Using PhotoVoice with Youth to Develop a Drug Prevention Program in a Rural Hawaiian Community

Document Type


Publication Date


Publication Title

American Indian and Alaska Native Mental Health Research


Substance use represents a significant and persistent health disparity among Native Hawaiian youth and communities. A community-university participatory action research project was conducted to develop a Native Hawaiian model of drug prevention. Methods: Ten youth participated in eight Photovoice focus groups. Focus group transcripts and the youths’ SHOWED (see, happening, our, why, empower, do) worksheets were analyzed. Results: Emergent analyses are described regarding focus group theme identification and the meaning of each theme. Youth-selected exemplary photographs and researcher-selected exemplary quotations are provided. Implications: Native Hawaiian drug prevention will be place-based in culturally significant community locations, experiential, and guided by multigenerational teaching and learning.


* The word haumana translates to apprentice. The youth who participate in this project are referred to as haumana. Their names are not being used; however, they have made significant contributions to the project and are listed as co-authors in scholarly dissemination.

Copyright: Centers for American Indian and Alaska Native Health

The research was supported by funding from The Queen’s Medical Center-Queen’s Research Fund, the University of Hawai`i Diversity & Equity Initiative, the Society for Community Research and Action minigrant, and the National Institutes of Health/National Institute on Minority Health & Health Disparities (G12 MD007601).