African Americans have a disproportionately high risk of premature death caused by cardiovascular diseases (CVDs) and related risk factors such as hypertension, high cholesterol, diabetes, and obesity.
In this study, my advisee Felicia and I used the photovoice method. Participants took pictures for a period of time about how they live with CVDs and then are were interviewed about these pictures. We asked them what each of their pictures was about, why they were important, what these pictures say about their lived experiences with CVD. Photovoice is a super interesting research method that allows participants, especially members of the marginalized group, to voice their view of the world and their experiences. Very often a picture is worth a thousand words.
Here are a couple of pictures.
This study was informed by the culture-centered approach to communication’s (CCA), which call for community-based health solutions for marginalized populations.
Here are some of the findings of the study:
Participants demonstrate tremendous agency in their efforts to adopt a healthy lifestyle and manage their heart diseases. Structural factors such as socioeconomic status, insurance, discrimination, and knowledge enable and constrain their agency. Several cultural factors, such as food culture, reluctance to see doctors, consumerism, and religiosity, mediate the relationship between structure and agency. Public health professionals and researchers can capitalize on our findings in promoting cardiovascular health among the African American communities.
York, F. & Tang, L. (2021). “Picture me heart disease free”: Understand the cardiovascular disease experiences of African Americans through a culture-centered approach. Journal of Applied Communication Research. (Published online first.) https://doi.org/10.1080/00909882.2021.1912377