Using Photovoice and GIS Mapping as a Tobacco Educational Approach for Asian American and Pacific Islander Youth

Transcription

1 Using Photovoice and GIS Mapping as a Tobacco Educational Approach for Asian American and Pacific Islander Youth Sora Park Tanjasiri, DrPH Associate Professor, Department of Health Science California State University, Fullerton NCI Cancer Health Disparities Summit July 17, 2007

2 Study Overview Funding: 3-year study funded by the Tobacco-Related Disease Research Program Goals: To explore the environmental influences on tobacco use in AAPI communities through the use of three methodologies: Individual surveys GIS mapping Photovoice

3

4

5

6

7 1. Environment Influences Youth Smoking Table 1: Photovoice Environmental Influences on Youth Smoking (n=37) n (%*) Advertisements targeting teens Cigarette sales in the community Litter and trash in the community Making money off of the community Violence Poverty in community 14 (37.8) 12 (32.4) 7 (18.9) 5 (13.5) 4 (10.8) 2 ( 5.4) * Percentages exceed 100% because of multiple codings Yellow highlighting indicates agreement across all four study communities

8 Targeting Teens The ad for Kool cigarettes has a singing group called the Roots. Roots is basically supporting smoking. They re Kool s spokespeople. I took the picture because cigarette brands are using famous people to influence their audience. This photo concerns me because if more famous people are becoming spokespeople for cigarette brands then it will get the attention of younger audiences like teenagers and even younger. Also teenagers would want to be like the celebrity that they like. (Long Beach)

9 Cigarette Sales in the Community The photo is of a shop that is dedicated only to tobacco and tobacco products. Even if women go to the beauty supply shop you still have to pass the cigarette shop. Most of the ads in the shop were at eye level for little kids. Even if teenagers were to go to the beauty salon they will continuously see all of the brands. (Cerritos)

10 Litter and Trash in Community Driving by the ditch, people can see all the graffiti and all the litter. The graffiti is in a neighborhood and its gang-related. All the liter and graffiti make Long Beach look bad. We should make a place, so they can tag and start a gang prevention program. We should pick up trash and paint out the graffiti. (Long Beach)

11 Violence I can see that the school has been shot at. The windows have bullet holes. I can tell that this school wouldn t be good to go to and it isn t in a nice neighborhood. Rainier valley is my neighborhood and seeing bullet holes in a window at a nearby school isn t a good sign for students like me We can have more security to watch out in the neighborhoods. (Seattle/Rainier)

12 Poverty The first thing I noticed was that this man is smoking a cigarette. But what s really happening is that he had nothing else to do in his life except smoke cigarettes. He asked us for money for a cigarette. This relates to my life because we all have to struggle to get things. This exists because our community has so much poverty. Richmond is a poor place, many people have to struggle to get what they want. The things we can do to help is keep people off the street and help keep our community from poverty. (Richmond)

13 2. Location of these Influences Matter

14 Table 2: Smoking behavior and environmental perceptions of Cambodian youth (n= 298) Odds Ratio 95% C.I. Smoked at least 1 cig in past 30 days Easy to get weapons if wanted Neighborhood is very unsafe Smoked 100 cigs in lifetime Difficult to get fresh fruits and vegs Difficult to be physically active Easy to get drugs if wanted Easy to get weapons if wanted Neighborhood is very unsafe

15 Acknowledgements Asian Pacific Partners for Empowerment and Leadership (APPEAL) Guam Communications Network (GCN) Families in Good Health (FIGH) Asian Pacific Psychological Services (APPS) Washington Asian/Pacific Islander Families Against Substance Abuse (WAPIFASA) California State University, Fullerton (CSUF)