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Understanding the local food environment: A participatory photovoice project in a low-income area in Madrid,Spain
Affiliation:1. Social and Cardiovascular Epidemiology Research Group, Departamento de Cirugía, Ciencias Médicas y Sociales, Universidad de Alcalá, Alcalá de Henares, Madrid, Spain;2. Public Health Institute of Madrid, Madrid City Council, Madrid, Spain;3. Resident of San Cristobal, Villaverde, Madrid, Spain;4. Global Obesity Prevention Center at Johns Hopkins, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States;5. Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States;1. École Erasme – Université Paris 13, Sorbonne Paris Cité, Paris, France;2. Maison de Solenn, Hôpital Cochin, AP-HP, Paris, France;3. Université Paris Descartes, Sorbonne Paris Cité, Paris, France;4. INSERM 1178, Paris, France;5. Universidade Católica de Brasília, Brazil;6. Centre de Soins Psychothérapeutiques de Transition pour Adolescents, Hôpital d''Argenteuil, Argenteuil, France;7. Université Paris Diderot, Sorbonne Paris Cité, U1153 CRESS, Biostatistics and Clinical Epidemiology Research Team, Paris, France;1. University of Texas Health Science Center Houston, School of Public Health, 1200 Pressler Street, Houston, TX 77030, USA;2. Baylor College of Medicine, Public Health Pediatrics, 1102 Bates Avenue, Houston, TX 77030, USA;1. Space Dynamics Laboratory, Utah State University, Mailing: 3386 Loma Drive, Beale Air Force Base, CA, 95903, USA;2. Department of Environment and Society, Utah State University, Mailing: 5215 Old Main Hill, Logan, UT, 84322-5215, USA;3. Museums Victoria, Mailing: PO Box 666, Melbourne, VIC, 3001, Australia
Abstract:There is a need to partner between researchers, practitioners and residents to increase our understanding of environmental influences on dietary behaviors. We used the participatory method of Photovoice to understand key determinants of the local food environment influencing residents' diets. This project was conducted in Villaverde, a low-income area located in Madrid, Spain. From February to May 2015, 24 residents working in four Photovoice groups, took photographs related to their local food environment. Each group analyzed and critically discussed their photographs in small group sessions. Through a consensus-building process, participants identified 30 emerging categories, which followed five conceptual themes related to their food environment: 1) eating in moderation, 2) cultural diversity, 3) food stores, 4) social relationships and 5) economic crisis and poverty. Participants, researchers and practitioners successfully collaborated in analyzing, writing, disseminating the project results, and directly informing local policy-makers, media, and other residents. The project results may guide community-generated interventions for promoting a healthier food environment.
Keywords:Food environment  Urban health  Photovoice  Participatory Action Research  Spain
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