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Frerichs L, Smith C, Hoover S, Robinson-Ezekwe N, Khanna A, Ellerby B, Joyner L, Wynn M, Wrenn J, Stith D, Lindau S, Corbie G. Comparative Evaluation of 2 Work Experience Approaches for Predominantly Black Youth in a Rural Community: Implications for Public Health Workforce Development. JOURNAL OF PUBLIC HEALTH MANAGEMENT AND PRACTICE 2023; 29:21-32. [PMID: 36448755 PMCID: PMC9718253 DOI: 10.1097/phh.0000000000001661] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/03/2022]
Abstract
CONTEXT In order to create a more diverse workforce, there is a need to involve historically excluded youth in public health-related work. Youth involvement in asset-based work experience approaches is especially relevant for rural areas with workforce shortages. OBJECTIVE To explore the public health workforce development implications of community-based career exploration and asset mapping work experience from the perspective of Black youth. DESIGN We used qualitative in-depth interviews with youth, aged 14 to 22 years, who participated in a work experience program anchored in several rural counties in southeastern United States. A phenomenological lens was applied for qualitative analyses with iterative, team-based data coding. Participants were also surveyed pre- and postprogram to supplement findings. PROGRAM A rural community-based organization's work experience program consisted of 2 tracks: (1) Youth Connect-a career exploration track that included work placement within community agencies; and (2) MAPSCorps-a track that employs youth to conduct asset mapping for their community. RESULTS We interviewed 28 of 31 total participants in the 2 tracks. We uncovered 4 emergent profiles in how youth described shifts in their perceptions of community: (1) Skill Developers; (2) Community Questioners; (3) Community Observers; and (4) Community Enthusiasts. In comparing between tracks, youth who participated in work experience that involved asset mapping uniquely described increased observation and expanded view of community resources and had greater increases in research self-efficacy than youth who participated only in career exploration. CONCLUSION Asset mapping work experience that is directly placed in rural communities can expose Black youth to and engage them in essential public health services (assessing and mobilizing community assets) that impact their community. This type of program, directly integrated into rural communities rather than placed near academic centers, could play a role in creating a more diverse public health workforce.
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Affiliation(s)
- Leah Frerichs
- Gillings Global School of Public Health, Department of Health Policy and Management, University of North Carolina, Chapel Hill, NC
- Center for Health Equity Research, Department of Social Medicine, University of North Carolina, Chapel Hill, NC
| | - Cambray Smith
- Gillings Global School of Public Health, Department of Health Policy and Management, University of North Carolina, Chapel Hill, NC
- Center for Health Equity Research, Department of Social Medicine, University of North Carolina, Chapel Hill, NC
- School of Medicine, University of North Carolina Chapel Hill, Chapel Hill, NC
| | - Stephanie Hoover
- Center for Health Equity Research, Department of Social Medicine, University of North Carolina, Chapel Hill, NC
| | - Nicole Robinson-Ezekwe
- Center for Health Equity Research, Department of Social Medicine, University of North Carolina, Chapel Hill, NC
| | - Anisha Khanna
- Gillings Global School of Public Health, Department of Health Policy and Management, University of North Carolina, Chapel Hill, NC
- Center for Health Equity Research, Department of Social Medicine, University of North Carolina, Chapel Hill, NC
| | - Brian Ellerby
- Opportunities Industrialization Center, Inc., Rocky Mount, NC
| | - Linda Joyner
- Opportunities Industrialization Center, Inc., Rocky Mount, NC
| | | | - Jonina Wrenn
- Center for Health Equity Research, Department of Social Medicine, University of North Carolina, Chapel Hill, NC
| | - Doris Stith
- Community Enrichment Organization, Tarboro, NC
| | - Stacy Lindau
- Department of OB/GYN, University of Chicago, Chicago, IL
- Department of Medicine, University of Chicago, Chicago, IL
| | - Giselle Corbie
- Center for Health Equity Research, Department of Social Medicine, University of North Carolina, Chapel Hill, NC
- Department of Social Medicine, University of North Carolina, Chapel Hill, NC
- Department of Medicine, University of North Carolina, Chapel Hill, NC
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