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      COVID‐19 shines a light on health inequities in communities of color: A youth‐driven photovoice inquiry

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          Abstract

          This manuscript reports on a youth‐driven health assessment engaging youth of color in identifying community health priorities during the coronavirus disease 2019 (COVID‐19) pandemic. Photovoice, a participatory visual ethnographic health assessment strategy, was used to explore the question: What does health or healthiness mean to you and/or your community? Youth captured images that represented their priorities. The photos were discussed using the SHOWed framework and analyzed thematically. Four themes related to community health were identified. Additionally, youth captured their narrative of COVID‐19 as “a revealing force that highlights systemic inequities, driving individuals and communities to both cultivate their resilience and take healthcare into their own hands in response to government and policy level failures.” Youth are acutely aware of the historical and structural inequities that create multi‐level barriers to healthcare access. Health inequities existed long before the pandemic, but the current crisis requires us to examine ways to transform the healthcare landscape moving forward.

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          Most cited references39

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          Using thematic analysis in psychology

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            An Ecological Perspective on Health Promotion Programs

            During the past 20 years there has been a dramatic increase in societal interest in preventing disability and death in the United States by changing individual behaviors linked to the risk of contracting chronic diseases. This renewed interest in health promotion and disease prevention has not been without its critics. Some critics have accused proponents of life-style interventions of promoting a victim-blaming ideology by neglecting the importance of social influences on health and disease. This article proposes an ecological model for health promotion which focuses attention on both individual and social environmental factors as targets for health promotion interventions. It addresses the importance of interventions directed at changing interpersonal, organizational, community, and public policy, factors which support and maintain unhealthy behaviors. The model assumes that appropriate changes in the social environment will produce changes in individuals, and that the support of individuals in the population is essential for implementing environmental changes.
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              Toward an experimental ecology of human development.

                Author and article information

                Contributors
                augsberg@bu.edu
                Journal
                J Community Psychol
                J Community Psychol
                10.1002/(ISSN)1520-6629
                JCOP
                Journal of Community Psychology
                John Wiley and Sons Inc. (Hoboken )
                0090-4392
                1520-6629
                20 April 2022
                20 April 2022
                : 10.1002/jcop.22866
                Affiliations
                [ 1 ] School of Social Work Boston University Boston Massachusetts USA
                [ 2 ] Family Medicine Boston Medical Center Boston Massachusetts USA
                Author notes
                [*] [* ] Correspondence: Astraea Augsberger, School of Social Work, Boston University, 264 Bay State Rd, Boston MA 02215. USA.

                Email: augsberg@ 123456bu.edu

                Author information
                http://orcid.org/0000-0002-8860-8584
                https://orcid.org/0000-0002-7900-6231
                Article
                JCOP22866
                10.1002/jcop.22866
                9088309
                35441704
                73e93eda-06e5-456f-a234-0ad6938b8197
                © 2022 The Authors. Journal of Community Psychology published by Wiley Periodicals LLC.

                This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

                History
                : 31 March 2022
                : 02 October 2021
                : 02 April 2022
                Page count
                Figures: 6, Tables: 0, Pages: 16, Words: 7471
                Funding
                Funded by: National Center for Advancing Translational Sciences, National Institutes of Health, through Boston University Clinical & Transitional Science Institute
                Award ID: 1UL1TR001430
                Categories
                Research Article
                Research Articles
                Custom metadata
                2.0
                corrected-proof
                Converter:WILEY_ML3GV2_TO_JATSPMC version:6.1.5 mode:remove_FC converted:10.05.2022

                antiracist practice,community based participatory research,covid‐19,health equity,photovoice,youth advisory board

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