Environmental health perceptions of urban youth from low‐income communities: A qualitative photovoice study and framework

• Authors: Nadav L. Sprague, Columbia University; Hannah M. Zonnevylle, Emory Unviersity; Lexi Jackson Hall, Gateway to the Great Outdoors; Rosalind Williams, Gateway to the Great Outdoors; Hannah Dains, Gateway to the Great Outdoors; Donghai Liang, Emory University; Christine Ekenga, Emory University
• Journal Title: Health Expectations
• Volume: Volume 26, Number 5
• Publisher: John Wiley and Sons Ltd. | 2023-06-14, Pages 1832-1842
• Type of Work: Article | Final Publisher PDF
• Publisher DOI: http://doi.org/10.1111/hex.13776
• Subjects: Environmental Sciences; Health Sciences, Public Health
• Keywords: environmental exposure; environmental justice; outdoor education; participatory action research

Abstract

Background Children are amongst the most susceptible groups to environmental exposures, for both immediate and life‐course health outcomes. Despite their increased susceptibility, children's knowledge, experiences and voices are understudied. A deeper understanding of children's environmental health perceptions has the potential to better inform policy, develop targeted interventions and improve public health outcomes. Methods In this study, our community–academic partnership used the Photovoice research method to examine how urban children from low‐income communities perceive environmental influences on their health. Twenty children, ages 10–12, took photographs and participated in focus group interviews regarding their perspectives on how the environment influences their health. Results Qualitative analyses revealed five major thematic categories: environmental exposures, environmental health sentiments, environmental health outcomes, interest in environmental health and environmental health solutions. We used the findings to develop an environmental health perspective theoretical framework that can inform future work designed to promote the environmental health and well‐being of children from low‐income communities in urban communities. Conclusion Photovoice enabled children from low‐income communities to capture and communicate their environmental health perceptions. These findings have the potential to inform and identify potential targets and opportunities for environmental health interventions and promotion in their communities. Patient or Public Contribution Partnerships with community‐based organizations were central to the present study. By design, these community‐based partners were involved in the conduct and procedures of the study.