Using Photovoice to Explore Determinants of Health among Homeless and Unstably Housed Women
Abstract
:1. Introduction
2. Materials and Methods
2.1. Setting and Procedures
2.2. Data Analysis
2.3. Positionality Statement
3. Findings
3.1. Theme 1: “These Are My Supports”
3.2. Theme 2: “I’m Trying to Make My Health Better”
When I’m at home, [I walk] from home to the bus stop in the morning, and walk around here and the gas station, and walk to the bus stop again and get on the bus, and do a little at the plaza, then walk to my apartment building and up to my second-floor apartment.(Grace)
3.3. Theme 3: “[My] Choices Are Very Limited”
4. Discussion
4.1. Strengths and Limitations
4.2. Implications for Policy and Practice
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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SEM Level | Facilitators | Barriers |
---|---|---|
Individual | Motivated to feel good about themselves (e.g., good hygiene) Keen to improve personal health Basic knowledge of nutrition Access to mobility aids (e.g., walkers) Proactive in seeking healthcare | Pre-existing medical conditions that restrict mobility or exercise Ambivalence about modifying unsafe or unhealthy behaviors (e.g., smoking in bed) Poverty |
Interpersonal | Emotional support from workers at homelessness services Emotional support from other women Others’ willingness to engage in joint exercise (e.g., weekly walking) | Limited social support (e.g., family support) |
Community | Community organizations that provide practical resources (e.g., food bank) Access to facilities critical to health maintenance (e.g., showers) Access to community-based activities (e.g., swimming pool) Access to public transit | Limited healthy options at food bank and local stores (e.g., gas stations) |
Societal | Not applicable | Healthy food (e.g., fresh produce) is more expensive than less nutritious options Mistrust of healthcare providers |
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Mackelprang, J.L.; Graves, J.M.; Schulz, H.M. Using Photovoice to Explore Determinants of Health among Homeless and Unstably Housed Women. Int. J. Environ. Res. Public Health 2024, 21, 195. https://doi.org/10.3390/ijerph21020195
Mackelprang JL, Graves JM, Schulz HM. Using Photovoice to Explore Determinants of Health among Homeless and Unstably Housed Women. International Journal of Environmental Research and Public Health. 2024; 21(2):195. https://doi.org/10.3390/ijerph21020195
Chicago/Turabian StyleMackelprang, Jessica L., Janessa M. Graves, and Halle M. Schulz. 2024. "Using Photovoice to Explore Determinants of Health among Homeless and Unstably Housed Women" International Journal of Environmental Research and Public Health 21, no. 2: 195. https://doi.org/10.3390/ijerph21020195