Post on 01-Feb-2016
description
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Tribal Community Obesity Prevention: Youth Defining Health through Photovoice
Derek R. Jennings, Ph.D.
University of Minnesota
June 11, 2014
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The Purpose for the Research
Examining differences between medical and communal views of health and wellbeing
How this influences obesity intervention for NIHLB/NCI prevention study
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Importance of the Study
Indigenous populations’ childhood obesity rate are at least 15% higher than all other groups in U.S.A
Communities’ voice is often missing in health research design
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Methods Used to Gather Data
Photographs as tangible things are therefore no longer solely depictions of decontextualized places or moments, but can be viewed as touchstones that fuel discussion, generate stories, and bring to bear memories among those whom view them. (p.55, Schneider, 2007).
Photographic representation connects meaning to culture (Hall 1997).
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More on Methods: For Youth
Less threatening than writing
More holistic representation for abstract concepts: health in context
Lessens power differential
Their perspective is heard throughout data generation
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Initial Findings of Youth Defining Health
Family
Nature
Pets
Environmental Pollution
Cultural Teachings
Subtle theme: Play and Exercise
IMAGES FROM THE KIDS: HEALTHY
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IMAGES FROM THE KIDS: UNHEALTHY
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Images from the Kids: Voted Both
Lack of healthy food knowledge
Debating Balance
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Summary of Findings
Western Medicine Exercise Nutrition
Tribal Holistic Health Interpersonal
(family, pets) Environmental Character Exercise Nutrition (not ideal)
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Health Interventions
Implications: Community Transformation for Health
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Next Steps
Continue conducting health research within American Indian communities
Research with community transformations for health in obesity and related health disparities
Exploring the idea of health sovereignty and how it can be implemented
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Thank You University of Wisconsin-Madison Department of Curriculum and Instruction, and Family Medicine, Robert Wood Johnson Foundation, NIH NIHLB, NCI, NARCH and GLITC!
Special Thanks to Dr. Mary Louise Gomez and Dr. Alex Adams.