Abstract
Chronic noncommunicable diseases (NCD) are becoming a significant public health issue in Ghana. While a national policy response exists to prevent the burden of NCDs, little attention is given to food allergy, a growing allergic disease in much of the world. Understanding the illness experience of individuals can provide useful information on place-based factors that facilitate or militate against health and well-being, as well as reveal the agency of individuals to modify their social context in-spite of illness. This chapter highlights the application of photovoice, a participatory qualitative research approach to understand the experiences of people with food allergy in an urban setting in a low- and middle-income country context (Ghana). We identified the multiple spaces of exposure to children, as well as the institutional and policy barriers that pose a difficult challenge for the diagnosis, treatment and management of food allergy in a developing country setting. Despite challenges, photovoice provides an opportunity for linking food allergy experiences with the social circumstances within which people live and work.
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Notes
- 1.
A hand-held medical device for administering a measured dose of epinephrine through injecting.
- 2.
We conceptualized this as all other settings or spaces outside the confines of participants’ households.
References
Afaa, T. J., Afrane, A. K. A., & Etwire, V. (2017). Gastrointestinal food allergy in Ghanaian children: A case series. Ghana Medical Journal, 51(3), 138–142.
Atiim, G. A., Elliott, S. J., & Clarke, A. E. (2017). If we are waiting for the numbers alone, we miss the point: A qualitative study of the perceived rise of food allergy and associated risk factors in the Greater Accra Region, Ghana. Global Health Research and Policy, 2, 20.
Atiim, G. A., Elliott, S. J., & Clarke, A. E. (2018). “Ne nnipaduammpe” (the body hates it): Exploring the lived experience of food allergy in sub-Saharan Africa. Social Science & Medicine, 205, 72–81.
Basera, W., Botha, M., Gray, C. L., Lunjani, N., et al. (2015). The South African food sensitisation and food allergy population-based study of IgE-mediated food allergy: Validity, safety and acceptability. Annals of Allergy, Asthma & Immunology, 115, 113–119.
Belon, A. P., Nieuwendyk, L. M., Vallianatos, H., & Nykiforuk, C. I. J. (2016). Perceived community environmental influences on eating behaviours: A photovoice analysis. Social Science & Medicine, 171, 18–29.
Bisung, E., & Elliott, S. J. (2019). Community water improvement and health: A pre-post photovoice intervention study in Kenya. Habitat International, 85, 14–20.
Bisung, E., Elliott, S. J., Abudho, B., Abudho, B., Karanja, D. M., & Schuster-Wallace, C. J. (2015). Using photovoice as a community based participatory research tool for changing water, sanitation and hygiene behaviours in Usoma, Kenya. BioMed Research International, 2015, 903025, 10p.
Boyce, J. A., Assa’ad, A., Burks, W. A., Jones, S. M., Sampson, H. A., Wood, R. A., et al. (2010). Guidelines for the diagnosis and management of food allergy in the United States: Report of the NIAID-sponsored expert panel. The Journal of Allergy and Clinical Immunology, 126(6), S1–S43.
Budig, K., Diez, J., Conde, P., Sastre, M., Hernan, M., & Franco, M. (2018). Photovoice and empowerment: Evaluating the transformative potential of a participatory action research project. BMC Public Health, 18, 432.
Castleden, H., Garvin, T., & Huu-ay-aht First Nation. (2008). Modifying photovoice for community based participatory indigenous research. Social Science & Medicine, 66, 1393–1405.
Cummings, A. J., Knibb, R. C., King, R. M., Lucas, J. S., Lucas, J., & Wellcome, S. H. (2010). The psychosocial impact of food allergy and food hypersensitivity in children, adolescents and their families: A review. Allergy, 65(8), 933–945.
Curtis, S., Gesler, W., Smith, G., & Washburn, S. (2000). Approaches to sampling and case selection in qualitative research: Examples in the geography of health. Social Science & Medicine, 50(2), 1001–1014.
Dennis, S. F., Gaulocher, S., Carpiano, R. M., & Brown, D. (2009). Participatory photo mapping (PPM): Exploring an integrated method for health and place research with young people. Health & Place, 15, 466–473.
Evans-Agnew, R. A. (2016). Asthma management disparities: A photovoice investigation with African American youth. The Journal of School Nursing, 32(2), 99–111.
Evans-Agnew, R. A. (2018). Asthma disparity photovoice: The discourses of black adolescent and public health policymakers. Health Promotion Practice, 19(2), 213–221.
Fournier, B., Bridge, A., Kennedy, A. P., Alibhai, A., & Konde-Lule, J. (2014). Hear our voices: A photovoice project with children who are orphaned and living with HIV in a Ugandan group home. Children and Youth Services Review, 45, 55–63.
Ghana Health Service. (2015). 2014 Annual health report. Accra: Ghana Health Service.
Ghana Statistical Service (GSS). (2012). 2010 Population & housing census summary report of final results. Accra: Ghana Statistical Service.
