Format

Send to

Choose Destination
See comment in PubMed Commons below
Ann Hum Biol. 2009 May-Jun;36(3):248-60, 2 p following 260. doi: 10.1080/03014460902832942.

Moving from ethnography to epidemiology: lessons learned in Appalachia.

Author information

  • 1Human Development and Social Policy, Northwestern University, Chicago, IL 60208, USA. rbrow11@gmail.com

Abstract

BACKGROUND:

Anthropologists are beginning to translate insights from ethnography into tools for population studies that assess the role of culture in human behavior, biology, and health.

AIM:

We describe several lessons learned in the creation and administration of an ethnographically-based instrument to assess the life course perspectives of Appalachian youth, the Life Trajectory Interview for Youth (LTI-Y). Then, we explore the utility of the LTI-Y in predicting depressive symptoms, controlling for prior depressive symptoms and severe negative life events throughout the life course.

SUBJECTS AND METHODS:

In a sample of 319 youths (190 White, 129 Cherokee), we tested the association between depressive symptoms and two domains of the LTI-Y - life course barriers and milestones. Longitudinal data on prior depressive symptoms and negative life events were included in the model.

RESULTS:

The ethnographically-based scales of life course barriers and milestones were associated with unique variance in depressive symptoms, together accounting for 11% of the variance in this outcome.

CONCLUSION:

When creating ethnographically-based instruments, it is important to strike a balance between detailed, participant-driven procedures and the analytic needs of hypothesis testing. Ethnographically-based instruments have utility for predicting health outcomes in longitudinal studies.

PMID:
19353406
PMCID:
PMC2868371
DOI:
10.1080/03014460902832942
[PubMed - indexed for MEDLINE]
Free PMC Article
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Taylor & Francis Icon for PubMed Central
    Loading ...
    Support Center