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“It’s Just a Band-Aid on Something No One Really Wants to See or Acknowledge”: A Photovoice Study with Transitional Aged Youth Experiencing Homelessness to Examine the Roots of San Diego’s 2016–2018 Hepatitis A Outbreak

Author

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  • Jennifer K. Felner

    (School of Public Health, San Diego State University, San Diego, CA 92123, USA
    Institute for Behavioral and Community Health, San Diego State University, San Diego, CA 92123, USA)

  • Talia Kieu

    (School of Public Health, San Diego State University, San Diego, CA 92123, USA)

  • Andrew Stieber

    (School of Public Health, San Diego State University, San Diego, CA 92123, USA)

  • Hunter Call

    (Independent Researcher, San Diego, CA 92123, USA)

  • Daniel Kirkland

    (Independent Researcher, San Diego, CA 92123, USA)

  • Amanda Farr

    (Child and Adolescent Services Research Center, School of Medicine, University of San Diego, San Diego, CA 92123, USA)

  • Jerel P. Calzo

    (School of Public Health, San Diego State University, San Diego, CA 92123, USA
    Institute for Behavioral and Community Health, San Diego State University, San Diego, CA 92123, USA)

Abstract

San Diego, California is consistently ranked among regions with the highest rates of homelessness in the United States. From 2016 to 2018, San Diego experienced an unprecedented outbreak of hepatitis A virus (HAV), largely attributed in media and public health discourse to the region’s growing population of people experiencing homelessness. Little attention, however, was devoted to examining the experiences and needs of this population, particularly transitional aged youth (TAY, aged 18–24) experiencing homelessness who may have been uniquely affected by the outbreak. This community-based participatory research study leveraged diverse qualitative methods, principally photovoice, to explore how the social and built environment shapes health among TAY experiencing homelessness in San Diego, how these environments may have contributed to the HAV outbreak, and TAY’s perceptions of HAV-related public health interventions. Emergent findings include stigmatization of TAY and other people experiencing homelessness, interventions that failed to address root causes of the outbreak, and interactions with housing-related and other social support resources that limit rather than support economic and social mobility. Findings have implications for understanding how media and public discourse, public health interventions, and availability and delivery of resources can contribute to and perpetuate stigma and health inequities faced by TAY experiencing homelessness.

Suggested Citation

  • Jennifer K. Felner & Talia Kieu & Andrew Stieber & Hunter Call & Daniel Kirkland & Amanda Farr & Jerel P. Calzo, 2020. "“It’s Just a Band-Aid on Something No One Really Wants to See or Acknowledge”: A Photovoice Study with Transitional Aged Youth Experiencing Homelessness to Examine the Roots of San Diego’s 2016–2018 H," IJERPH, MDPI, vol. 17(13), pages 1-24, June.
  • Handle: RePEc:gam:jijerp:v:17:y:2020:i:13:p:4721-:d:378609
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    References listed on IDEAS

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    1. Takahashi, Lois M., 1997. "The socio-spatial stigmatization of homelessness and HIV/AIDS: Toward an explanation of the NIMBY syndrome," Social Science & Medicine, Elsevier, vol. 45(6), pages 903-914, September.
    2. Felner, Jennifer K. & Dudley, Terry D. & Ramirez-Valles, Jesus, 2018. "“Anywhere but here": Querying spatial stigma as a social determinant of health among youth of color accessing LGBTQ services in Chicago's Boystown," Social Science & Medicine, Elsevier, vol. 213(C), pages 181-189.
    3. Teufel-Shone, N.I. & Siyuja, T. & Watahomigie, H.J. & Irwin, S., 2006. "Community-based participatory research: Conducting a formative assessment of factors that influence youth wellness in the Hualapai community," American Journal of Public Health, American Public Health Association, vol. 96(9), pages 1623-1628.
    4. Minkler, M., 2010. "Linking science and policy through community-based participatory research to study and address health disparities," American Journal of Public Health, American Public Health Association, vol. 100(S1), pages 81-87.
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    Cited by:

    1. David A. Sleet & Louis Hugo Francescutti, 2021. "Homelessness and Public Health: A Focus on Strategies and Solutions," IJERPH, MDPI, vol. 18(21), pages 1-6, November.
    2. Mounah Abdel-Samad & Jerel P. Calzo & Jennifer K. Felner & Lianne Urada & Matthew E. Verbyla & Hala Madanat & Brian E. Adams & Thais Alves & Bruce Appleyard & Joshua Chanin & Shawn Flanigan & Hisham F, 2021. "Conceptualizing an Interdisciplinary Collective Impact Approach to Examine and Intervene in the Chronic Cycle of Homelessness," IJERPH, MDPI, vol. 18(4), pages 1-17, February.

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