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Health Promotion Practice
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Photovoice With Vulnerable Populations: Addressing Disparities in Health Promotion Among People With Intellectual Disabilities

Janine M. Jurkowski, PhD, MPH

Department of Health Policy, Management, and Behavior at the University at Albany, SUNY, School of Public Health

Amy Paul-Ward, PhD, MPH

Department of Occupational Therapy at Florida International University in Miami

Cardiovascular diseases (CVD) are the leading causes of death among Mexican American adults living in the United States. Using data from a modified Behavioral Risk Factor Surveillance Survey and guided by the Anderson model, this study examined the effect of nativity on CVD screening practices among 423 Mexican American adults in Chicago. Dependent variables included having had a blood pressure and cholesterol screening and a routine checkup in the past 2 years. Multivariate analyses were used to control for sociodemographic factors while accounting for complex sampling design. Compared to those born in Mexico, U.S.-born Mexican Americans had greater odds of obtaining blood pressure (OR = 5.61) and cholesterol screenings (OR = 1.60) and having a routine checkup (OR = 2.69) in the past 2 years. Health professionals wishing to increase screenings for CVD risk factors among Mexican Americans in northern cities should understand the impact of nativity on screening practices.

Key Words: Photovoice • people with disabilities • health disparities • community-based programming • Hispanic Americans

This version was published on October 1, 2007

Health Promotion Practice, Vol. 8, No. 4, 358-365 (2007)
DOI: 10.1177/1524839906292181
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