This study reports on findings from a youth participatory action research of children’s well-being and health. We draw upon the Social Determinants of Health framework, including a focus on structural racism and intersectionality, to holistically explore the ways in which youth (ages 13–17) experience multiple forms of marginalization within the neighborhood, and how these experiences influence their well-being outcomes. We employed the data collection techniques of focus group discussion, community mapping, photovoice, and follow-up small group discussions with 14 African American youth in Cleveland, Ohio. Utilizing participatory thematic analysis, the participants established four main thematic categories connected to the neighborhood which have a strong influence on youth health and well-being. These categories included: (1) Crime and safety; (2) Housing and the built environment; (3) Social Influence; (4) Community Activities. By involving youth as co-constructors of the research, we elicited perspectives on the pathways between a healthy neighborhood to healthy residents, with implications for future research, policy, and intervention programming aimed at improving the health and well-being of children and youth.

本研究报告了一项关于儿童福祉和健康的青年参与行动研究的结果。我们利用健康的社会决定因素框架，包括对结构性种族主义和交叉性的关注，从整体上探索青年（13-17 岁）在社区内经历多种形式的边缘化的方式，以及这些经历如何影响他们的健康——是结果。我们在俄亥俄州克利夫兰与 14 名非裔美国青年采用了焦点小组讨论、社区映射、照片语音和后续小组讨论的数据收集技术。利用参与式主题分析，参与者建立了与邻里相关的四个主要主题类别，这些主题类别对青年健康和福祉有很大影响。这些类别包括： (1) 犯罪和安全；（二）住房和建筑环境；(3) 社会影响力；(4) 社区活动。通过让青年成为研究的共同建设者，我们得出了关于健康社区与健康居民之间的途径的观点，这对旨在改善儿童和青年健康和福祉的未来研究、政策和干预计划产生了影响。