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Network Approach for Analyzing and Promoting Equity in Participatory Ecohealth Research

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Abstract

Effective involvement and equity in participation between men and women and the various community groups are likely to influence the equity in the sharing of the development outcomes of any participatory research project. The CARUSO project, a participatory research based on the ecosystem approach to human health, showed that the inhabitants from Brasília Legal, a small village located on the river banks of the Tapajós river in the Brazilian Amazon, are exposed to mercury through fish consumption; a subsequent participatory intervention based on dietary changes was effective in reducing mercury exposure of the population. In the present study, we focus on equity in participation and analyze the discussion network about mercury and health to measure individual and group involvement in the community. Participation in the discussion network is associated with the awareness of the critical information necessary to allow the individual to change dietary habits toward the preferential consumption of the less contaminated fish species. Our network analysis shows that gender, age, religion, education, subsistence activities, and spatial distribution of the houses are key elements affecting the involvement of the population in discussions about mercury and health. Based on these results, we propose strategies for integrating the research results and the knowledge of the villagers in a new cycle of participatory research in order to address the lack of involvement of some groups and to promote equitable participation and benefit sharing.

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References

  • MIM Amorim D Mergler MO Bahia H Dubeau D Miranda J Lebel et al. (2000) ArticleTitleCytogenetic damage related to low levels of methylmercury contamination in the Brazilian Amazon Anais da Academia Brasileira de Ciências 72 497–507 Occurrence Handle11151017 Occurrence Handle1:CAS:528:DC%2BD3MXhtlKhtw%3D%3D

    PubMed  CAS  Google Scholar 

  • AL Ball S Rana KL Dehne (1998) ArticleTitleHIV prevention among injecting drug users: responses in developing and transitional countries Public Health Reports 113 IssueIDSuppl 1 170–181

    Google Scholar 

  • Biggs S (1989) Resource-poor farmer participation in research: a synthesis of experiences from nine National Agricultural Research Systems. In: OFCOR Comparative Study Paper No. 3. The Hague, Netherlands: International Service for National Agricultural Research, pp 3–37

  • S Biggs H Matsaert (1999) ArticleTitleAn actor-oriented approach for strengthening research and development capabilities in natural resource systems Public Administration and Development 19 231–262 Occurrence Handle10.1002/(SICI)1099-162X(199908)19:3<231::AID-PAD71>3.0.CO;2-E

    Article  Google Scholar 

  • Borgatti SP (2002) NetDraw: Graph Visualization Software, Harvard, MA: Analytic Technologies

  • SP Borgatti MG Everett LC Freeman (2002) UCINET for Windows: Software for Social Network Analysis Analytic Technologies Harvard, MA

    Google Scholar 

  • M Boulay TW Valente (1999) ArticleTitleThe relationship of social affiliation and interpersonal discussion to family planning knowledge, attitudes and practice International Family Planning Perspective 25 112–118

    Google Scholar 

  • S Chant (2000) ArticleTitleFrom ‘woman-blind’ to ‘man-kind’: should men have more space in gender and development? IDS Bulletin 31 7–17 Occurrence Handle10.1111/j.1759-5436.2000.mp31002002.x

    Article  Google Scholar 

  • A Cornwall (2003) ArticleTitleWhose voices? Whose choices? Reflections on gender and participatory development World Development 31 1325–1342 Occurrence Handle10.1016/S0305-750X(03)00086-X

    Article  Google Scholar 

  • A Cornwall R Jewkes (1995) ArticleTitleWhat is participatory research? Social Science & Medicine 41 1667–1676 Occurrence Handle1:STN:280:DyaK28zmtlKisA%3D%3D

    CAS  Google Scholar 

  • K Koning ParticleDe M Martin (1996) Participatory research in health: setting the context K Koning Particlede M Martin (Eds) Participatory Research in Health: Issues and Experiences Zen Books Ltd. London 1–18

    Google Scholar 

  • G Forget J Lebel (2001) ArticleTitleAn ecosystem approach to human health International Journal of Occupational and Environmental Health 7 IssueIDSuppl 1–36 Occurrence Handle11210006

    PubMed  Google Scholar 

  • LC Freeman (2004) The Development of Social Network Analysis Empirical Press Vancouver

    Google Scholar 

  • IH Frieze J Fisher B Hanusa M McHugh VA Valle (1978) Attributions of success and failure as internal and external barriers to achievement in women J Sherman F Denmark (Eds) Psychology of Women: Future Directions of Research Psychological Dimensions New York 519–552

