Exploring the barriers and facilitators to safer hair product purchasing and use among Black women in the greater Boston area through photovoice in the RESTYLE study

IntroductionRacial/ethnic differences in personal care product (PCP) use, including hair products, are well-documented in the United States (US). Black women are more highly exposed to endocrine disrupting chemicals in PCPs compared to other racial/ethnic groups. We identified barriers and facilitat...

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Main Authors: Marissa Chan, Marlee R. Quinn, Jackeline Morales, Cynthia Jones, Kalya Murray, Gary Adamkiewicz, Leopoldo J. Cabassa, Tamarra James-Todd
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-08-01
Series:Frontiers in Public Health
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Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2025.1513671/full
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author Marissa Chan
Marlee R. Quinn
Jackeline Morales
Cynthia Jones
Cynthia Jones
Kalya Murray
Gary Adamkiewicz
Leopoldo J. Cabassa
Leopoldo J. Cabassa
Tamarra James-Todd
Tamarra James-Todd
author_facet Marissa Chan
Marlee R. Quinn
Jackeline Morales
Cynthia Jones
Cynthia Jones
Kalya Murray
Gary Adamkiewicz
Leopoldo J. Cabassa
Leopoldo J. Cabassa
Tamarra James-Todd
Tamarra James-Todd
author_sort Marissa Chan
collection DOAJ
description IntroductionRacial/ethnic differences in personal care product (PCP) use, including hair products, are well-documented in the United States (US). Black women are more highly exposed to endocrine disrupting chemicals in PCPs compared to other racial/ethnic groups. We identified barriers and facilitators to safer hair product purchasing and use in the greater Boston, Massachusetts area.MethodsTwenty-one Black women were recruited through community organizations to participate in photovoice as a part of the Retail Environment and Hair Styling Exposure (RESTYLE) study. Participants as co-researchers were trained in photography/PCP safety preceding a focus group. The co-researchers took photographs based on a prompt and then engaged in an interview and a focus group to discuss the photos. The co-researchers participated in another round of photography, interviews, and focus groups based on a second co-developed prompt. All study activities were virtual. Deductive and inductive approaches were used to code and analyze the data using NVIVO Version R1.ResultsFive themes related to barriers were identified (e.g., unsafe ingredients allowed in US products and differences in access to safer hair products). Two concepts underlying the barriers were distrust in government/large corporations and individual burden/responsibility to shop for safer products. The two themes related to facilitators were going back to our cultural and community roots and raising individual knowledge and public awareness for action.DiscussionPhotovoice is a powerful community-based participatory method rooted in community experiences. Several barriers and facilitators to safer hair product purchasing and use were identified among the co-researchers’ lived experiences that can inform future research and interventions.
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spelling doaj-art-df04d1fa1f094abcbc56deedd52249532025-08-20T04:03:22ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-08-011310.3389/fpubh.2025.15136711513671Exploring the barriers and facilitators to safer hair product purchasing and use among Black women in the greater Boston area through photovoice in the RESTYLE studyMarissa Chan0Marlee R. Quinn1Jackeline Morales2Cynthia Jones3Cynthia Jones4Kalya Murray5Gary Adamkiewicz6Leopoldo J. Cabassa7Leopoldo J. Cabassa8Tamarra James-Todd9Tamarra James-Todd10Department of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA, United StatesDepartment of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA, United StatesDepartment of Environmental Health, Boston University School of Public Health, Boston, MA, United StatesDepartment of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA, United StatesUnion Capital Boston, Boston, MA, United StatesBethel Institute for Community Development, Boston, MA, United StatesDepartment of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA, United StatesCenter for Mental Health Services Research, Washington University in St. Louis, St. Louis, MO, United StatesGeorge Warren Brown School of Social Work, Washington University in St. Louis, St. Louis, MO, United StatesDepartment of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA, United StatesDepartment of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, United StatesIntroductionRacial/ethnic differences in personal care product (PCP) use, including hair products, are well-documented in the United States (US). Black women are more highly exposed to endocrine disrupting chemicals in PCPs compared to other racial/ethnic groups. We identified barriers and facilitators to safer hair product purchasing and use in the greater Boston, Massachusetts area.MethodsTwenty-one Black women were recruited through community organizations to participate in photovoice as a part of the Retail Environment and Hair Styling Exposure (RESTYLE) study. Participants as co-researchers were trained in photography/PCP safety preceding a focus group. The co-researchers took photographs based on a prompt and then engaged in an interview and a focus group to discuss the photos. The co-researchers participated in another round of photography, interviews, and focus groups based on a second co-developed prompt. All study activities were virtual. Deductive and inductive approaches were used to code and analyze the data using NVIVO Version R1.ResultsFive themes related to barriers were identified (e.g., unsafe ingredients allowed in US products and differences in access to safer hair products). Two concepts underlying the barriers were distrust in government/large corporations and individual burden/responsibility to shop for safer products. The two themes related to facilitators were going back to our cultural and community roots and raising individual knowledge and public awareness for action.DiscussionPhotovoice is a powerful community-based participatory method rooted in community experiences. Several barriers and facilitators to safer hair product purchasing and use were identified among the co-researchers’ lived experiences that can inform future research and interventions.https://www.frontiersin.org/articles/10.3389/fpubh.2025.1513671/fullphotovoicehair productscommunity-based participatory researchfacilitatorsbarriersendocrine disrupting chemicals
spellingShingle Marissa Chan
Marlee R. Quinn
Jackeline Morales
Cynthia Jones
Cynthia Jones
Kalya Murray
Gary Adamkiewicz
Leopoldo J. Cabassa
Leopoldo J. Cabassa
Tamarra James-Todd
Tamarra James-Todd
Exploring the barriers and facilitators to safer hair product purchasing and use among Black women in the greater Boston area through photovoice in the RESTYLE study
Frontiers in Public Health
photovoice
hair products
community-based participatory research
facilitators
barriers
endocrine disrupting chemicals
title Exploring the barriers and facilitators to safer hair product purchasing and use among Black women in the greater Boston area through photovoice in the RESTYLE study
title_full Exploring the barriers and facilitators to safer hair product purchasing and use among Black women in the greater Boston area through photovoice in the RESTYLE study
title_fullStr Exploring the barriers and facilitators to safer hair product purchasing and use among Black women in the greater Boston area through photovoice in the RESTYLE study
title_full_unstemmed Exploring the barriers and facilitators to safer hair product purchasing and use among Black women in the greater Boston area through photovoice in the RESTYLE study
title_short Exploring the barriers and facilitators to safer hair product purchasing and use among Black women in the greater Boston area through photovoice in the RESTYLE study
title_sort exploring the barriers and facilitators to safer hair product purchasing and use among black women in the greater boston area through photovoice in the restyle study
topic photovoice
hair products
community-based participatory research
facilitators
barriers
endocrine disrupting chemicals
url https://www.frontiersin.org/articles/10.3389/fpubh.2025.1513671/full
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