Task Forces to Support Public Health and Medical Services in Ulsan Metropolitan City, Ulsan, Republic of Korea.
Department of Preventive Medicine, Asan Medical Institute of Convergence Science and Technology, University of Ulsan College of Medicine, Seoul, Republic of Korea.
BMC Public Health. 2022 Sep 7;22(1):1698. doi: 10.1186/s12889-022-14111-x.
This study aimed to explore the experiences of the residents of Samho-dong with the health environment in the local community, and their in-depth opinions on health promotion using a photovoice methodology. Alternatives to improve health among the residents of Samho-dong were also discussed with the local residents, with the aim of translating suggestions from the discussion into practice.
A total of 195 photographs taken by the 15 participants over the course of 7 weeks were collected, along with 96 photovoice activity logs and transcription data from 5 rounds of focus group discussions. The photovoice activity logs consisted of the photographer's name, the dates photos were taken, and a series of responses to the following SHOWeD questions: "What do you SEE here?", "What is really HAPPENING?", "How does this situation or scenario affect OUR lives/health?", "WHY does this problem or strength Exist?", "What can we DO about it?". Direct content analysis was used for analysis.
The analysis yielded a total of 247 semantic units, which were categorized into the themes, "the good, but insufficiency, living environment in Samho-dong," "the health environment in Samho-dong needs improvement," "small efforts to improve Samho-dong," and "points of improvement for a better Samho-dong". Samho-dong was found to have a poorer walking and transportation infrastructure than other regions, even though it was a town with a large elderly population. The dark streets in the residential complex made participants hesitate to engage in afternoon activities, and the insufficient traffic environment made it difficult to live a natural daily life by solving food, clothing, and shelter. Participants have made various attempts to solve areas that need improvement in the Samho-dong, which has led to actual improvement. It was analyzed that in order to make Samho-dong better, it was necessary to improve the perception of residents in Samho-dong and cooperate with the local community.
This study was significant in that it enabled the in-depth exploration and identification of areas of improvement from the participants' perception of their health environment, considering that as residents, they are the direct stakeholders of the community health environment.
本研究旨在通过影像叙事法，探索三和洞居民对当地社区健康环境的体验，以及他们对健康促进的深入看法。此外，还与当地居民一起讨论了改善三和洞居民健康的替代方案，旨在将讨论中的建议转化为实践。
共收集了 15 名参与者在 7 周内拍摄的 195 张照片，以及 96 张影像叙事活动日志和 5 轮焦点小组讨论的转录数据。影像叙事活动日志包含摄影师姓名、拍摄日期以及对以下 SHOWeD 问题的一系列回答：“你在这里看到了什么？”、“正在发生什么？”、“这种情况或情况如何影响我们的生活/健康？”、“为什么存在这个问题或优势？”、“我们能对此做些什么？”。采用直接内容分析法进行分析。
分析共得到 247 个语义单元，分为以下主题：“三和洞的良好但不足的居住环境”、“三和洞的健康环境有待改善”、“改善三和洞的小努力”和“改善更好的三和洞的要点”。与其他地区相比，三和洞的步行和交通基础设施较差，尽管它是一个老年人口较多的城镇。住宅区昏暗的街道使参与者在下午活动时犹豫不决，交通环境不足也使居民难以通过解决衣食住行来过上自然的日常生活。参与者已尝试各种方法来解决三和洞需要改进的地方，并已取得实际改善。分析认为，要使三和洞变得更好，有必要提高三和洞居民的认知，并与当地社区合作。
本研究意义重大，因为它使我们能够从参与者对健康环境的看法深入探讨和确定需要改进的领域，考虑到作为居民，他们是社区健康环境的直接利益相关者。
