Johns Hopkins University, Baltimore, Maryland, USA.
Qual Health Res. 2020 May;30(6):960-972. doi: 10.1177/1049732320905564. Epub 2020 Feb 21.
An increasing focus on health equity across a number of health disciplines is generating more consistent prioritizations of trauma-informed approaches, cultural responsiveness, and community engagement. These foci have heightened interest in as a participatory research method-particularly in research among vulnerable populations or related to sensitive topics. Photovoice's ballooning popularity can be traced in part to the alignment of its aims and practices with broad health equity goals; at the same time, its singular status reveals a lack of similarly creative, adaptive methods for use in vulnerable or sensitive contexts. In addition, photovoice is not without its concerning limitations, and its increasing usage warrants not only caution, but responsive innovation. To that end, this article draws on the extensive photovoice literature, as well as on the author's own work at the intersections of public health and the arts, to offer an overview of four photovoice limitations and related concerns. It then highlights the method's untapped potential by identifying under-researched qualities in need of development-noting these as opportunities to learn from (and further adapt) the photovoice method. Finally, the article pulls limitations and benefits together to frame photovoice as a basis for the continued innovation, study, and development of more equitable approaches to health research and practice.
越来越多的健康学科关注健康公平，这使得创伤知情方法、文化响应性和社区参与的优先级更加一致。这些关注点提高了人们对参与式研究方法的兴趣，尤其是在弱势群体或与敏感话题相关的研究中。摄影发声的蓬勃发展部分可以追溯到其目标和实践与广泛的健康公平目标的一致性; 同时，它的独特地位也表明，在脆弱或敏感的情况下，缺乏类似的创造性、适应性方法。此外，摄影发声并非没有令人担忧的局限性，其日益普及不仅需要谨慎，还需要有针对性的创新。为此，本文借鉴了广泛的摄影发声文献，以及作者自己在公共卫生与艺术交叉领域的工作，概述了摄影发声的四个局限性和相关问题。然后，通过确定需要开发的未被充分研究的品质，突出了该方法的未开发潜力，并指出这些品质是从摄影发声方法中学习（并进一步适应）的机会。最后，本文将局限性和益处结合起来，将摄影发声作为健康研究和实践中更公平方法的持续创新、研究和发展的基础。
