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The Diabetes Educator

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Qualitative Health Research
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Understanding African American Men's Perceptions of Racism, Male Gender Socialization, and Social Capital Through Photovoice

India J. Ornelas

University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA

Jim Amell

Colorado State University, Fort Collins, Colorado, USA

Anh N. Tran

Duke University Medical Center, Durham, North Carolina, USA

Michael Royster

Virginia Department of Health and Virginia Commonwealth University, Richmond, Virginia, USA

Janelle Armstrong-Brown

University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA

Eugenia Eng

University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA

In this study we used a participatory qualitative research approach—photovoice—to collect information about African American men's perceptions of the factors that influenced their own health and the health of their communities. Photovoice was conducted as part of the "Men as Navigators (MAN) for Health" project, an evaluation of a male lay health advisor (LHA) intervention in central North Carolina. Twelve African American men living in both urban and rural communities took photographs and discussed the photos in six photo discussion sessions. Analysis involved identifying recurring themes from the photos and transcriptions of photo discussions. The results suggest that race and racism, male gender socialization, and social networks and social capital all have important influences on African American men's health. The implications for further research and public health practice are discussed.

Key Words: African Americans • disparities • health care • racial • gender • men's health • photography • race and racism • social capital

This version was published on April 1, 2009

Qualitative Health Research, Vol. 19, No. 4, 552-565 (2009)
DOI: 10.1177/1049732309332104
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