Department of Epidemiology and Biostatistics, School of Public Health, SUNY Downstate Medical Center, Brooklyn, NY, USA.
Brooklyn Health Disparities Center, Brooklyn, NY, USA.
J Community Health. 2018 Oct;43(5):1002-1010. doi: 10.1007/s10900-018-0505-1.
The goal of this analysis is to assess the effectiveness of a summer program designed to introduce high school students of color to health disparities research. A total of 73 students (69.9% Black, 68.5% female and 80.6% either junior/senior) participated in the 4-week Health Disparities Summer Internship Program (HDSIP) during the years 2012-2015. Students attended lectures covering topics such as health disparities, community-based participatory research (CBPR), immigrant health, and policy and advocacy. While working with community-based organizations, students gained hands-on experience related to issues discussed in class. Students completed research projects and provided suggestions for health policy change. Pre/post surveys were completed to evaluate the program. After participating in the HDSIP, students demonstrated heightened awareness of the social determinants of health, especially in regards to racial discrimination (p = .023); borderline statistically significant increases were shown for income (p = .082), community safety (p = .058), and healthcare access (p = .076). Most students (82.1%) planned to advocate for changes in their community; an increase from the initial 65.2% (p = .052). About nine out of ten students (89.6%) reported being satisfied with the summer program; the majority reported improvement in analytical skills, CBPR methods, and oral/communication skills. Increasing diversity in the health workforce has widely been proposed as a means of addressing health disparities. Introducing minority students to health professions can serve as a catalyst for lasting changes in health outcomes. The HDSIP has increased students' awareness of social determinants of health and has fostered their interest in improving the health of minority populations.
本分析旨在评估一个旨在向有色人种高中生介绍健康差异研究的暑期项目的有效性。共有 73 名学生(69.9%为黑人,68.5%为女性,80.6%为高年级学生)参加了 2012 年至 2015 年期间为期 4 周的健康差异暑期实习计划(HDSIP)。学生们参加了涵盖健康差异、基于社区的参与性研究(CBPR)、移民健康以及政策和宣传等主题的讲座。在与基于社区的组织合作的同时,学生们获得了与课堂上讨论的问题相关的实践经验。学生们完成了研究项目,并就健康政策的改变提出了建议。通过完成前后调查来评估该项目。参加 HDSIP 后,学生们对健康的社会决定因素的认识有所提高,特别是在种族歧视方面(p=0.023);收入(p=0.082)、社区安全(p=0.058)和医疗保健获取(p=0.076)方面也出现了略有统计学意义的增长。大多数学生(82.1%)计划在社区中倡导变革;这一比例高于最初的 65.2%(p=0.052)。约十分之九的学生(89.6%)报告对暑期项目感到满意;大多数学生报告说,分析技能、CBPR 方法和口头/沟通技能都有所提高。增加卫生保健人员的多样性已被广泛提议作为解决健康差异的一种手段。向少数族裔学生介绍卫生专业可以成为改善少数民族健康状况的持久变革的催化剂。HDSIP 提高了学生对健康决定因素的认识,并培养了他们改善少数族裔健康的兴趣。