Maternal Stressors Impact Maternal Wellbeing and Cortisol, and Infant Growth in Rural Guatemala
Référence bibliographique 
Chomat, Anne Marie. 2016. «Maternal Stressors Impact Maternal Wellbeing and Cortisol, and Infant Growth in Rural Guatemala». Thèse de doctorat, Montréal, Université McGill, Institut de parasitologie; École de l’environnement.
Intentions : Dans cette thèse par articles, seul le dernier article aborde un sujet en lien avec la famille. Plus précisément, «[t]his study aimed to explore personal narratives of Mam-Mayan women living in marginalized, rural communities in the Western Highlands of Guatemala using Photovoice, a photography-based participatory action research method. The objectives were to (1) explore participants’ photographs and photo-elicited narratives to better understand how women perceive, experience and engage their lived environments, particularly with regard to sources of vulnerability and resilience, and (2) use these narratives to validate and contextualize findings from a parallel quantitative study.» (p. 196)
Échantillon/Matériau : To reach his goal «23 women from 7 communities, including four traditional midwives and 10 community health workers, were given a personal camera to photograph things that were important to them over the course of 4 months. Groups of 2-6 women met every 2-4 [week] to discuss photographs, for a total of 6 sessions.» (p. 196)
Type de traitement des données : Analyse de contenu
«Thematic content analysis of photographs and photo-elicited narratives highlighted 2 scenarios of vulnerability: (1) experiencing domestic violence, low autonomy and socioeconomic dependence, and (2) being a single mother with few employment options and limited rights. Additional sources of stress were poverty, poor social support and the absence of social services. Sources of resilience included family, nature, livestock, traditional knowledge/practices and spirituality. Findings were consistent with those derived from quantitative methodologies. Photovoice emerged as an effective mechanism for women to voice their needs and concerns, while fostering resilience. Women in these communities are marginalized, and require support, yet their very own strength, resourcefulness and resilience are key leverage points for any intervention targeting community health and development.» (p. 196)