Markus Susan F
Wyoming Health Council, Cheyenne, WY 82001, USA.
Am Indian Alsk Native Ment Health Res. 2012;19(1):102-23. doi: 10.5820/aian.1901.2012.102.
This article provides an example of a culturally responsive, community-based project for addressing social determinants of health in rural American Indian (AI) communities through: 1) empowering youth and community voices to set directions for HIV, sexually transmitted infections, and unintended pregnancy prevention and education efforts; 2) using Photovoice to promote healthy relationships among AI youth; 3) using the socioecological model (Centers for Disease Control and Prevention, 2004; 2011) as a framework for organizing the creation and subsequent sharing of Photovoice messages from individual empowerment, to relationships, communities, institutions, and general society; and 4) framing analysis of Photovoice projects in alignment with Bell's (2010) model of storytelling for social justice that connects narrative and the arts in anti-racist teaching. A discussion on future steps and recommendations for future research is provided.
本文提供了一个具有文化适应性的、基于社区的项目示例，该项目旨在通过以下方式解决美国印第安农村社区的健康社会决定因素：1）增强青年和社区的声音，为艾滋病毒、性传播感染及意外怀孕预防和教育工作设定方向；2）运用摄影叙事法促进美国印第安青年建立健康的人际关系；3）使用社会生态模型（疾病控制与预防中心，2004年；2011年）作为框架，组织从个人赋权到人际关系、社区、机构及整个社会的摄影叙事信息的创建及后续分享；4）根据贝尔（2010年）的社会正义叙事模型对摄影叙事项目进行分析，该模型在反种族主义教学中将叙事与艺术联系起来。本文还提供了关于未来步骤的讨论以及对未来研究的建议。
