There is no definitive way to answer this question in advance of actually starting your career exploration, but there are things you can consider that will help make this determination. Many people are drawn to public health as a way to better their communities and the greater world by improving health and quality of life. As defined by the American Public Health Association, the goal of public health is to prevent sickness from occurring and to promote wellness, making the overarching goal distinct from that of medicine where sickness is treated once developed1. Asking yourself whether that overarching goal is one that resonates with you is a good first step to knowing if a career in public health is right for you.
Another strategy is to consider the breadth of topics that fall under the umbrella of public health to see if any are an innate match with a personal passion or could build upon a current career. A sampling of topics from the May 2022 issue of APHA’s magazine, The Nation’s Health, includes the following subject areas:
Legislation against LGBTQ youth threatening health
Disparate impact of COVID-19 related health care costs for minorities
Supporting youth at risk of suicide
Power plant emissions and increase in air pollution
Climate-change and impact on health globally
The facts around genetic testing
One of the oldest public health academic journals, Public Health Reports, was founded 150 years ago and the May/June 2022 issue has a similar variety of topics. Titles in the current issue include:
Leveraging the Affordable Housing Sector to Respond to the Opioid Crisis
Translating Research-Funded Mobile Produce Market Trials Into Sustained Public Health Programs: Food on the Move
Therapists in the Uniformed Services: Improving Care in Emergency Response Medical Missions
The Value of Community Health Literacy Assessments: Health Literacy in Maryland
Knowledge of Sexual Transmission of Zika Virus Among Women Who Are Pregnant or Intend to Become Pregnant
Variation in the Content of Postpartum Visits by Maternal Race/Ethnicity, Preconception, and Pregnancy-Related Cardiovascular Disease Risk
Geographic Differences and Social Determinants of Health Among People With HIV Attributed to Injection Drug Use
Arsenic Exposure and Melanoma Among US Adults Aged 20 or Older
Using the Electronic Health Record to Characterize the Hepatitis C Virus Care Cascade
In some ways, it would be challenging to create a list of topics more diverse than these that could still all be considered to be within the same field. Taking the time to consider whether there is a particular health and well-being related topic that is personally more pertinent is a strategy to gauge if that might be an appropriate sub-field of public health is an effective way to start considering a career. For example, someone with a family history of breast cancer might want to work as a Research Assistant recruiting women into studies related to prevention and treatment, as a Program Specialist reviewing trends for equity in breast cancer incidence, or as a Development Manager at a major breast cancer non-profit supporting events and fundraising efforts.
Specialities within public health
The public health field has many specialization options and divergent career paths based on the decision to choose a specific specialty. Most graduate programs require introductory courses in several key public health domains during the first semester. Often these include environmental health, health promotion, epidemiology, biostatistics, health policy or health administration, and population health or community health. These courses will give a broad overview of a public health speciality and allow you to decide whether more concentrated coursework within a given domain might be of interest.
Broadly speaking, these required courses represent the main specialities within public health. In practice, there are different career options with each of these domains. For example, a concentration in environmental health may lead to a career as a natural sciences manager or an environmental health specialist focused on global health issues like sanitation and safe drinking water. A concentration in health policy or management would likely lead to a career in healthcare administration or as a public health nurse, or could be combined with an interest in epidemiology to focus on disease control.
Biostatistics is one of the more traditional domains within public health education, but is also uniquely suited to be preparation for a relatively new career as a health informatics specialist. Generally speaking, a health informatics specialist reviews and analyzes health data and works in conjunction with health care providers to improve patient care.
Lastly, a concentration in health promotion offers you a broad range of options following graduation and will lead to careers such as a public health educator or health promotion specialist where you work to improve the health of your local community.