Exploring Perspectives on US Health: Insights from Future Professionals

Abstract

ABSTRACTIntroduction This work explored perceptions of US health status and the fact that Americans live shorter lives and have poorer health compared to other developed nations. Semi-structured interviews were conducted with graduate students in public health and public policy, categorizing questions into three main areas: defining health, identifying factors that produce health, and discussing policy prescriptions. Methods I developed a semi-structured interview guide and conducted a pilot test with Master of Public Health (MPH) and Master of Public Administration (MPA) students at the University of Washington. In order to select participants for the study, I used convenience sampling, based on considerations such as cost-effectiveness and logistical feasibility. Content analysis was done. Human subjects approval was obtained. Findings The interviews highlighted a predominant belief among participants that access to healthcare services is the primary factor determining health outcomes. Participants also acknowledged the influence of individual circumstances and personal behaviors on health. Additionally, preventing poverty emerged as a secondary emphasis in discussions, but only as it relates to the individuals’ ability to access healthcare services or food. Lastly, a smaller portion of the discussions revolved around psychosocial factors, albeit with less significance. Conclusion As health status among Americans continues to decline, efforts to improve population health have long included strategies aimed at enhancing access to healthcare and promoting healthy behaviors. These findings underscore the need for a comprehensive approach that considers educating professions on the broader conditions that produce health differences along social and economic gradients.