Addressing social determinants of health through photovoice

Background: As in many urban communities, the predominantly African American neighborhoods of West Louisville (WL), KY face significant social and health disparities.  The poverty rate of WL is nearly triple Louisville Metro’s (LM) rate; the unemployment rate is twice as high; and crime rates for WL are significantly higher than LM rates, as well. Local government and community-based organizations are collectively facilitating strategies and resources to address these social determinants. The recent events of Ferguson, MO have enabled opportunities for discussion around disparities experienced by WL residents, and to explore new strategies to increase social and health equity. Methodology: Photos and accompanying narrative from a Photovoice project conducted in Ferguson immediately following the decision not to indict were used in WL to facilitate discussion around race relations, as experienced by WL residents, guided by the themes of safety, justice, and hope. A parallel Photovoice project was then conducted in WL following those themes, to catalyze social action to change the community context.  A subsequent analysis was conducted comparing the images and narratives of Ferguson residents and WL residents regarding their experiences and perceptions of safety, justice, and hope. Results: The images and narratives identified key characteristics of communities and culture that impact residents’ perceptions and experiences and highlight opportunities for effecting change. Conclusion: Louisville Metro Government, through their Office of Safe and Healthy Neighborhoods, has proposed to establish thematic zones throughout WL neighborhoods based on community findings. The data will inform policy and initiatives focused on resolving inequity.