Postma Julie, Peterson Jeff, Ybarra Vega Mary Jo, Ramon Cristian, Cortes Guadalupe
College of Nursing, Washington State University, Spokane, Washington.
Public Health Nurs. 2014 Nov-Dec;31(6):508-16. doi: 10.1111/phn.12112. Epub 2014 Feb 18.
The objective of this study was to identify Latina youths' perceptions of local assets and concerns related to children's environmental health (EH) in an agricultural community.
Four photovoice sessions were used to elicit 6 promotores' and 5 middle school students' perspectives on problems and strengths related to "children; environment; and health."
Data collection was diverse and included a demographic and evaluation questionnaire, photographs, audio recordings of group photo-sharing sessions, and field notes.
Participants identified three themes that reflected group discussion during two photo-sharing sessions: a lack of structured youth activities; poverty and stress; and benefits and detriments of agricultural work. Community assets related to creating a healthy environment for youth were identified and included the clinic, churches, and youth programs.
Findings from this study reinforce that social background and position affect how EH issues are defined and may be addressed. Participant perspectives are valuable to nurses because they offer a lens through which to see the complexities of EH from the viewpoint of those most directly affected. Leadership training and opportunities to serve on coalitions and neighborhood councils are recommended approaches to meaningfully involving youth in environmental justice initiatives.
本研究的目的是确定拉丁裔青少年对农业社区中与儿童环境健康（EH）相关的当地资产和问题的看法。
采用四次摄影发声会议，以引出6名社区健康工作者和5名中学生对与“儿童、环境和健康”相关的问题和优势的看法。
数据收集方式多样，包括人口统计学和评估问卷、照片、小组照片分享会议的录音以及实地记录。
参与者确定了三个主题，这些主题反映了两次照片分享会议期间的小组讨论：缺乏有组织的青少年活动；贫困和压力；以及农业工作的利弊。确定了与为青少年创造健康环境相关的社区资产，包括诊所、教堂和青少年项目。
本研究结果强化了社会背景和地位会影响环境健康问题的定义方式以及解决方式这一观点。参与者的观点对护士很有价值，因为它们提供了一个视角，使护士能够从受影响最直接的人群的角度看待环境健康的复杂性。建议通过领导力培训以及参与联盟和社区委员会的机会，让青少年切实参与环境正义倡议。
