Identifying Perspectives About Health to Orient Obesity Intervention Among Urban, Transitionally Housed Indigenous Children

Drawing from a socioecological framework of health, this community-based participatory research study examined key cultural health perspectives of transitionally housed, food insecure Indigenous children (aged 8–12 years) by utilizing talking circles and a 4-day photovoice (PV) curriculum. In total,...

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Bibliographic Details
Published in:Qualitative health research 2020-05, Vol.30 (6), p.894-905
Main Authors: Jennings, Derek R., Paul, Koushik, Little, Meg M., Olson, Daryl, Johnson-Jennings, Michelle D.
Format: Article
Language:English
Subjects:
Child
Childhood obesity
Community based action research
Community-Based Participatory Research
Curricula
Food
Food security
Food Supply
Gardens & gardening
Healthy food
Housing
Humans
Indigenous peoples
Insecurity
Interpersonal relations
Intervention
Nutrition
Obesity
Obesity - prevention & control
Participatory research
Perceptions
Photography
Prevention programs
Qualitative research
Screen time
Smoking
Sovereignty
Talking
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Summary:Drawing from a socioecological framework of health, this community-based participatory research study examined key cultural health perspectives of transitionally housed, food insecure Indigenous children (aged 8–12 years) by utilizing talking circles and a 4-day photovoice (PV) curriculum. In total, 18 Indigenous children portrayed their health perceptions by taking photographs of their living environment and categorizing photos as healthy, unhealthy, or mixed. And, 10 of the 18 children completed pre- and post-evaluations, where data elucidated that urban Indigenous children experiencing food and housing insecurity demonstrate unique holistic and socioecological perceptions about health. Healthy themes included nutrition, gardening, interpersonal relationships, food sovereignty, water quality, and natural and built environments. Unhealthy themes included cumulative stress, food insecurity, access and cost, screen time, smoking, and violence. We found that implementing these robust insights into urban Indigenous obesity prevention interventions could significantly drive success. This approach may benefit children with similar socioecological strengths and vulnerabilities.
ISSN:1049-7323
1552-7557
DOI:10.1177/1049732319900164