title: Photovoice for healthy relationships: community-based participatory HIV prevention in a rural American Indian community.
abstract: This article provides an example of a culturally responsive, community-based project for addressing social determinants of health in rural American Indian (AI) communities through: 1) empowering youth and community voices to set directions for HIV, sexually transmitted infections, and unintended pregnancy prevention and education efforts; 2) using Photovoice to promote healthy relationships among AI youth; 3) using the socioecological model (Centers for Disease Control and Prevention, 2004; 2011) as a framework for organizing the creation and subsequent sharing of Photovoice messages from individual empowerment, to relationships, communities, institutions, and general society; and 4) framing analysis of Photovoice projects in alignment with Bell's (2010) model of storytelling for social justice that connects narrative and the arts in anti-racist teaching. A discussion on future steps and recommendations for future research is provided.
authors.affiliation: Wyoming Health Council, Cheyenne, WY 82001, USA. smarkus@uwyo.edu
authors.forename: Susan F
authors.initials: SF
authors.lastname: Markus
mesh_terms: D000293:Adolescent; D003153:Community Health Services; D055812:Community-Based Participatory Research; D003469:Culture; D005260:Female; D015658:HIV Infections / Q000208:ethnology* / Q000517:prevention & control; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D007198:Indians, North American / Q000523:psychology*; D007398:Interpersonal Relations; D033262:Narration; D010781:Photography; D011209:Power, Psychological; D011247:Pregnancy; D049168:Pregnancy, Unplanned / Q000208:ethnology*; D012424:Rural Population; D012749:Sexually Transmitted Diseases / Q000208:ethnology* / Q000517:prevention & control; D014959:Wyoming