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

Abstract

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, experiencesand voices are understudied. A deeper understanding of children's environmental health perceptions has the potential to better inform policy, develop targeted interventionsand improve public health outcomes. 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. Qualitative analyses revealed five major thematic categories: environmental exposures, environmental health sentiments, environmental health outcomes, interest in environmental healthand 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. Photovoice enabledchildren 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. 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.