IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0228640.html
   My bibliography  Save this article

Shifting the gaze of the physician from the body to the body in a place: A qualitative analysis of a community-based photovoice approach to teaching place-health concepts to medical students

Author

Listed:
  • Lauri Andress
  • Matthew P Purtill

Abstract

Medical practitioners, trained to isolate health within and upon the body of the individual, are now challenged to negotiate research and population health theories that link health status to geographic location as evidence suggests a connection between place and health. This paper builds an integrated place-health model and structural competency analytical framework with nine domains and four levels of proficiency that is utilized to assess a community-based photovoice project’s ability to shift the practice of medicine by medical students from the surface of the body to the body within a place. Analysis of the medical student’s photovoice data demonstrated that the students achieved structural competency level 1 proficiency and came to understand how health might be connected to place represented by six of the nine domains of the structural competency framework. Results suggest that medical student’s engagement with place-health systemic, institutional and structural forces deepens when they co-create narratives of their lived experiences in a place with patients as community members during a community-based photovoice project. Given the importance of place-health theories to explain population health outcomes, a place-health model and structural competency analytical framework utilized during a community-based photovoice project could help medical students merge the image of patients as singular bodies into bodies set within a context.

Suggested Citation

  • Lauri Andress & Matthew P Purtill, 2020. "Shifting the gaze of the physician from the body to the body in a place: A qualitative analysis of a community-based photovoice approach to teaching place-health concepts to medical students," PLOS ONE, Public Library of Science, vol. 15(2), pages 1-15, February.
    • Handle: RePEc:plo:pone00:0228640
    DOI: 10.1371/journal.pone.0228640
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0228640
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0228640&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0228640?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Metzl, Jonathan M. & Hansen, Helena, 2014. "Structural competency: Theorizing a new medical engagement with stigma and inequality," Social Science & Medicine, Elsevier, vol. 103(C), pages 126-133.
    2. Anonymous, 2014. "Introduction to the Issue," Journal of Wine Economics, Cambridge University Press, vol. 9(1), pages 1-2, May.
    3. Wang, C.C. & Morrel-Samuels, S. & Hutchison, P.M. & Bell, L. & Pestronk, R.M., 2004. "Flint photovoice: Community building among youths, adults, and policymakers," American Journal of Public Health, American Public Health Association, vol. 94(6), pages 911-913.
    4. Wallack, L. & Lawrence, R., 2005. "Talking about public health: Developing America's "second language"," American Journal of Public Health, American Public Health Association, vol. 95(4), pages 567-570.
    5. Cook, Jonathan E. & Purdie-Vaughns, Valerie & Meyer, Ilan H. & Busch, Justin T.A., 2014. "Intervening within and across levels: A multilevel approach to stigma and public health," Social Science & Medicine, Elsevier, vol. 103(C), pages 101-109.
    6. Anonymous, 2014. "Introduction to the Issue," Journal of Wine Economics, Cambridge University Press, vol. 9(2), pages 109-110, August.
    7. Singh-Manoux, Archana & Marmot, Michael, 2005. "Role of socialization in explaining social inequalities in health," Social Science & Medicine, Elsevier, vol. 60(9), pages 2129-2133, May.
    8. Keyes, K.M. & Galea, S., 2016. "Setting the agenda for a new discipline: Population health science," American Journal of Public Health, American Public Health Association, vol. 106(4), pages 633-634.
    9. Anne Case & Angua Deaton, 2015. "Rising morbidity and mortality in midlife among white non-Hispanic Americans in the 21st century," Working Papers 15078.full.pdf, Princeton University, Woodrow Wilson School of Public and International Affairs, Research Program in Development Studies..
    10. Deborah Wallace & Rodrick Wallace, 2000. "Life and Death in Upper Manhattan and the Bronx: Toward an Evolutionary Perspective on Catastrophic Social Change," Environment and Planning A, , vol. 32(7), pages 1245-1266, July.
