title: Community Effect of Alcoholism: A Photovoice Study in Saint Vincent and the Grenadines.
abstract: The Icahn School of Medicine at Mount Sinai and the Saint Vincent/Grenadines Ministry of Health, Wellness and the Environment have been collaborating since 2012 in addressing the plight of alcoholism in Saint Vincent and the Grenadines (SVG). SVG is a middle-income country with few resources available for those who suffer from alcohol use disorders, and these efforts have centered on establishing and monitoring alcohol self-help groups based on the "Alcoholics Anonymous model" (AA model) in several communities in Saint Vincent and the Grenadines. In the summer of 2014, the efforts evolved to include an in-depth investigation of the experience of members of self-help group members via the qualitative research method known as Photovoice. Photovoice is a community based participatory research method in which a set of research questions are explored qualitatively through photographs, interviews, and focus groups. In June 2014, a Photovoice project was established with the longest running self-help group on the island of Saint Vincent in the fishing community of Barrouallie. This project consisted of three rounds of photo-taking, individual interviews, and focus groups, and analysis of the data revealed a number of broad themes relevant to perceptions about the impact of problematic drinking and about drinkers themselves; about the applicability of the AA model in SVG; and about factors that may perpetuate or mitigate problem drinking. It was evident that current and recovering alcoholics believed that there were different types of drinkers who because of their gender, public drinking or tendency for violence could be labeled as "irresponsible." These findings suggest areas for future interventions and research in SVG.
authors.affiliation: Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, New York, NY, 10029, USA. Adrienne.rosenthal@mssm.edu.
authors.forename: Adrienne Isobel
authors.initials: AI
authors.lastname: Rosenthal
authors.affiliation: University of Indiana, Bloomington, IN, USA.
authors.forename: Lindsay
authors.initials: L
authors.lastname: Mayott
authors.affiliation: Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, New York, NY, 10029, USA.
authors.forename: Daniel Jack
authors.initials: DJ
authors.lastname: Lyons
authors.affiliation: Saint Vincent and the Grenadines Ministry of Health, Wellness, and the Environment, Kingstown, Saint Vincent and the Grenadines.
authors.forename: Karen
authors.initials: K
authors.lastname: Providence
authors.affiliation: Saint Vincent and the Grenadines Ministry of Health, Wellness, and the Environment, Kingstown, Saint Vincent and the Grenadines.
authors.forename: Arlitha
authors.initials: A
authors.lastname: Scott
authors.affiliation: Saint Vincent and the Grenadines Ministry of Health, Wellness, and the Environment, Kingstown, Saint Vincent and the Grenadines.
authors.forename: Ynolde
authors.initials: Y
authors.lastname: Smart
authors.affiliation: Departments of Medical Education and Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
authors.forename: Craig L
authors.initials: CL
authors.lastname: Katz
mesh_terms: D000328:Adult; D000436:Alcoholics Anonymous; D000437:Alcoholism / Q000208:ethnology* / Q000534:rehabilitation*; D055812:Community-Based Participatory Research; D006801:Humans; D010781:Photography; D036301:Qualitative Research; D019436:Saint Vincent and the Grenadines
keywords: Alcohol use disorders; Interpersonal violence; Photovoice; Responsible drinking