Ruiz-Casares Mónica
a Department of Psychiatry , McGill University , Montreal , Canada.
b Centre for Research on Children and Families, McGill University , Montreal , Canada.
Glob Public Health. 2016 May-Jul;11(5-6):564-82. doi: 10.1080/17441692.2016.1166256. Epub 2016 Mar 28.
A diverse group of 103 children aged 7-11 years old living in family and residential care in rural and urban settings in two northern provinces in Lao People's Democratic Republic participated in group discussions using images and community mapping. Children's identified sources of risk and protection illustrate primary public health and protection concerns and resources. Young children worried about lack of hygiene, unintentional injuries, corporal punishment, and domestic violence. They also expressed concern about gambling and children sleeping in the streets, even if they had never seen any of the latter in their communities. In contrast, food and shelter; artistic, religious, and cultural practices; supportive interpersonal relationships; and schooling largely evoked feelings of safety and belonging. Images that prompted conflicting interpretations surfaced individual and contextual considerations that nuanced analysis. Researchers and decision-makers will benefit from using this developmentally appropriate, context-sensitive child-centred visual method to elicit young children's views of risk and protection. It may also serve as a tool for public health education. Involving young children in the initial selection of images would further enhance the efficiency of the method.
在老挝人民民主共和国两个北部省份的农村和城市地区，103名年龄在7至11岁之间、生活在家庭和寄宿照料机构的儿童参与了使用图片和社区绘图的小组讨论。儿童所确定的风险和保护来源体现了主要的公共卫生和保护问题及资源。幼儿担心卫生条件差、意外伤害、体罚和家庭暴力。他们还对赌博和儿童睡在街上表示关切，即便他们在自己的社区里从未见过这些情况。相比之下，食物和住所、艺术、宗教和文化活动、支持性的人际关系以及学校教育在很大程度上唤起了安全感和归属感。引发相互矛盾解读的图片揭示了影响分析细微差别的个人和背景因素。研究人员和决策者将受益于使用这种适合儿童发展阶段、对背景敏感且以儿童为中心的视觉方法来了解幼儿对风险和保护的看法。它还可作为公共卫生教育的工具。让幼儿参与图片的初步选择将进一步提高该方法的效率。
