Snapshots From the “Edge” of Recovery: Using Photovoice for Community-Based Participatory Research on Addictions in Rural Areas

IF 3.2 3区医学 Q2 HEALTH CARE SCIENCES & SERVICES

Journal of Rural Health Pub Date : 2026-10-22 DOI:10.1111/jrh.70233

Marissa D. Abram, Courtney Swinkels, Kari Bail, Chrisann Newransky, Dalton Barrett, Lemuel Scott, Devon Noonan

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引用次数: 0

Abstract

Purpose

To examine how multilevel factors shape substance use recovery in a rural North Carolina county and influence access and engagement with treatment and recovery services.

Methods

This qualitative participatory study used Photovoice and semi-structured interviews with adults with lived experience of substance use recruited through local harm reduction and recovery organizations in rural North Carolina.

Findings

Four interrelated themes emerged: (1) place-based safety, in which rural environments functioned as both protective and constraining; (2) trust-centered care as foundational to engagement; (3) recovery as self-determined and sustained through supportive relationships; and (4) punitive and fragmented systems that destabilized recovery trajectories.

Conclusions

Recovery in rural contexts is relational, place-based, and structurally mediated. Strengthening rural recovery systems requires community-informed approaches that reduce structural barriers and expand accessible, person-centered care.

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从“边缘”恢复的快照：使用Photovoice对农村地区成瘾的社区参与性研究。

目的：研究多层次因素如何影响北卡罗莱纳州农村物质使用康复，并影响治疗和康复服务的获取和参与。方法：本定性参与性研究采用Photovoice和半结构化访谈，通过北卡罗莱纳州农村当地减少伤害和康复组织招募有物质使用生活经历的成年人。研究发现：出现了四个相互关联的主题：(1)基于地方的安全，其中农村环境既具有保护作用，又具有约束作用；(2)以信任为中心的关怀是参与的基础；(3)自我决定并通过支持性关系维持的康复；(4)惩罚性和支离破碎的体系破坏了复苏轨迹的稳定。结论：农村地区的恢复具有关联性、地域性和结构性中介作用。加强农村康复系统需要社区知情的方法，减少结构性障碍，扩大可获得的、以人为本的护理。

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

Journal of Rural Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

7.60

自引率

6.10%

发文量

审稿时长

>12 weeks

期刊介绍： The Journal of Rural Health, a quarterly journal published by the NRHA, offers a variety of original research relevant and important to rural health. Some examples include evaluations, case studies, and analyses related to health status and behavior, as well as to health work force, policy and access issues. Quantitative, qualitative and mixed methods studies are welcome. Highest priority is given to manuscripts that reflect scholarly quality, demonstrate methodological rigor, and emphasize practical implications. The journal also publishes articles with an international rural health perspective, commentaries, book reviews and letters.