Environmental influences on nutritional choices of African American women who reside in an economically challenged community: A Photovoice study
The purpose of this study was to cooperatively explore how the built environment shapes nutritional behaviors of African American women living in an underserved, urban neighborhood, in order to address the health problem of high levels of obesity-related chronic disease among African American women. The study used Photovoice, a participatory action research (PAR) methodology, to incorporate the knowledge and viewpoint of community members. Participants took photographs of their community and then met in a focus group session to discuss the photographs. The researcher analyzed the focus group discussion and the photographic images using the computer-assisted qualitative data analysis system NVivo 11 to discover themes related to the effect of the built environment on nutritional choices in the target community. This study could be used as a point of departure to design small interventions, as well as to promote a future research direction that is relevant to the community.