IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v19y2022i13p8187-d855613.html
   My bibliography  Save this article

Engaging Public Health Critical Race Praxis in Local Social Determinants of Health Research: The Youth Health Equity and Action Research Training Program in Portland, OR—yHEART PDX

Author

Listed:
  • Ryan J. Petteway

    (OHSU-PSU School of Public Health, Portland State University, Portland, OR 97201, USA)

  • Lourdes A. González

    (OHSU-PSU School of Public Health, Portland State University, Portland, OR 97201, USA)

Abstract

The social determinants of health (SDH) have long been considered a core mechanism through which racial health inequities are (re)produced and incubated in the U.S. Moreover, scholars have expressly—and appropriately—named structural racism as a precursor to inequities associated with SDH. However, while research on racial health inequities—SDH-related or otherwise—continues to grow, communities of color remain grossly underrepresented as public health researchers and practitioners. Additionally, although SDH are experienced in a very local sense, much research and practice fails to more deeply and thoroughly engage and center local community knowledges. Thus, much work around SDH and racial health inequities presents, ironically, as structurally racist itself—being done/led mostly by White scholars and in ways that do not “center the margins”. Moreover, in the context of public health practice, youth perspective is seldom centered within local health department (LHD) community SDH assessment efforts. With these challenges in mind, this paper introduces and discusses the development of the youth health equity and action research training (yHEART) program as a model for public health researchers/practitioners to engage public health critical race praxis (PHCRP) to better understand and respond to local SDH in communities of color. Specifically, we highlight the significance of PHCRP principles of “voice” and “social construction of knowledge” in advancing antiracism in research and LHD practice related to local SDH. First, we articulate core conceptual and theoretical groundings that informed the yHEART program’s development and animate its ongoing training and research activities. Second, we outline the program’s core training components and overall process, and provide some brief illustrative examples of work completed during the program’s first iteration—yHEART PDX, Vol.I: Youth Participatory Research on Local Social Determinants of Health. We then close with a discussion that reflects on program strengths, challenges, and implications for SDH and racial health equity research/practice in light of growing calls for an antiracist public health.

