Barbara Clow

Publications (3)0.93 Total impact

• Article: Participatory action research (PAR): an approach for improving black women's health in rural and remote communities.

  Josephine B Etowa, Wanda Thomas Bernard, Bunmi Oyinsan, Barbara Clow
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  ABSTRACT: Women are among the most disadvantaged members of any community, and they tend to be at greatest risk of illness. Black women are particularly vulnerable and more prone than White women to illnesses associated with social and economic deprivation, including heart disease and diabetes. They utilize preventive health services less often, and when they fall ill, the health of their families and communities typically suffers as well. This article discusses the process of doing innovative participatory action research (PAR) in southwest Nova Scotia Black communities. The effort resulted in the generation of a database, community action, and interdisciplinary analysis of the intersecting inequities that compromise the health and health care of African Canadian women, their families, and their communities. This particular research effort serves as a case study for explicating the key tenets of PAR and the barriers to and contradictions in implementing PAR in a community-academic collaborative research project.
  Journal of Transcultural Nursing 11/2007; 18(4):349-57. · 0.93 Impact Factor
• Article: Determinants of Black women's health in rural and remote communities.

  Josephine Etowa, Juliana Wiens, Wanda Thomas Bernard, Barbara Clow
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  ABSTRACT: The On the Margins project investigated health status, health-care delivery, and use of health services among African-Canadian women residing in rural and remote regions of the province of Nova Scotia. A participatory action research approach provided a framework for the study. Triangulation of data-collection methods--interviews, focus groups, and questionnaires--formed the basis of data generation. A total of 237 in-depth one-on-one interviews were conducted and coded verbatim. Atlas-ti data-management software was used to facilitate coding and analysis. Six themes emerged from the data: Black women's multiple roles, perceptions of health, experiences with the health-care system, factors affecting health, strategies for managing health, and envisioning solutions. The authors focus on 1 of these themes, factors affecting Black women's health, and discuss 3 subthemes: race and racism, poverty and unemployment, and access to health care.
  The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmières 10/2007; 39(3):56-76.
• Article: Determinants of Black Women's Health in Rural and Remote Communities Déterminants de la santé des femmes noires dans les communautés rurales et éloignées

  Josephine Etowa, Juliana Wiens, Wanda Thomas Bernard, Barbara Clow
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  ABSTRACT: The On the Margins project investigated health status, health-care delivery, and use of health services among African-Canadian women residing in rural and remote regions of the province of Nova Scotia. A participatory action research approach provided a framework for the study. Triangulation of data-collection methods — interviews, focus groups, and questionnaires — formed the basis of data generation. A total of 237 in-depth one-on-one interviews were conducted and coded verbatim. Atlas-ti data-management software was used to facilitate coding and analysis. Six themes emerged from the data: Black women's multiple roles, perceptions of health, experiences with the health-care system, factors affecting health, strategies for managing health, and envisioning solutions. The authors focus on 1 of these themes, factors affecting Black women's health, and discuss 3 subthemes: race and racism, poverty and unemployment, and access to health care.
  The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmières 08/2007; 39(3):56-76.