Participatory Action Research to Explore the Role of Structural Violence on Marginalized and Racialized Young Parents.

IF 2.7 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Health Education & Behavior Pub Date : 2024-04-01 Epub Date: 2023-09-25 DOI:10.1177/10901981231197397
Elizabeth Valdez, Jazmine Chan, Saharra Dixon, Gray Davidson Carroll, Thupten Phuntsog, Elizabeth Delorme, Justine Egan, Aline Gubrium
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Abstract

Structural inequities influence young parents' access to health care, housing, transportation, social support, education, and income. The current study adds to the extant literature by providing data directly obtained in collaboration with young parents to understand how structural violence affects the health and well-being of their families, ultimately resulting in community-driven policy recommendations developed in collaboration with the state health department. We engaged a diverse sample of young people-considered as community researchers in the project-including Black, Latinx, and/or LGBTQ+ pregnant and parenting young parents in a participatory action research (PAR) project in the spring of 2022 to explore their health and material needs while living in Springfield, Massachusetts. Together with young parents, we used participatory arts-based methods to conduct community and identity building, define research questions and photo prompts, conduct data collection (photos), engage in group thematic analysis, and take action at the state policy level. We also conducted individual semi-structured life-history interviews with the young parents. Participatory community-led findings indicate an urgent need for systemic change to increase access to safe and affordable housing; living-wage jobs; safe, high-quality, and affordable child care; and to bolster social support and disabilities services for young parents and their families. This participatory study funded by a state health department demonstrates that participatory community-driven data can have the power to mobilize community members and policy makers for social change if prioritized at the state and local levels. Additional practice-based implications include prioritizing participatory mentorship programs intended to aid young parents in navigating the complex systems that are vital to their survival.

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探索结构性暴力对边缘化和种族化年轻父母的作用的参与性行动研究。
结构性不平等影响年轻父母获得医疗保健、住房、交通、社会支持、教育和收入的机会。目前的研究通过提供与年轻父母合作直接获得的数据来补充现有文献,以了解结构性暴力如何影响其家庭的健康和福祉,最终得出与州卫生部门合作制定的社区驱动的政策建议。我们在2022年春季的一个参与性行动研究(标准杆数)项目中招募了被视为该项目社区研究人员的各种年轻人样本,其中包括黑人、拉丁裔和/或LGBTQ+怀孕和养育子女的年轻父母,以探索他们在马萨诸塞州斯普林菲尔德生活时的健康和物质需求。我们与年轻的父母一起,使用基于艺术的参与式方法进行社区和身份建设,定义研究问题和照片提示,进行数据收集(照片),参与小组主题分析,并在国家政策层面采取行动。我们还对年轻父母进行了个人半结构化的生活史访谈。社区主导的参与性调查结果表明,迫切需要进行系统性变革,以增加获得安全和负担得起的住房的机会;生活工资工作;安全、高质量和负担得起的儿童保育;以及加强对年轻父母及其家庭的社会支持和残疾服务。这项由州卫生部门资助的参与性研究表明,如果在州和地方各级优先考虑,参与性社区驱动的数据可以动员社区成员和政策制定者进行社会变革。其他基于实践的影响包括优先考虑参与式辅导计划,旨在帮助年轻父母驾驭对他们生存至关重要的复杂系统。
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来源期刊
Health Education & Behavior
Health Education & Behavior PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
8.60
自引率
2.40%
发文量
75
期刊介绍: Health Education & Behavior is the official publication of the Society for Public Health Education (SOPHE). The journal publishes authoritative and practical information on critical health issues for a broad range of professionals interested in understanding factors associated with health behavior and health status, and strategies to improve social and behavioral health. The journal is interested in articles directed toward researchers and/or practitioners in health behavior and health education. Empirical research, case study, program evaluation, literature reviews, and articles discussing theories are regularly published.
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