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Cameras help bridge cultural gaps, influence care. (Pregnant Hispanic Women).
KIAWAH ISLAND, S.C. -- Equipping Hispanic expectant mothers with cameras can be a valuable tool in allowing physicians to break down culture and language barriers and to understand these patients' concerns, Pamela Frasier, Ph.D., reported.
She and her colleagues often were surprised at what they learned from these women using Photovoice, an approach in which expectant mothers take photos that represent issues important to them and then discuss those photos in group settings, she said at a meeting sponsored by the Society of Teachers of Family Medicine.
For a pilot study of Photovoice, Dr. Frasier and her colleagues chose Chatham County, N.C. Its Hispanic population is the third highest in the state, and it has increased 615% since 1990. That rapid growth has left the county's health care system ill equipped to help the population, especially with prenatal care.
The study included six women, all of whom were over 18, had been in the United States for less than 4 years, and were pregnant with their first child. Five of the six women lived with their partners.
The women were given cameras and trained to use them. The researchers told the women to photograph anything that illustrated what was important to them or what was worrying them about their pregnancies.
"We thought their fears would be about access to care and language. Were we ever wrong," said Dr. Frasier of the department of family medicine at the University of North Carolina at Chapel Hill.
While some of the results confirmed researchers expectations, including the importance of family and a certain fatalistic attitude to outcomes, some findings came as a surprise, she said. Chief among these was the almost universal need for a "bridge" person to offer support. Usually an English-speaking relative, this person acts as both a linguistic and a cultural translator for pregnant Hispanic women, helping them understand the care they are receiving and acting as their voice to medical professionals. The women often illustrated this with photos of them with nieces ...
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