BACKGROUND Weight management is a national health priority for health disparity-facing populations. There is a paucity of literature examining perceptions of diet and physical activity behaviors for weight management among public housing residents. Photovoice is a qualitative technique in which participants take photographs to document and discuss personal, social, and environmental factors around a particular topic. OBJECTIVES To use photovoice to identify facilitators and barriers to weight management, including diet and physical activity behaviors, among urban public housing residents. METHODS Four 2-hour sessions were held in each of four housing developments (16 total sessions). Participants were given three photo missions to take photographs of the meaning of health, facilitators, and barriers. Participants then discussed and wrote narratives of their most meaningful photographs. RESULTS The majority of participants (n = 28) were obese (60%), female (82%), and African American or Black (71%) residents. Qualitative analysis of the transcripts revealed multiple facilitators and barriers that influenced weight management at the individual (e.g., self-control), interpersonal (e.g., peer influence), and community (e.g., access) levels. Additional themes that were specific to the housing development level included built environment at the development, feelings of community support, the development tenant/resident task force, and living conditions. CONCLUSIONS Findings revealed multiple facilitators and barriers to healthy eating, physical activity, and weight management among public housing residents with additional factors influencing health within the housing development. Photovoice was a feasible method to engage community members in discussions and may be useful to inform multilevel interventions.

中文翻译：

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使用光声识别公共住房居民营养和身体活动的障碍和促进者。

背景技术体重管理是面向健康差异人群的国家卫生优先事项。缺乏文献研究饮食和体育锻炼行为的看法，以控制公共住房居民的体重。Photovoice是一种定性技术，参与者可以通过拍照来记录和讨论围绕特定主题的个人，社会和环境因素。目的使用光声识别城市公共住房居民体重控制的促进因素和障碍，包括饮食和体育锻炼行为。方法在四个住房开发项目中的每个项目中举行了四个为期2小时的会议（共16个会议）。参加者进行了三个摄影任务，以拍摄健康，促进者和障碍的含义的照片。然后，参与者讨论并写下了他们最有意义的照片的叙述。结果大多数参与者（n = 28）为肥胖（60％），女性（82％）和非裔美国人或黑人（71％）居民。笔录的定性分析显示，在个人（例如，自我控制），人际（例如，同伴影响）和社区（例如，进入）级别上影响体重管理的多种促进因素和障碍。与住房开发水平有关的其他主题包括开发中的建筑环境，社区支持的感觉，开发租户/居民工作队以及居住条件。结论研究发现，多种因素有助于健康饮食，体育锻炼，以及对公共住房居民的体重管理以及影响住房开发中健康状况的其他因素。Photovoice是一种使社区成员参与讨论的可行方法，可能对多层次干预措施有用。