Key Points
Question
What were the proportions of female speakers at academic medical conferences held in the United States and in Canada during the last decade?
Findings
In this cross-sectional analysis of 181 medical conferences in 2007 and from 2013 through 2017, the proportions of female speakers significantly increased from 24.6% to 34.1%. These proportions were similar to the percentages of practicing physicians who were women during the same time frame.
Meaning
Although the proportion of female speakers has increased during the last decade, women are underrepresented at medical conferences.
Place attachment is important for children and youth's disaster preparedness, experiences, recovery, and resilience, but most of the literature on place and disasters has focused on adults. Drawing on the community disaster risk reduction, recovery, and resilience literature as well as the literature on normative place attachment, children and youth's place-relevant disaster experiences are examined. Prior to a disaster, place attachments are postulated to enhance children and youth's disaster preparedness contributions and reinforce their pre-disaster resilience. During a disaster, damage of, and displacement from, places of importance can create significant emotional distress among children and youth. Following a disaster, pre-existing as well as new place ties can aid in their recovery and bolster their resilience moving forward. This framework enriches current theories of disaster recovery, resilience, and place attachment, and sets an agenda for future research.
OBJECTIVES: To provide opportunities for intergenerational knowledge sharing for healthy lifestyles; to facilitate youth and Elder mentorship; and to increase the self-esteem of youth by celebrating identity, cultural practices and community connection through the creation and sharing of digital stories.PARTICIPANTS: A youth research team (8 youth) aged 13-25, youth participants (60 core participants and 170 workshop participants) and Elders (14) from First Nations communities.
SETTING:The project was conducted with participants from several communities on Vancouver Island through on-site workshops and presentations.INTERVENTION: Youth and Elders were invited to a 3-day digital story workshop consisting of knowledge-sharing sessions by Elders and digital story training by the youth research team. Workshop attendees returned to their communities to develop stories. The group re-convened at the university to create digital stories focused on community connections, family histories and healthy lifestyles. During the following year the research team delivered instructional sessions in communities on the digital story process.
OUTCOMES:The youth involved reported increased pride in community as well as new or enhanced relationships with Elders.
CONCLUSIONS:The digital stories method facilitated intergenerational interactions and engaged community members in creating a digital representation of healthy lifestyles. The process itself is an intervention, as it affords critical reflection on historical, cultural and spiritual ideas of health and what it means to be healthy in an Aboriginal community. It is a particularly relevant health promotion tool in First Nations communities with strong oral history traditions.KEY WORDS: Health promotion; community based participatory research; indigenous population group; adolescent; digital story La traduction du résumé se trouve à la fin de l'article.
As research on young people's disaster experiences is accumulating, one important yet understudied factor underlying their vulnerability and resilience is their connection to certain places. Youth affected by the 2013 floods in Southern Alberta, Canada, provided photographs of places important to their flood experiences and engaged in peerto-peer interviews to discuss place loss and place-based strength. Damaged or changed places disrupted youth's reliance on place for activities, resources, social ties, sense of continuity, and a connection to the past. Places provided strength when they offered escape from the postdisaster chaos, enabled youth to contribute to recovery, supported physical and psychological need satisfaction, and symbolized strength, renewal, or hope. These findings demonstrate the relevance of place to youth's disaster experiences and inform future qualitative and quantitative work in this area.
Lessons learned from a creative methods approachYouth Creating Disaster Recovery & Resilience (YCDR 2 ) is a crossborder initiative aimed at learning from and with disaster-affected youth 13 to 22 years of age in Joplin, Missouri, in the United States, and Slave Lake, Calgary and High River, Alberta, in Canada.Each of these communities experienced major disasters and were in the early stages of recovery when they were selected for this study. Working with local partners in each community, YCDR 2 faculty and students engaged youth in experiential and arts-based workshops to explore their stories of recovery and resilience. The questions framing this research project focused on the people, places, spaces and activities that helped or hindered the recovery process for youth and their peers.Beyond the practical and theoretical advances of the work, which are described elsewhere Fletcher et al. 2016), the project offers a number of methodological contributions and lessons learned about community and youth engagement and processes that simultaneously highlight the capacities of youth, generate data, and provide novel options for knowledge mobilisation in disaster research and practice. This article, therefore, describes the YCDR 2 engagement and research process and elaborates on the opportunities and challenges associated with establishing youth-community-academic partnerships in postdisaster contexts.
PARTICIPATORY RESEARCH WITH CHILDREN AND YOUTHThis research was grounded in a participatory orientation, and the flexible research and engagement strategy mirrors some of the concurrent data generation and analysis strategies of grounded theory (Strauss & Corbin 1997). This approach allowed us to be flexible and responsive in the emergent and shifting contexts of diverse post-disaster environments (also see Brown 2009). Furthermore, it supported our ability to adapt each research workshop to suit the unique needs and capacities of each community, the youth with whom we were working and the research team.
Background: Little is known about the impact of a participatory approach in adolescent health research and the specific benefits youth derive from such experiences. This study evaluates the benefits and limitations of involving young patients as co-researchers in the creation and execution of an international participatory health research project. Methods: Standardized feedback surveys and qualitative interviews were employed to evaluate the impact of coresearchers' personal and academic growth. Participation was determined by the percentage of youth members actively engaged (75% or more), and outcome of a completed project. Results: 16 adolescents aged 13-23 years representing 9 global academic institutions participated. Eighty-one per cent of participants reported interest in health research and 100% felt that their participation made an impact on paediatric healthcare. Discussion: The shift in roles from patient to research partner is echoed in the strong conviction of the newfound possibilities of accomplishment as a group.
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