Ghana Statistical Service (GSS), Ghana Health Service (GHS), ICF International. (2015). Ghana demographic and health survey (p. 2014). Rockville, MD: GSS, GHS, and ICF International.
Gray, C. L., Levin, M. E., Zar, H., Potter, P. C., et al. (2014). Food sensitization and allergy in South African children with atopic dermatitis. Paediatric Allergy and Immunology, 25, 572–579.
Greenhawt, M. J., Singer, A. M., & Baptist, A. P. (2009). Food allergy and food allergy attitudes among college students. The Journal of Allergy and Clinical Immunology, 124(2), 323–327.
Hijazi, N., Abalkhail, B., & Seaton, A. (2000). Diet and childhood asthma in a society in transition: A study in urban and rural Saudi Arabia. Thorax, 55, 775–779.
Hochstadter, E., Clarke, A., De Schryver, S., LaVieille, S., Alizadehfar, R., Joseph, L., et al. (2016). Increasing visits for anaphylaxis and the benefits of early epinephrine administration: A 4-year study at a pediatric emergency department in Montreal, Canada. The Journal of Allergy and Clinical Immunology, 137(6), 1888–1890.
Kingery, F. P., Naanyu, V., Allen, W., & Patel, P. (2016). Photovoice in Kenya: Using a community-based participatory research method to identy health needs. Qualitative Health Research, 26(1), 92–104.
Masterson, V. A., Mahajan, S. L., & Teno, M. (2018). Photovoice for mobilizing insights on human well-being in complex social-ecological systems: Case studies from Kenya and South Africa. Ecology and Society, 23(3), 13. https://doi.org/10.5751/ES-10259-230313.
Miles, M. B., & Huberman, A. M. (1994). Qualitative data analysis: An extended sourcebook (2nd ed.). Thousand Oaks, CA: Sage.
Obeng, B. B., Amoah, A. S., Larbi, I. A., Yazdanbakhsh, M., van Ree, R., Boakye, D. A., & Hartgers, F. C. (2011). Food allergy in Ghanaian schoolchildren: Data on sensitization and reported food allergy. International Archives of Allergy and Immunology, 155(1), 63–73.
Ofori-Asenso, R., Agyeman, A. A., Laar, A., & Boateng, D. (2016). Overweight and obesity epidemic in Ghana—A systematic review and meta-analysis. BMC Public Health, 16, 1239.
Osborne, N. J., Koplin, J. J., Martin, P. E., Gurrin, L. C., Lowe, A. J., Matheson, M. C., et al. (2011). Prevalence of challenge-proven IgE mediated food allergy using population-based sampling and predetermined challenge criteria in infants. The Journal of Allergy and Clinical Immunology, 127(3), 668–676.
Ostblom, E., Egmar, A. C., Gardulf, A., Lilja, G., & Wickman, M. (2008). The impact of food hypersensitivity reported in 9-year-old children by their parents on health related quality of life. Allergy, 63(2), 211–218.
Sheikh, A., Dhami, S., Regent, L., Austin, M., & Sheikh, A. (2015). Anaphylaxis in the community: A questionnaire survey of members of the UK anaphylaxis campaign. JRSM Open, 6, 1–6.
Soller, L., Ben-Shoshan, M., Harrington, D. W., Knoll, M., Fragapane, J., Joseph, L., et al. (2015). Adjusting for non-response bias corrects overestimates of food allergy prevalence. The Journal of Allergy and Clinical Immunology, 3(2), 291–293, e2.
Valentine, A. Z., & Knibb, R. C. (2011). Exploring quality of life in families of children living with and without a severe food allergy. Appetite, 57(2), 467–474.
Viinanen, A., Munhbayarlah, S., Zevgee, T., Narantsetseg, L., Naidansuren, T., Koskenvuo, M., & Terho, E. O. (2005). Prevalence of asthma, allergic rhinoconjunctivitis and allergic sensitization in Mongolia. Allergy, 60(11), 1370–1377.
Wang, C., & Burris, M. A. (1997). Photovoice: Concept, methodology, and use for participatory needs assessment. Health Education & Behavior, 24, 369–387.
Waserman, S., Avilla, E., Ben-Shoshan, M., Rosenfield, L., et al. (2017). Epinephrine autoinjectors: New data, new problems. The Journal of Allergy and Clinical Immunology: In Practice, 5(5), 1180–1190.
Yarbrough, M., Blumenstock, J., Warren, C., Dyer, A., et al. (2016). SMART (Student Media-based Asthma Research Team): Engaging adolescents to understand asthma in their communities. Progress in Community Health Partnerships: Research, Education, and Action, 10(4), 523–532.
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Atiim, G.A., Bisung, E., Elliott, S.J. (2021). Using Participatory Photovoice Research to Understand Food Allergy Risk in Accra, Ghana. In: Makanga, P.T. (eds) Practicing Health Geography. Global Perspectives on Health Geography. Springer, Cham. https://doi.org/10.1007/978-3-030-63471-1_9
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