Sprague Nadav, Berrigan David, Ekenga Christine C
Brown School, Washington University in St. Louis, St. Louis, Missouri, USA.
Division of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, Maryland, USA.
Health Equity. 2020 May 18;4(1):198-210. doi: 10.1089/heq.2019.0118. eCollection 2020.
Low-income and non-white children experience disparities in health, education, and access to nature. These health disparities are often associated and exacerbated by inequities in the U.S. educational system. Recent research suggests that nature contact may reduce these health and educational disparities for urban low-income populations. Nature-based education (NBE) uses nature contact to inspire curiosity and improve health. This study examines the health and educational outcomes of a 15-week NBE intervention for urban low-income, black and Hispanic children 10-15 years of age. Children (=122) completed a pre-intervention and post-intervention survey that addressed seven science, technology, engineering, and math (STEM)-capacity items (leadership, teamwork, science relevance, sustainability relevance, STEM self-efficacy, science interest, and overall STEM capacity) and six widely used health-related quality-of-life (HRQoL) domains (physical health functioning, emotional health functioning, school functioning, social functioning, family functioning, and overall HRQoL). Focus groups with participating students and post-intervention surveys of NBE mentors and teachers explored perceptions of the intervention impact. There were statistically significant positive changes in STEM capacity and HRQoL for participating students. For example, children's overall STEM capacity and overall HRQoL scores improved by 44% and 46%, respectively (both <0.05). Qualitative data highlighted the intervention's educational and health benefits. These results support further research quantifying the effects of NBE on STEM capacity and HRQoL in urban, low-income, black and Hispanic children.
低收入和非白人儿童在健康、教育以及接触自然方面存在差异。这些健康差异往往与美国教育系统中的不公平现象相关联并加剧。最近的研究表明,接触自然可能会减少城市低收入人群的这些健康和教育差异。基于自然的教育(NBE)利用与自然的接触来激发好奇心并改善健康状况。本研究考察了一项为期15周的NBE干预措施对10至15岁城市低收入黑人及西班牙裔儿童的健康和教育成果的影响。122名儿童完成了干预前和干预后的调查,该调查涉及七个科学、技术、工程和数学(STEM)能力项目(领导力、团队合作、科学相关性、可持续性相关性、STEM自我效能感、科学兴趣和总体STEM能力)以及六个广泛使用的与健康相关的生活质量(HRQoL)领域(身体健康功能、情绪健康功能、学校功能、社会功能、家庭功能和总体HRQoL)。与参与学生的焦点小组讨论以及对NBE导师和教师的干预后调查探讨了对干预影响的看法。参与学生的STEM能力和HRQoL有统计学上的显著积极变化。例如,儿童的总体STEM能力和总体HRQoL得分分别提高了44%和46%(均P<0.05)。定性数据突出了该干预措施在教育和健康方面的益处。这些结果支持进一步开展研究,以量化NBE对城市低收入黑人及西班牙裔儿童的STEM能力和HRQoL的影响。