    Google Scholar 

  • P Grandjean P Weihe RF White F Debes S Araki K Yokoyama et al. (1997) ArticleTitleCognitive deficit in 7-year-old children with prenatal exposure to methylmercury Neurotoxicology and Teratology 19 417–428 Occurrence Handle10.1016/S0892-0362(97)00097-4 Occurrence Handle9392777 Occurrence Handle1:CAS:528:DyaK2sXns12lt7k%3D

    Article  PubMed  CAS  Google Scholar 

  • P Grandjean RF White A Nielsen D Cleary EC Oliveira Santos (1999) ArticleTitleMethylmercury neurotoxicity in Amazonian children downstream from gold mining Environmental Health Perspectives 107 587–591 Occurrence Handle10379006 Occurrence Handle1:CAS:528:DyaK1MXltVSktbs%3D

    PubMed  CAS  Google Scholar 

  • JR Guimarães M Meili LD Hylander E Castro e Silva Particlede M Roulet JB Mauro et al. (2000) ArticleTitleMercury net methylation in five tropical flood plain regions of Brazil: high in the root zone of floating macrophyte mats but low in surface sediments and flooded soils The Science of the Total Environment 261 99–107 Occurrence Handle10.1016/S0048-9697(00)00628-8 Occurrence Handle11036981

    Article  PubMed  Google Scholar 

  • MC Kegler R Stern S Whitecrow-Ollis LH Malcoe (2003) ArticleTitleAssessing lay health advisor activity in an intervention to prevent lead poisoning in Native American children Health Promotion Practice 4 189–196 Occurrence Handle10.1177/1524839902250774 Occurrence Handle14610989

    Article  PubMed  Google Scholar 

  • DL Kincaid (2000) ArticleTitleSocial networks, ideation, and contraceptive behavior in Bangladesh: a longitudinal analysis Social Science & Medicine 50 215–231 Occurrence Handle1:STN:280:DC%2BD3c%2FosVOjuw%3D%3D

    CAS  Google Scholar 

  • DL Kincaid (2004) ArticleTitleFrom innovation to social norm: bounded normative influence Journal of Health Communication 9 37–57 Occurrence Handle14960403

    PubMed  Google Scholar 

  • J Lebel (2003) Health, an Ecosystem Approach International Development Research Centre Ottawa

    Google Scholar 

  • J Lebel D Mergler F Branches M Lucotte M Amorim F Larribe et al. (1998) ArticleTitleNeurotoxic effects of low-level methylmercury contamination in the Amazonian Basin Environmental Research 79 20–32 Occurrence Handle10.1006/enrs.1998.3846 Occurrence Handle9756677 Occurrence Handle1:CAS:528:DyaK1cXmt1Kms7g%3D

    Article  PubMed  CAS  Google Scholar 

  • J Lebel M Roulet D Mergler M Lucotte F Larribe (1997) ArticleTitleFish diet and mercury exposure in a riparian Amazonian population Water, Air, & Soil Pollution 97 31–44 Occurrence Handle1:CAS:528:DyaK2sXkvFGmsb0%3D

    CAS  Google Scholar 

  • L Levy-Storms SP Wallace (2003) ArticleTitleUse of mammography screening among older Samoan women in Los Angeles county: a diffusion network approach Social Science & Medicine 57 987–1000

    Google Scholar 

  • P Maguire (1987) Doing Participatory Research: a Feminist Approach Center for International Education, University of Massachusetts Amherst, MA

    Google Scholar 

  • L Mayoux (1995) ArticleTitleBeyond naivety: women, gender inequality and participatory development Development and Change 26 235–258 Occurrence Handle10.1111/j.1467-7660.1995.tb00551.x

    Article  Google Scholar 

  • D Mergler AA Boischio F Branches S Morais C-J Passos E Gaspar et al. (2001) Neurotoxic sequelae of methylmercury exposure in the Brazilian Amazon: a follow-up study. Abstract of the 6th International Conference on Mercury as a Global Pollutant Minamata Institute Kumamoto, Japan

    Google Scholar 

  • D Mosse (1994) ArticleTitleAuthority, gender and knowledge: theoretical reflections on the practice of participatory rural appraisal Development and Change 25 497–526

    Google Scholar 

  • M Parkes R Panelli (2001) ArticleTitleIntegrating catchment ecosystems and community health: the value of participatory action research Ecosystem Health 7 85–106 Occurrence Handle10.1046/j.1526-0992.2001.007002085.x

    Article  Google Scholar 

  • Probst K, Hagmann J, with contributions from Fernandez M, Ashby JA (2003) Understanding participatory research in the context of natural resource management—paradigms, approaches and typologies. Agricultural Research & Extension Network, Network Paper No. 130. London: Overseas Development Institute. Available: http://www.odi.org.uk/agren/papers/agrenpaper_130.pdf [accessed August 18, 2004]