Suggested Citation

  • Ryan J. Petteway & Lourdes A. González, 2022. "Engaging Public Health Critical Race Praxis in Local Social Determinants of Health Research: The Youth Health Equity and Action Research Training Program in Portland, OR—yHEART PDX," IJERPH, MDPI, vol. 19(13), pages 1-16, July.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:13:p:8187-:d:855613
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/19/13/8187/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/19/13/8187/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Minkler, M., 2010. "Linking science and policy through community-based participatory research to study and address health disparities," American Journal of Public Health, American Public Health Association, vol. 100(S1), pages 81-87.
    2. Wallerstein, N.B. & Yen, I.H. & Syme, S.L., 2011. "Integration of social epidemiology and community-engaged interventions to improve health equity," American Journal of Public Health, American Public Health Association, vol. 101(5), pages 822-830.
    3. Jacoby, Sara F. & Dong, Beidi & Beard, Jessica H. & Wiebe, Douglas J. & Morrison, Christopher N., 2018. "The enduring impact of historical and structural racism on urban violence in Philadelphia," Social Science & Medicine, Elsevier, vol. 199(C), pages 87-95.
    4. Malia Jones & Anne Pebley, 2014. "Redefining Neighborhoods Using Common Destinations: Social Characteristics of Activity Spaces and Home Census Tracts Compared," Demography, Springer;Population Association of America (PAA), vol. 51(3), pages 727-752, June.
    5. Jones, M.R. & Diez-Roux, A.V. & Hajat, A. & Kershaw, K.N. & O'Neill, M.S. & Guallar, E. & Post, W.S. & Kaufman, J.D. & Navas-Acien, A., 2014. "Race/ethnicity, residential segregation, and exposure to ambient air pollution: The Multi-Ethnic Study of Atherosclerosis (MESA)," American Journal of Public Health, American Public Health Association, vol. 104(11), pages 2130-2137.
    6. Ford, C.L. & Airhihenbuwa, C.O., 2010. "Critical race theory, race equity, and public health: Toward antiracism praxis," American Journal of Public Health, American Public Health Association, vol. 100(S1), pages 30-35.
    7. Gee, G.C. & Walsemann, K.M. & Brondolo, E., 2012. "A life course perspective on how racism may be related to health inequities," American Journal of Public Health, American Public Health Association, vol. 102(5), pages 967-974.
    8. Bowleg, L., 2012. "The problem with the phrase women and minorities: Intersectionality-an important theoretical framework for public health," American Journal of Public Health, American Public Health Association, vol. 102(7), pages 1267-1273.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Layland, Eric K. & Maggs, Jennifer L. & Kipke, Michele D. & Bray, Bethany C., 2022. "Intersecting racism and homonegativism among sexual minority men of color: Latent class analysis of multidimensional stigma with subgroup differences in health and sociostructural burdens," Social Science & Medicine, Elsevier, vol. 293(C).
    2. Slaughter-Acey, Jaime C. & Brown, Tony N. & Keith, Verna M. & Dailey, Rhonda & Misra, Dawn P., 2020. "A tale of two generations: Maternal skin color and adverse birth outcomes in Black/African American women," Social Science & Medicine, Elsevier, vol. 265(C).
    3. David Gómez-Quintero, Juan & García Martínez, Jesús & Maldonado, Lina, 2020. "Socioeconomic vulnerability and housing insecurity: A critical factor in child care in Spain," Children and Youth Services Review, Elsevier, vol. 114(C).
    4. Jason L. Cummings, 2023. "Entangled Inequalities: U.S. Trends in Self-Rated Health at the Intersection of Gender and Race, 1972–2018," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 169(3), pages 759-774, October.
    5. Madeleine F. Cohen & Anne L. Dunlop & Dayna A. Johnson & Alexis Dunn Amore & Elizabeth J. Corwin & Patricia A. Brennan, 2022. "Intergenerational Effects of Discrimination on Black American Children’s Sleep Health," IJERPH, MDPI, vol. 19(7), pages 1-18, March.
    6. Ryan Petteway & Mahasin Mujahid & Amani Allen & Rachel Morello-Frosch, 2019. "Towards a People’s Social Epidemiology: Envisioning a More Inclusive and Equitable Future for Social Epi Research and Practice in the 21st Century," IJERPH, MDPI, vol. 16(20), pages 1-21, October.
    7. Akinade, Temitope & Kheyfets, Anna & Piverger, Naissa & Layne, Tracy M. & Howell, Elizabeth A. & Janevic, Teresa, 2023. "The influence of racial-ethnic discrimination on women's health care outcomes: A mixed methods systematic review," Social Science & Medicine, Elsevier, vol. 316(C).
    8. Ward, Melanie & Schulz, Amy J. & Israel, Barbara A. & Rice, Kristina & Martenies, Sheena E. & Markarian, Evan, 2018. "A conceptual framework for evaluating health equity promotion within community-based participatory research partnerships," Evaluation and Program Planning, Elsevier, vol. 70(C), pages 25-34.
    9. Darrell Hudson & Akilah Collins-Anderson & William Hutson, 2023. "Understanding the Impact of Contemporary Racism on the Mental Health of Middle Class Black Americans," IJERPH, MDPI, vol. 20(3), pages 1-10, January.
    10. Daniel Demant & Oscar Oviedo-Trespalacios & Julie-Anne Carroll & Jason A. Ferris & Larissa Maier & Monica J. Barratt & Adam R. Winstock, 2018. "Do people with intersecting identities report more high-risk alcohol use and lifetime substance use?," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 63(5), pages 621-630, June.
    11. Theo Beltran & Amani M. Allen & Jess Lin & Caitlin Turner & Emily J. Ozer & Erin C. Wilson, 2019. "Intersectional Discrimination Is Associated with Housing Instability among Trans Women Living in the San Francisco Bay Area," IJERPH, MDPI, vol. 16(22), pages 1-11, November.
    12. Yanrong Qiu & Kaihuai Liao & Yanting Zou & Gengzhi Huang, 2022. "A Bibliometric Analysis on Research Regarding Residential Segregation and Health Based on CiteSpace," IJERPH, MDPI, vol. 19(16), pages 1-21, August.
    13. Alvarez, Camila H. & Evans, Clare Rosenfeld, 2021. "Intersectional environmental justice and population health inequalities: A novel approach," Social Science & Medicine, Elsevier, vol. 269(C).
    14. Silvia Loi & Peng Li & Mikko Myrskylä, 2022. "At the intersection of adverse life course pathways: the effects on health by nativity," MPIDR Working Papers WP-2022-018, Max Planck Institute for Demographic Research, Rostock, Germany.
    15. Mooney, Shelagh, 2018. "Illuminating intersectionality for tourism researchers," Annals of Tourism Research, Elsevier, vol. 72(C), pages 175-176.
    16. Lisa M. Vaughn & MaryAnn Lohmueller, 2014. "Calling All Stakeholders," Evaluation Review, , vol. 38(4), pages 336-355, August.
    17. Lo, A. W.-T. & Houston, D., 2018. "How do compact, accessible, and walkable communities promote gender equality in spatial behavior?," Journal of Transport Geography, Elsevier, vol. 68(C), pages 42-54.
    18. Evans, Clare R. & Erickson, Natasha, 2019. "Intersectionality and depression in adolescence and early adulthood: A MAIHDA analysis of the national longitudinal study of adolescent to adult health, 1995–2008," Social Science & Medicine, Elsevier, vol. 220(C), pages 1-11.
    19. Yoo Min Park & Mei-Po Kwan, 2020. "Understanding Racial Disparities in Exposure to Traffic-Related Air Pollution: Considering the Spatiotemporal Dynamics of Population Distribution," IJERPH, MDPI, vol. 17(3), pages 1-14, February.
    20. Evans, Clare R. & Williams, David R. & Onnela, Jukka-Pekka & Subramanian, S.V., 2018. "A multilevel approach to modeling health inequalities at the intersection of multiple social identities," Social Science & Medicine, Elsevier, vol. 203(C), pages 64-73.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:19:y:2022:i:13:p:8187-:d:855613. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.