Exploring inequality through the lens of adolescents: a photovoice study in Bissau, Guinea-Bissau.

IF 2.3 4区 医学 Q2 PEDIATRICS
Fatou N Dure Baboudóttir, Zeca Jandi, William Gomes Ferreira, Jónína Einarsdóttir, Geir Gunnlaugsson
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Abstract

Background: Socioeconomic determinants of health are well-documented, yet adolescents' perspectives are often under-represented. The study aimed to engage adolescents in a low-income sub-Saharan setting to explore their daily experiences and analyse their perceptions of inequality within their local environment.

Methods: A photovoice project was conducted from January to March 2024 with six adolescents aged 16-19 years in Bissau, the capital of Guinea-Bissau. Participants used disposable cameras to capture up to 15 photos each, representing daily inequalities and documented reflections through narratives using the PHOTO method, that is, writing notes about the photo, its context and potential implications for change. After 2 weeks, participants selected key images and engaged in a focus group discussion to analyse their photos. Thematic analysis was conducted using Atlas.ti.

Results: Four themes of inequality emerged: education, health and sanitation, environment and economy. Adolescents highlighted inadequate access to healthcare and sanitation facilities, environmental degradation, disparities between public and private schools and economic hardship limiting access to education and work. Their narratives revealed frustration over systemic barriers, yet demonstrated awareness and creativity in navigating challenges.

Conclusions: Adolescents' visual narratives provide insights into their experiences of inequality, highlighting the value of participatory methods in amplifying youth voices. The findings suggest the need for equity-focused interventions addressing structural determinants for inequality across the four identified themes. Including adolescents in policy development is important to promote social justice and their well-being.

通过青少年的镜头探索不平等:几内亚比绍的一项光声研究。
背景:健康的社会经济决定因素有充分记录,但青少年的观点往往没有得到充分代表。该研究旨在吸引撒哈拉以南低收入地区的青少年,探索他们的日常经历,并分析他们对当地环境中不平等的看法。方法:于2024年1 - 3月在几内亚比绍首都比绍对6名16-19岁的青少年进行光声项目研究。参与者每人使用一次性相机拍摄最多15张照片,代表日常的不平等,并通过使用PHOTO方法的叙述记录反思,即写下关于照片的笔记,其背景和对变化的潜在影响。两周后,参与者选择关键图像并进行焦点小组讨论,以分析他们的照片。使用atlas .ti进行专题分析。结果:出现了四个不平等主题:教育、保健和卫生、环境和经济。青少年强调了保健和卫生设施不足、环境退化、公立学校和私立学校之间的差距以及经济困难限制了获得教育和工作的机会。他们的叙述揭示了对体制障碍的挫败感,但也展示了应对挑战的意识和创造力。结论:青少年的视觉叙事提供了他们对不平等经历的见解,突出了参与式方法在放大青年声音方面的价值。研究结果表明,需要采取以公平为重点的干预措施,解决四个确定主题中不平等的结构性决定因素。将青少年纳入政策制定对于促进社会正义和他们的福祉非常重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
BMJ Paediatrics Open
BMJ Paediatrics Open Medicine-Pediatrics, Perinatology and Child Health
CiteScore
4.10
自引率
3.80%
发文量
124
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