We don't live in igloos: Inuvik youth speak out.
OBJECTIVE
To determine what health problems concern youth in the Canadian North and what solutions these youths propose to address these problems by interviewing Inuvik youths, using their photographs to spark discussion.


DESIGN
Qualitative study and photo-novella technique.


SETTING
Inuvik, NWT, from July 1 to August 31, 2004.


PARTICIPANTS
Thirty-five youths from Inuvik between the ages of 10 and 22. Two boys and 2 girls between the ages of 17 and 22 from the Inuvialuit and Gwich'in cultures featured in an educational video developed from the study.


METHOD
Disposable cameras were distributed to 35 youths; interviews structured around the photographs were recorded with 14 youths. Thematic analysis of the interview transcripts was completed; the themes identified formed the basis of a 19-minute video featuring 4 of these youths.


MAIN FINDINGS
Themes developed around mothers, culture, the land, and boredom. Specific health concerns identified were smoking, alcohol and drug abuse, and teen pregnancy. Solutions suggested included sources of recreation and distraction from substance abuse, such as a movie theatre, a shopping mall, and upgrades to the skatepark.


CONCLUSION
By having Inuvik youths share their stories and perspectives, health care providers can gain insight into the issues and concerns of youth in northern communities and expand their capacity to heal. Photo novella is a useful method for research in adolescent health.