Por Nuestros Ojos: Understanding Social Determinants of Health through the Eyes of Youth

Schuch, Johanna Claire; Hernandez, Brisa Urquieta de; Williams, Lacey; Smith, Heather A.; Sørensen, Janni; Furuseth, Owen J.; Dulin, Michael

doi:10.1353/cpr.2014.0027

Cited by 16 publications

(10 citation statements)

References 17 publications

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“…Through the shared group process, a rich understanding of their life emerged, which was validated by their peers, the research team, and forum attendees in a way that could not have been achieved through other methods. Although other research has used photovoice to explore Latino youths’ perceptions on health-related topics (Findholt et al., 2011; Gubrium and Torres, 2013; Schuch et al., 2014; Vaughn et al., 2008) this study was the first using photovoice to engage immigrant Latino adolescents in documenting the impact of their migration experience on their interactions with the healthcare system in a new destination state. The strengths of this approach are evident as a way to (a) elicit, see, hear and value immigrant Latino adolescents’ perspectives, and (b) engage adolescents in applying the findings to inform next steps to reduce barriers within the healthcare system and enhance interactions with providers.…”

Section: Discussionmentioning

confidence: 99%

“What I wish my doctor knew about my life”: Using photovoice with immigrant Latino adolescents to explore barriers to healthcare

Lightfoot

Thatcher

Simán³

et al. 2017

Qualitative Social Work

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Background Latinos in the USA have reported more frequent discriminatory treatment in healthcare settings when compared to their White counterparts. In particular, foreign-born Latinos report discrimination more than Latinos born in the USA. Such patient-reported racial/ethnic discrimination appears to contribute to specific health consequences, including treatment seeking delays, interruptions in care, and medical mistrust. Immigrant Latino adolescents in the USA experience a variety of health disparities, yet little is known about their views of the healthcare experience, their perceptions of discriminatory treatment, or ways in which they would like their relationships with healthcare providers to be different. Methods This work, based in a larger interdisciplinary social work-led initiative, used photovoice with two groups of immigrant Latino adolescents to explore the topic “what I wish the doctor knew about my life.” The findings were used to engage healthcare stakeholders as part of a pilot intervention aimed at decreasing provider bias toward immigrant Latino youth. Results/Discussion Findings illuminated ways that the immigrant experience affects the lives and health of Latino adolescents in North Carolina. To improve their health, it is critical to understand, from their perspectives, the ways their lives can be complicated by experiences of migration, stereotypes, and cross-cultural communication challenges and how their interactions with authority figures in one sector, such as education, influence interactions in health care. Understanding the healthcare barriers faced by immigrant Latino youth is critical to any effort to improve the system of care for immigrant Latino populations.

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Section: Discussionmentioning

confidence: 99%

“What I wish my doctor knew about my life”: Using photovoice with immigrant Latino adolescents to explore barriers to healthcare

Lightfoot

Thatcher

Simán³

et al. 2017

Qualitative Social Work

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“…Research activities prior to establishing the groups that inform this paper are outlined in other publications (Schuch et al, 2014;Schuch, 2017;Coffman et al, 2017;Simmons et al, 2018) and Figure 2. All research materials and protocol were approved by the Atrium Health Institutional Review Board (IRB).…”

Section: Methodsmentioning

confidence: 99%

“…A critical component of social capital development was the establishment and nurturing of community health women's groups in two suburban neighborhoods heavily populated by Latinos (referred to as East and South in this paper; Figure 1). These neighborhoods were identified through the triangulated use of qualitative and quantitative data, and ground-truthing, including a Photovoice project with local youth (Schuch et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

Sustaining CBPR Projects: Lessons Learned Developing Latina Community Groups

Hernandez¹,

Schuch

Sørensen

et al. 2021

Collaborations: A Journal of Community-Based Research and Practice

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A significant challenge to community-based participatory research (CBPR) is establishing sustainable change as research projects and funding end. Building capacity among community members is one mechanism through which CBPR interventions can be made sustainable. This paper provides a case study reflecting on the development of two Latina community groups in two distinct neighborhoods located in suburban Charlotte, North Carolina, one of the country's emerging 21st century immigrant gateways. Analyzing our process through the lens of four community group development stages, we critically explore our efforts to build capacity and ensure sustainability. We also assess how community members may or may not become 'empowered' through CBPR interventions to continue the efforts once the research ends. By identifying both the successes and failures of our work, we aim to provide a series of guidelines that other CBPR teams might adopt as they work to build capacity among similarly vulnerable populations and construct sustainable interventions at the neighborhood scale.

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“…Social determinants of health were identified and validated at the neighborhood level using analysis of quantitative health system and community data, and qualitative data collected from key informants, focus groups, and photovoice (Schuch et al, 2014). The CAB consisting of 20 to 25 active members from academic, health care, school system, and nonprofit settings oversaw the work.…”

Section: Methodsmentioning

confidence: 99%

Using CBPR to Decrease Health Disparities in a Suburban Latino Neighborhood

Coffman

Hernandez

Smith

et al. 2017

Hisp Health Care Int

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Introduction This project tested the feasibility of using a community-based participatory research (CBPR) approach to deliver health and social resources in two high-risk, suburban neighborhoods. Method An established research network was used to engage stakeholders to design and deliver a neighborhood-based intervention targeting a Latino immigrant population. The intervention provided screenings for hypertension, diabetes, and depression; primary care provider visits; and information about navigating health care delivery systems and related community-based resources. Participants (N = 216) were consented for participation and their subsequent use of health and social services were measured at baseline and 1 year post intervention. Results At baseline, 5.1% of participants had health insurance, 16.7% had a primary care provider, and 38.4% had a chronic illness. SF-12 scores showed a majority of participants with low perceived health status (56%) and high risk for clinical depression (33%). Self-reported use of primary care services increased from 33.8% at baseline to 48% 1 year after the intervention, and 62% reported use of social services. Conclusion Neighborhood-based interventions informed by a CBPR approach are effective in both identifying community members who lack access to health care–related services and connecting them into needed primary care and social services.

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Por Nuestros Ojos: Understanding Social Determinants of Health through the Eyes of Youth

Abstract: Background-Understanding the social determinants underlying health disparities benefits from a mixed-methods, participatory research approach.

Cited by 16 publications

References 17 publications

“What I wish my doctor knew about my life”: Using photovoice with immigrant Latino adolescents to explore barriers to healthcare

“What I wish my doctor knew about my life”: Using photovoice with immigrant Latino adolescents to explore barriers to healthcare

Sustaining CBPR Projects: Lessons Learned Developing Latina Community Groups

Using CBPR to Decrease Health Disparities in a Suburban Latino Neighborhood

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