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运用摄影展手法,让智障人士阐述健康的定义和影响健康促进参与的因素。

Using photovoice with people with intellectual disability to illuminate definitions of health and factors influencing participation in health promotion.

机构信息

University of Wisconsin-Madison, Madison, WI, USA.

University of Southern California, Los Angeles, CA, USA.

出版信息

J Appl Res Intellect Disabil. 2021 May;34(3):866-876. doi: 10.1111/jar.12868. Epub 2021 Mar 3.

Abstract

BACKGROUND

Understanding the daily health experiences of people with intellectual disability is necessary to illuminate factors that may be influencing health and health disparities. The objective of this study is to understand how people with intellectual disability participate in and access health promotion.

METHODS

Ten adults with intellectual disability engaged in an adapted photovoice study.

RESULTS

Four themes emerged: Health Is Who We Are; Health is What We Do; Health Is Our Body, Mind, and Place; and Barriers and Facilitators. Participants communicated an understanding of health, a strong identity of themselves as being healthy, and diverse participation in health promotion. Additionally, participants identified specific resources and support necessary to pursue health. Participants' broad description of health aligns with understandings of the social determinants of health.

CONCLUSION

Participant's holistic view of health and experienced factors of health promotion should inform the development and implementation of inclusive health programming for people with intellectual disability.

摘要

背景

了解智障人士的日常健康体验对于阐明可能影响健康和健康差距的因素是必要的。本研究的目的是了解智障人士如何参与和获得健康促进。

方法

十名智障成年人参与了适应性摄影研究。

结果

出现了四个主题:健康就是我们;健康是我们所做的;健康是我们的身体、思想和场所;障碍和促进因素。参与者传达了对健康的理解,他们强烈地认为自己是健康的,并积极参与健康促进。此外,参与者确定了追求健康所需的具体资源和支持。参与者对健康的广泛描述与对健康的社会决定因素的理解一致。

结论

参与者对健康的整体看法和体验到的健康促进因素应该为为智障人士制定和实施包容性健康计划提供信息。

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