El Pueblo, Raleigh, NC
Alexandra Lightfoot, EdD, Gillings School of Global Public Health, Department of Health Behavior, University of North Carolina at Chapel Hill, Chapel Hill, NC
Florence Simán, MPH, Health Programs, El Pueblo, Inc., Raleigh, NC
Eugenia Eng, MPH, DrPH, Gillings School of Global Public Health, Department of Health Behavior, University of North Carolina at Chapel Hill, Chapel Hill, NC
Yesenia Merino, MPH, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC
Tainayah Thomas, MPH, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC
Robert Colby, Ph.D., Institute for the Arts and Humanities, The Universtiy of North Carolina at Chapel Hill, Chapel Hill, NC
Tamera Coyne-Beasley, MD, Pediatrics, University of North Carolina, Chapel Hill, NC
William Hall, PhD, MSW, School of Social Work, The Universtiy of North Carolina at Chapel Hill, Chapel Hill, NC
Kent Lee, MA, Department of Social Psychology, The Universtiy of North Carolina at Chapel Hill, Chapel Hill, NC
John McGowan, Ph.D., English, The Universtiy of North Carolina at Chapel Hill
Keith Payne, PhD, Department of Psychology, University of North Carolina at Chapel Hill, Chapel Hill, NC
Mimi Chapman, Ph.D., School of Social Work, The Universtiy of North Carolina at Chapel Hill, Chapel Hill, NC
  
Background: North Carolina has experienced 943% growth in the Latino/a population over the last 20 years, yet systems are still unprepared to respond to this rapid shift. The goal of the Envisioning Health PhotoVoice project was to explore Latino/a adolescents’ perspectives on what impacts their health as part of a pilot intervention engaging pediatric residents in an exploration of Latino/a ethnicity and the experience of migration on health.

Methods: We used the community-based participatory research (CBPR) method of PhotoVoice with two groups of Latino/a adolescents focusing on the topic “What I wish the doctor knew about my life.” We worked with the youth to analyze the transcripts from the PhotoVoice discussions, generate themes, and disseminate findings to influential advocates.

Results: PhotoVoice findings revealed challenges faced by Latino/a adolescents that affect their health beyond health care and interactions with providers. Themes that emerged pointed to policies and power dynamics that impact their lives in school and communities. Based on these themes, we organized two forums with influential advocates (one with doctors and one with educators) to share findings and brainstorm action steps focused on system changes.

Conclusion: To improve the future of Latino/a adolescents it is critical to understand, from their perspectives, the ways their lives can be complicated by experiences of migration, racial stereotypes, and the challenges of cross-cultural communication.  Engaging Latino/a adolescents in the dissemination process through community forums was an effective way to reach influential advocates, increase understanding, and galvanize support for systems change.

Learning Areas:

Advocacy for health and health education
Diversity and culture
Implementation of health education strategies, interventions and programs
Provision of health care to the public

Learning Objectives:
Identify youth views on the patient-provider relationship and other important contexts to youth that they report impact their health and well-being. Identify new ways in which young people and providers can work together to promote change in systems that structure patient-provider interactions. Identify and understand how to overcome challenges to creating reflective, change-making encounters between Latino/a youth and providers

Keyword(s): Latinos, Adolescents

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I spearheaded the PhotoVoice intervention component for the research project, Envisioning Health.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

Back to: 4404.0: Youth Roundtable: Youth leading the way to healthier communities