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This research reports on high school youth’s perspectives on health inequities in the context of a Social Justice/STEM program. During the course of four years, the students engaged in an action research project, which deployed a photovoice methodology, seeking to disrupt unjust health policies while reframing dominant narratives about urban health. Results illustrate how urban youth leadership raised community awareness pertaining to health-related issues by reflecting on larger sociopolitical contexts. This research holds implications for teaching, research, and policy to critically look at health issues in the school curricula and beyond.