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Low-Income, Urban Children’s Perspectives on Physical Activity: A Photovoice Project

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Abstract

Objectives The purpose of this research was to have ethnically diverse, 9- to 13-year-olds who live in urban, low-income households use Photovoice to represent their physical activity practices and their perception of their physical activity environment. Methods Photovoice methodology was used to allow children to capture their physical activity habits and environment through photographs and interviews. The Social Cognitive Theory was used as the theoretical framework. Heights and weights were taken for all children and BMI was calculated. Photographs were analyzed by recording the content of usable photos in SPSS software. Qualitative analysis of the interview transcripts used the open coding method. Results Participants were 24 children (15 male, 9 female) living in inner city, low-income households. On average, children were 10.9 years old and the mean BMI-for-age percentile was 72 %. Children took a total of 377 pictures and 339 of these were usable. Three themes were identified across interviews and photographs, (a) types of activity, (b) social environment, and (c) physical environment where activity took place. Conclusions for Practice This study provides insight into low-income, urban children’s physical activity habits and environment using a novel approach. Potential ways to increase moderate to high intensity activity among this population are to involve church-based organizations, create more safe places to play by increasing green space in urban areas, and to provide financial support for after-school programs and community centers.

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References

  1. Ainsworth, B. E., Haskell, W. L., Leon, A. S., Jacobs, D. R, Jr, Montoye, H. J., Sallis, J. F., & Paffenbarger, R. S, Jr. (1993). Compendium of physical activities: Classification of energy costs of human physical activities. Medicine and Science in Sports and Exercise, 25(1), 71–80.

    Article  CAS  PubMed  Google Scholar 

  2. Anderson, E. S., Winett, R. A., & Wojcik, J. R. (2007). Self-regulation, self-efficacy, outcome expectations, and social support: Social cognitive theory and nutrition behavior. Annals of Behavioral Medicine, 34(3), 304–312.

    Article  PubMed  Google Scholar 

  3. Bandura, A. (1986). Social foundations of thought and action. Prentice Hall, NJ: Englewood Cliffs.

    Google Scholar 

  4. Besser, L. M., & Dannenberg, A. L. (2005). Walking to public transit: Steps to help meet physical activity recommendations. American Journal of Preventive Medicine, 29(4), 273–280.

    Article  PubMed  Google Scholar 

  5. Carlson, E. D., Engebretson, J., & Chamberlain, R. M. (2006). Photovoice as a social process of critical consciousness. Qualitative Health Research, 16(6), 836–852.

    Article  PubMed  Google Scholar 

  6. Castleden, H., & Garvin, T. (2008). Modifying photovoice for community-based participatory Indigenous research. Social Science and Medicine, 66(6), 1393–1405.

    Article  PubMed  Google Scholar 

  7. CDC Growth Charts. (2010). Retrieved from http://www.cdc.gov/growthcharts/cdc_charts.htm

  8. Darbyshire, P., MacDougall, C., & Schiller, W. (2005). Multiple methods in qualitative research with children: More insight or just more? Qualitative Research, 5(4), 417–436.

    Article  Google Scholar 

  9. Dollman, J., Norton, K., & Norton, L. (2005). Evidence for secular trends in children’s physical activity behaviour. British Journal of Sports Medicine, 39(12), 892–897. (discussion 897).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  10. Fakhouri, T. H., Hughes, J. P., Brody, D. J., Kit, B. K., & Ogden, C. L. (2013). Physical activity and screen-time viewing among elementary school-aged children in the United States from 2009 to 2010. JAMA Pediatrics, 167(3), 223–229.

    Article  PubMed  Google Scholar 

  11. Findholt, N. E., Michael, Y. L., & Davis, M. M. (2011). Photovoice engages rural youth in childhood obesity prevention. Public Health Nursing, 28(2), 186–192.

    Article  PubMed  Google Scholar 

  12. Findholt, N. E., Michael, Y. L., Davis, M. M., & Brigoitti, V. W. (2011). Environmental influences on children’s physical activity and diets in rural Oregon: Results of a youth photovoice project. Online Journal of Rural Nursing and Health Care, 10(2), 11–20.

    Article  Google Scholar 

  13. Fitzgerald, A., Fitzgerald, N., & Aherne, C. (2012). Do peers matter? A review of peer and/or friends’ influence on physical activity among American adolescents. Journal of Adolescence, 35(4), 941–958.

    Article  PubMed  Google Scholar 

  14. Fitzgerald, E., Bunde-Birouste, A., & Webster, E. (2009). Through the eyes of children: Engaging primary school-aged children in creating supportive school environments for physical activity and nutrition. Health Promotion Journal of Australia, 20(2), 127–132.

    PubMed  Google Scholar 

  15. Frisancho, A. R. (1990). Anthropometric standards for the assessment of growth and nutritional status. Michigan: University of Michigan Press.

    Book  Google Scholar 

  16. Gray, A., & Smith, C. (2003). Fitness, dietary intake, and body mass index in urban Native American youth. Journal of the American Dietetic Association, 103(9), 1187–1191.

    Article  PubMed  Google Scholar 

  17. Heidelberger, L. A., & Smith, C. (2014). A child’s viewpoint: Determinants of food choice and definition of health in low-income 8- to 13-year-old children in urban Minnesota communities. Journal of Hunger & Environmental Nutrition, 9(3), 388–408.

    Article  Google Scholar 

  18. Hume, C., Salmon, J., & Ball, K. (2005). Children’s perceptions of their home and neighborhood environments, and their association with objectively measured physical activity: A qualitative and quantitative study. Health Education Research, 20(1), 1–13.