  • EM Rogers (1976) Communication and development: the passing of the dominant paradigm EM Rogers (Eds) Communication and Development Sage London 121–148

    Google Scholar 

  • EM Rogers (1995) Diffusion of Innovations EditionNumber4 Free Press New York

    Google Scholar 

  • EM Rogers DL Kincaid (1981) Communication Networks: toward a New Paradigm for Research Free Press New York

    Google Scholar 

  • NG Röling J Ascroft FW Chege (1976) The diffusion of innovations and the issue of equity in rural development EM Rogers (Eds) Communication and Development Sage London 63–79

    Google Scholar 

  • M Roulet M Lucotte R Canuel N Farella M Courcelles JRD Guimarães et al. (2000) ArticleTitleIncrease in mercury contamination recorded in lacustrine sediments following deforestation in the central Amazon Chemical Geology 165 243–266 Occurrence Handle10.1016/S0009-2541(99)00172-2 Occurrence Handle1:CAS:528:DC%2BD3cXitFyrtb4%3D

    Article  CAS  Google Scholar 

  • M Roulet M Lucotte N Farella G Serique H Coelho C-JS Passos et al. (1999) ArticleTitleEffects of recent human colonization on the presence of mercury in Amazonian ecosystems Water, Air & Soil Pollution 112 297–313 Occurrence Handle1:CAS:528:DyaK1MXksFGns7g%3D

    CAS  Google Scholar 

  • J Saint-Charles P Mongeau (2005) L’étude des réseaux humains de communication J Saint-Charles P Mongeau (Eds) Communication—Horizons de pratiques et de recherche Presses de l’Université du Québec Montréal 73–99

    Google Scholar 

  • PM Shingi B Mody (1976) The communication effects gap: a field experiment on television and agricultural ignorance in India EM Rogers (Eds) Communication and Development Sage London 79–99

    Google Scholar 

  • TW Valente (1995) Network Models of the Diffusion of Innovations Hampton Press Cresskill, NJ

    Google Scholar 

  • TW Valente BR Hoffman A Ritt-Olson K Lichtman CA Johnson (2003) ArticleTitleEffects of a social-network method for group assignment strategies on peer-led tobacco prevention programs in schools American Journal of Public Health 93 1837–1843 Occurrence Handle14600050 Occurrence Handle10.2105/AJPH.93.11.1837

    Article  PubMed  Google Scholar 

  • TW Valente SC Watkins MN Jato A Straten ParticleVan Der L-PM Tsitsol (1997) ArticleTitleSocial network associations with contraceptive use among Cameroonian women in voluntary associations Social Science & Medicine 45 677–687 Occurrence Handle1:STN:280:DyaK2szntVCnsA%3D%3D

    CAS  Google Scholar 

  • S Wasserman K Faust (1994) Social Network Analysis—Methods and Applications Cambridge University Press Cambridge

    Google Scholar 

  • B Wellman (1988) Structural analysis: from method and metaphor to theory and substance B Wellman SD Berkowitz (Eds) Social Structures—A Network Approach JAI Press Greenwich, CT 19–61

    Google Scholar 

  • DJ Watts (2003) Six Degrees—The Science of a Connected Age W. W. Norton & Company New York

    Google Scholar 

Download references

Acknowledgments

We express our deep gratitude to the population of Brasília Legal for their welcome and their participation and collaboration in the accomplishment of this work. We gratefully acknowledge all the researchers who participated in the CARUSO studies from 1994 up to now. The present study would not have taken place without their previous work. For their invaluable conversations and comments about the CARUSO project, we also thank Marcello Bahia, Ana Amelia Peixoto Boischio, Fernando Branches, Robert Davidson, Otávio do Canto, Nicolina Farella, Myriam Fillion, Benoît Frenette, Elisete Gaspar, Jean-Rémy Guimarães, Mélanie Lemire, Silmara Morais, Jean-Paul Piéraut, Hugo Poirier, Stéphanie Premji, Marc Roulet, and Delaine Sampaio. We are also indebted to two anonymous reviewers who significantly contributed to the final version of the manuscript. This work was financially supported by the International Development Research Centre (IDRC) of Canada.

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Correspondence to Frédéric Mertens.

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Mertens, F., Saint-Charles, J., Mergler, D. et al. Network Approach for Analyzing and Promoting Equity in Participatory Ecohealth Research. EcoHealth 2, 113–126 (2005). https://doi.org/10.1007/s10393-004-0162-y

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