    11. Clarke, Harold D. & Acock, Alan C., 1989. "National Elections and Political Attitudes: The Case of Political Efficacy," British Journal of Political Science, Cambridge University Press, vol. 19(4), pages 551-562, October.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Suyanne Freire de Macêdo & Kellyanne Abreu Silva & Renata Borges de Vasconcelos & Izautina Vasconcelos de Sousa & Lyvia Patrícia Soares Mesquita & Roberta Duarte Maia Barakat & Hélida Melo Conrado Fer, 2021. "Scaling up of Eco-Bio-Social Strategy to Control Aedes aegypti in Highly Vulnerable Areas in Fortaleza, Brazil: A Cluster, Non-Randomized Controlled Trial Protocol," IJERPH, MDPI, vol. 18(3), pages 1-23, January.
    2. Lauri Andress & Carmen Byker Shanks & Annie Hardison-Moody & T. Elaine Prewitt & Paul Kinder & Lindsey Haynes-Maslow, 2020. "The Curated Food System: A Limiting Aspirational Vision of What Constitutes “Good” Food," IJERPH, MDPI, vol. 17(17), pages 1-20, August.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Broussard, Kathleen, 2020. "The changing landscape of abortion care: Embodied experiences of structural stigma in the Republic of Ireland and Northern Ireland," Social Science & Medicine, Elsevier, vol. 245(C).
    2. Timmermans, Stefan & Tietbohl, Caroline, 2018. "Fifty years of sociological leadership at Social Science and Medicine," Social Science & Medicine, Elsevier, vol. 196(C), pages 209-215.
    3. Clair, Matthew & Daniel, Caitlin & Lamont, Michèle, 2016. "Destigmatization and health: Cultural constructions and the long-term reduction of stigma," Social Science & Medicine, Elsevier, vol. 165(C), pages 223-232.
    4. Jérémy Geeraert, 2022. "On the Role of Structural Competency in the Healthcare of Migrant with Precarious Residency Status," Societies, MDPI, vol. 12(2), pages 1-12, March.
    5. CHEN, Helen S.Y., 2020. "Designing Sustainable Humanitarian Supply Chains," OSF Preprints m82ar, Center for Open Science.
    6. Jochen Wulf, 2020. "Development of an AHP hierarchy for managing omnichannel capabilities: a design science research approach," Business Research, Springer;German Academic Association for Business Research, vol. 13(1), pages 39-68, April.
    7. Maggie O’Neill & Ruth Penfold-Mounce & David Honeywell & Matt Coward-Gibbs & Harriet Crowder & Ivan Hill, 2021. "Creative Methodologies for a Mobile Criminology: Walking as Critical Pedagogy," Sociological Research Online, , vol. 26(2), pages 247-268, June.
    8. Getz, Donald & Page, Stephen J., 2016. "Progress and prospects for event tourism research," Tourism Management, Elsevier, vol. 52(C), pages 593-631.
    9. Schipper, Burkhard C., 2021. "Discovery and equilibrium in games with unawareness," Journal of Economic Theory, Elsevier, vol. 198(C).
    10. Kumar, Kaushalendra & Shukla, Ankita & Singh, Abhishek & Ram, Faujdar & Kowal, Paul, 2016. "Association between wealth and health among older adults in rural China and India," The Journal of the Economics of Ageing, Elsevier, vol. 7(C), pages 43-52.
    11. Urša Golob & Mark A. P. Davies & Joachim Kernstock & Shaun M. Powell, 2020. "Trending topics plus future challenges and opportunities in brand management," Journal of Brand Management, Palgrave Macmillan, vol. 27(2), pages 123-129, March.
    12. Eunae Yoo & Elliot Rabinovich & Bin Gu, 2020. "The Growth of Follower Networks on Social Media Platforms for Humanitarian Operations," Production and Operations Management, Production and Operations Management Society, vol. 29(12), pages 2696-2715, December.
    13. Ya Sun & Gongyuan Wang & Haiying Feng, 2021. "Linguistic Studies on Social Media: A Bibliometric Analysis," SAGE Open, , vol. 11(3), pages 21582440211, September.
    14. Winskell, Kate & Sabben, Gaëlle, 2016. "Sexual stigma and symbolic violence experienced, enacted, and counteracted in young Africans’ writing about same-sex attraction," Social Science & Medicine, Elsevier, vol. 161(C), pages 143-150.
    15. Shisong Jiang, 2021. "“When Paradigms Are Out of Place”: Embracing Eclecticism in Legal Scholarship by Academic Turns," Laws, MDPI, vol. 10(4), pages 1-16, October.
    16. Florian Léon, 2022. "The elusive quest for high-growth firms in Africa: when other metrics of performance say nothing," Small Business Economics, Springer, vol. 58(1), pages 225-246, January.
    17. Houshmand Masoumi, 2021. "Residential Location Choice in Istanbul, Tehran, and Cairo: The Importance of Commuting to Work," Sustainability, MDPI, vol. 13(10), pages 1-18, May.
    18. Zachary P Neal, 2017. "Well connected compared to what? Rethinking frames of reference in world city network research," Environment and Planning A, , vol. 49(12), pages 2859-2877, December.
    19. Tanja Lepistö & Tiina Mäkitalo-Keinonen & Tiina Valjakka, 0. "Opportunity recognition in a hub-governed network – insights from garage services," International Entrepreneurship and Management Journal, Springer, vol. 0, pages 1-24.
    20. Holbig, Heike, 2015. "The Plasticity of Regions: A Social Sciences–Cultural Studies Dialogue on Asia-Related Area Studies," GIGA Working Papers 267, GIGA German Institute of Global and Area Studies.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0228640. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.