    Article  CAS  PubMed  Google Scholar 

  19. Krueger, R. A. (2009). Focus groups: A practical guide for applied research. Thousand Oaks, CA: Sage.

    Google Scholar 

  20. MacDougall, C., Schiller, W., & Darbyshire, P. (2009). What are our boundaries and where can we play? Perspectives from eight-to ten-year-old Australian metropolitan and rural children. Early Child Development and Care, 179(2), 189–204.

    Article  Google Scholar 

  21. Mahmood, A., Chaudhury, H., Michael, Y. L., Campo, M., Hay, K., & Sarte, A. (2012). A photovoice documentation of the role of neighborhood physical and social environments in older adults’ physical activity in two metropolitan areas in North America. Social Science and Medicine, 74(8), 1180–1192.

    Article  PubMed  Google Scholar 

  22. Molnar, B. E., Gortmaker, S. L., Bull, F. C., & Buka, S. L. (2004). Unsafe to play? Neighborhood disorder and lack of safety predict reduced physical activity among urban children and adolescents. American Journal of Health Promotion, 18(5), 378–386.

    Article  PubMed  Google Scholar 

  23. Moore, J. B., Jilcott, S. B., Shores, K. A., Evenson, K. R., Brownson, R. C., & Novick, L. F. (2010). A qualitative examination of perceived barriers and facilitators of physical activity for urban and rural youth. Health Education Research, 25(2), 355–367.

    Article  PubMed  Google Scholar 

  24. Ogden, C. L., Carroll, M. D., Kit, B. K., & Flegal, K. M. (2014). Prevalence of childhood and adult obesity in the United States, 2011–2012. JAMA, 311(8), 806–814.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  25. Pearce, A., Kirk, C., Cummins, S., Collins, M., Elliman, D., Connolly, A., & Law, C. (2009). Gaining children’s perspectives: A multiple method approach to explore environmental influences on healthy eating and physical activity. Health & Place, 15(2), 614–621.

    Article  CAS  Google Scholar 

  26. Resnicow, K., Jackson, A., Braithwaite, R., DiIorio, C., Blisset, D., Rahotep, S., & Periasamy, S. (2002). Healthy Body/Healthy spirit: A church-based nutrition and physical activity intervention. Health Education Research, 17(5), 562–573.

    Article  PubMed  Google Scholar 

  27. Richards, R., & Smith, C. (2007). Environmental, parental, and personal influences on food choice, access, and overweight status among homeless children. Social Science and Medicine, 65(8), 1572–1583.

    Article  PubMed  Google Scholar 

  28. Rideout, V. J., Foehr, U. G., & Roberts, D. F. (2010). Generation M [superscript 2]: Media in the lives of 8-to 18-year-olds. Menlo Park, CA: Henry J. Kaiser Family Foundation.

    Google Scholar 

  29. Rinderknecht, K., & Smith, C. (2004). Social cognitive theory in an after-school nutrition intervention for urban Native American youth. Journal of Nutrition Education and Behavior, 36(6), 298–304.

    Article  PubMed  Google Scholar 

  30. Smith, C., Butterfass, J., & Richards, R. (2010). Environment influences food access and resulting shopping and dietary behaviors among homeless minnesotans living in food deserts. Agriculture and Human Values, 27(2), 141–161.

    Article  Google Scholar 

  31. Smith, C., & Franzen-Castle, L. (2012). Dietary acculturation and body composition predict American Hmong children’s blood pressure. American Journal of Human Biology, 24(5), 666–674.

    Article  PubMed  Google Scholar 

  32. Walia, S., & Liepert, B. (2012). Perceived facilitators and barriers to physical activity for rural youth: An exploratory study using photovoice. Rural and Remote Health, 12, 1842–1854.

    CAS  PubMed  Google Scholar 

  33. Wang, C., & Burris, M. A. (1994). Empowerment through photo novella: Portraits of participation. Health Education & Behavior, 21(2), 171–186.

    Article  CAS  Google Scholar 

  34. Wang, C., & Burris, M. A. (1997). Photovoice: Concept, methodology, and use for participatory needs assessment. Health Education & Behavior: The Official Publication of the Society for Public Health Education, 24(3), 369–387.

    Article  CAS  Google Scholar 

  35. Warburton, D. E., Nicol, C. W., & Bredin, S. S. (2006). Health benefits of physical activity: The evidence. CMAJ: Canadian Medical Association Journal, 174(6), 801–809.

    Article  PubMed  PubMed Central  Google Scholar 

  36. Wilcox, S., Laken, M., Bopp, M., Gethers, O., Huang, P., McClorin, L., et al. (2007). Increasing physical activity among church members: Community-based participatory research. American Journal of Preventive Medicine, 32(2), 131–138.

    Article  PubMed  Google Scholar 

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Acknowledgments

This project was funded by the USDA’s Supplemental Nutrition Assistance Program. We thank the children for sharing their photographs and opinions with us. We would also like to thank local organizers specifically Julie Green and Rachel Greenwalt at the Ginew/Golden Eagle Program and Diana Adamson, Pat Koch, and Stephanie Siegel at the Boys and Girls Club.

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Correspondence to Chery Smith.

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Both authors contributed significantly to this research and have read and approved the final submitted manuscript. No portion of the work has been or is currently under consideration for publication elsewhere. No portion of the manuscript has been published or posted on the internet. Furthermore, neither of the authors have a conflict interest.

Ethical Statement

This research was conducted in accord with prevailing ethical principles and reviewed and approved by the University of Minnesota’s Institutional Review Board.

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Heidelberger, L., Smith, C. Low-Income, Urban Children’s Perspectives on Physical Activity: A Photovoice Project. Matern Child Health J 20, 1124–1132 (2016). https://doi.org/10.1007/s10995-015-1898-4

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