{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T11:09:55Z","timestamp":1789988995678,"version":"4.0.1"},"reference-count":30,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2014,4,28]],"date-time":"2014-04-28T00:00:00Z","timestamp":1398643200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000056","name":"National Institute of Nursing Research","doi-asserted-by":"publisher","award":["1F31NR011521"],"award-info":[{"award-number":["1F31NR011521"]}],"id":[{"id":"10.13039\/100000056","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Public Health Nursing"],"published-print":{"date-parts":[[2015,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>Global health research into the relationship between health, economic inequalities, and globalization is necessary to address increasing health disparities in low income countries. Nicaragua has high levels of poverty and extreme poverty when compared with other Central and South American Countries.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design and Sample<\/jats:title><jats:p>Photovoice and ethnographic research methods were used to explore health experiences of Creole women in Bluefields, Nicaragua and the intersections between culture, socioeconomic status, and gender. Twelve Creole women participants, ages 18\u201345.<\/jats:p><\/jats:sec><jats:sec><jats:title>Measures<\/jats:title><jats:p>After initial focus groups, participants used disposable cameras to document health experiences. Follow\u2010up interviews were conducted about the meaning of each photo. Participants then selected photos to be included in a city\u2010wide photoshow.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In initial focus groups, participants described great distress over changes they perceived in Creole culture and how these changes affect the health of the next generation. Participants related most of these changes to the economy and globalization. Photos taken were primarily of aspects of Creole culture, including household practices and traditional remedies from Creole culture.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Findings on the relationships between culture, disease, and community\u2010identified health risks in this minority population can help health care providers and public health policymakers develop and sustain culturally appropriate health interventions.<\/jats:p><\/jats:sec>","DOI":"10.1111\/phn.12127","type":"journal-article","created":{"date-parts":[[2014,4,28]],"date-time":"2014-04-28T04:34:47Z","timestamp":1398659687000},"page":"237-245","source":"Crossref","is-referenced-by-count":6,"title":["Cruise Ships and Bush Medicine: Globalization on the Atlantic Coast of Nicaragua and Effects on the Health of Creole Women"],"prefix":"10.1111","volume":"32","author":[{"given":"Emma McKim","family":"Mitchell","sequence":"first","affiliation":[{"name":"Center for Excellence for Health Disparities Research: El Centro University of Miami School of Nursing and Health Studies Coral Gables Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Steeves","sequence":"additional","affiliation":[{"name":"University of Virginia School of Nursing Charlottesville Virginia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca","family":"Dillingham","sequence":"additional","affiliation":[{"name":"University of Virginia School of Medicine Charlottesville Virginia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,4,28]]},"reference":[{"key":"e_1_2_7_2_1","volume-title":"Speaking of ethnography","author":"Agar M. 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