Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, Washington (Mss Romano and Hicks and Dr Hoerster); Department of Health Systems and Population Health, School of Public Health, University of Washington, Seattle, Washington (Drs Baquero, Gardner, and Hoerster); Seattle Neighborhood Greenways, Seattle, Washington (Ms Shannon); VA Puget Sound Healthcare System, Seattle Division, Mental Health Service, Seattle, Washington (Dr Hoerster); and VA Puget Sound Healthcare System, Seattle Division, Health Services Research and Development, Seattle, Washington (Dr Hoerster).
Fam Community Health. 2022;45(4):272-282. doi: 10.1097/FCH.0000000000000344. Epub 2022 Aug 4.
Mobility is an often overlooked social determinant of health that broadly affects people of color's health. This study aimed to examine personal and community mobility challenges and opportunities among youth of color and partner to advance equitable community mobility. We conducted a community-based participatory research photovoice study using mobility justice principles from November 2020 to May 2021 with 10 youth of color from South Seattle, Washington. We conducted thematic content analysis of verbatim transcripts. Youth recommended infrastructure changes and free transit to facilitate safe, accessible mobility. Youth reported feeling vulnerable riding public transit alongside people experiencing mental health issues, while recognizing the dangers police can bring to people with mental health challenges and/or communities of color. They emphasized the importance of youth voice and intergenerational community discussions to inform policy making. We coorganized an online forum with youth to exchange ideas for advancing equitable mobility with their community and city leaders. Youth expressed feeling empowered and deepening dedication to mobility justice. Leaders should implement policy and infrastructure changes to enhance equitable mobility by incorporating youth and mobility justice principles in decision-making processes, pay youth for their time, employ facilitators of color, and offer technology support.
行动能力是健康的一个经常被忽视的社会决定因素,它广泛影响有色人种的健康。本研究旨在探讨有色人种青年及其合作伙伴在个人和社区行动能力方面所面临的挑战和机遇,以推进公平的社区行动能力。我们从 2020 年 11 月到 2021 年 5 月,在华盛顿州西雅图南部与 10 名有色人种青年进行了一项基于社区的参与式研究照片声音研究,该研究采用了行动能力正义原则。我们对逐字记录进行了主题内容分析。青年们建议进行基础设施改革和提供免费交通,以促进安全、无障碍的行动能力。青年们报告说,在与有心理健康问题的人一起乘坐公共交通工具时感到脆弱,同时认识到警察可能会给有心理健康问题的人和/或有色人种社区带来危险。他们强调了青年的声音和代际社区讨论对于为政策制定提供信息的重要性。我们与青年们共同组织了一个在线论坛,交流了他们与社区和城市领导人共同推进公平行动能力的想法。青年们表示感到有力量,并更加致力于行动能力正义。领导人应通过在决策过程中纳入青年和行动能力正义原则、为青年的时间付费、雇佣有色人种的促进者以及提供技术支持,来实施政策和基础设施改革,以增强公平的行动能力。