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Photovoice and Youth Tobacco Use Prevention Michelle Gill-Moffat Guilford County Health Department Jamie Magee Miller Durham County Health Department What is Photovoice? Combines photography with grassroots social action. Participants asked to represent their community or point of view by taking photographs, discussing them together, developing narratives to go with their photos, and conducting outreach or other action. Often used with marginalized people. Intended to give insight into how a group conceptualizes their circumstances and their hopes for the future. Tobacco Free PhD Tobacco Free PhD = Tobacco Free Photo Dialogue Teens Against Consuming Tobacco Leadership Council members were youth photographers Partnership with UNC graduate student intern Tobacco Free PhD Sessions • Session 1: Introduction, history of Photovoice, ethics • Sessions 2-5: Photo missions given. Sharing and discussion of photos taken • Extra Session: Field trip to local photography exhibit • Sessions 6 & 7: Planning format of exhibit and rehearsing for launch celebration • Session 8: Debriefing and evaluation Photo Missions Take creative pictures that depict the dangers associated with tobacco. How is tobacco present in your everyday life? Take photos of tobacco’s influence on your daily environment. Take pictures of things that people could do instead of smoking or using tobacco. SHOWeD (Group photo discussion questions) 1. What do you See here? 2. What is really Happening here? 3. How does this relate to Our lives? 4. Why does this situation exist? 5. What can we Do about it? Tobacco Free PhD Exhibit Launch • January 18, 2008 • Hayti Heritage Center Tobacco Free PhD Exhibit Launch Invited: County Commissioners City Council Members School Board Members Health Department leadership Family and friends In this photo I was at a baseball game and pretty much everyone there was smoking. I took this photo to show that with so many people smoking in a public place, it could really harm others. To fix this problem, I think the state could make it illegal to smoke in public places. - Jackie Anderson I see the Lucky Strike smokestack and water tower almost every day. They’re just more reminders of Durham’s tobacco background. There are reminders all over the city. Tobacco used to be a way of life here. It still has a hold on thousands in the city, but hopefully that will change. - Rheaya Willis This is a picture of the tobacco products in Kroger. I took this photo because this Kroger is within walking distance of my house, and every time I go to the store I see it. I am also not that tall so if I can see it, I know my little sister can see it. We can make the counters higher so little kids can’t see the tobacco products. - Troy Grogans This picture illustrates smoking in front of an infant. It is very interesting and also shows how much I hate smoking. I don’t think people should smoke around children. If you do smoke, stop. - Justin Rogers Smoking has killed and will kill thousands. I took this picture to show how tobacco not only affects the smoker, but the people around them. More tobacco and drug prevention programs should be implemented with younger children. If they’re taught at a young age, they’re more likely not to smoke in the future. - Rheaya Willis In this photo there are samples of all the ashtrays just in my aunt’s living room. I took this photo to show how addicting cigarettes really are. This photo relates to my life because every day I am exposed to secondhand smoke and if those are just the ones from her living room, then just image what her children and I are exposed to. -Jackie Anderson Tobacco Free PhD Exhibit Launch Tobacco Free PhD Exhibit Launch Tobacco Free PhD Exhibit Launch Guilford County’s Photovoice Project “You Don’t Have To Have To Quit If You Never Start” “Cigarettes are everywhere. There is constant pressure on teens to start smoking, but if you make your decision to never start then you won’t have to worry about quitting. 12.4% of Guilford County high school students reported that they had their first cigarette prior to age 13. If they had gotten involved in one of the many youth groups Guilford County has to offer, then maybe they would have never started…” “Do we have to spell it out for you?” “HIV is a growing problem and people need to be educated and know how to protect themselves. The information is “laid” out there for you, you just have to read it. According to the 2008 YRBS, 57.5% of Guilford County middle school and 87% of high school students report that they have been taught about HIV/AIDS in school.” “Influenced to Perfection” “It’s no surprise that 39% of middle school students and 39.7% of high schools students report trying to lose weight when they are surrounded by images like these. Nearly everyone featured in magazines like these are portrayed as gorgeous and very thin when in reality most of the pictures are heavily computer edited. This confuses many teens and young girls on how they should look as they strive for an unrealistic body image.” Why is it important to engage youth in Public Health Policy? Benefits for teens… o o o o They can express their creativity. They feel heard by adults. They get to work together with peers from other groups for a common goal. They develop advocacy and public speaking skills. Benefits for us… o o o Policy makers like to see a young face advocating for change. Teens offer a new perspective on how we view public health. Strengthens our community collaborations. Remember to talk about Photo Ethics Do not intrude into someone’s private space without consent Do not take pictures that could disclose embarrassing facts about someone Do not take images that create false impressions It is wrong to make money from the images of others without their consent. Don’t forget about evaluation… In Guilford County we… Surveyed teens after the Photovoice training. Surveyed event attendees to: assess feelings evoked, awareness of health concerns, and confidence in youth and community’s ability to create positive change. At the event, we asked attendees to write their reactions to the photos in journals. The Photovoice Project Tour The photographs have been showcased throughout the last year at over 15 local and statewide conferences Presentations were made to local city councils by teens involved in the project The photographs were showcased for a month at Moses Cone Memorial Hospital in June Received the 2010 Youth Achievement Award from Adolescent Pregnancy Prevention Campaign of NC Received the Kathy Kerr Outstanding Health Education Project Award from NC SOPHE We will present on the project at NCPHA Lessons Learned: Youth must have a central role in the youth tobacco prevention movement Photovoice model can be used with youth of all backgrounds A larger financial investment would allow for better photo quality Important to engage youth in different ways to tap into strengths and passions Visual arts projects allow for a powerful outlet for expression – AND spark important conversations amongst community members Exhibits such as this highlight the talent and potential of the youth in our communities Thank you! Jamie Magee Miller Youth Tobacco Prevention Program Coordinator Durham County Health Dept. 414 East Main Street Durham, NC 27701 Office: (919) 560-7845 [email protected] Michelle Gill-Moffat Guilford County Tobacco Use Prevention Coalition Youth Coordinator Guilford County Health Dept. 1203 Maple Street Greensboro, NC 27405 Office: (336) 641-3571 [email protected]