Developing Infectious Disease Outbreak Emergency Communications for Populations With Limited English Proficiency: Insights to Sustain Collaborations Between Local Health Departments and Community-Based Organizations.

IF 2.5 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Gillian K SteelFisher, Hannah L Caporello, Rebekah I Stein, Keri M Lubell, Lindsay Lane, Shakila Moharam Ali, Lisa Briseño, Julio Dicent Taillepierre, Alfonso Rodriguez-Lainz, Alyssa Boyea, Laura Espino, Emma-Louise Aveling
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引用次数: 0

Abstract

Purpose: State and local public health departments (LHDs) are encouraged to collaborate with community-based organizations (CBOs) to enhance communication and promote protective practices with communities made vulnerable during emergencies, but there is little evidence-based understanding of practical approaches to fostering collaboration in this context. This research focuses on how collaboration enhances LHD capacity for effective communication for people with limited English proficiency (LEP) during infectious disease outbreaks specifically and strategies to facilitate productive LHD-CBO collaboration.

Design: Qualitative, telephone interviews, conducted March-October 2021.

Setting: Rural and urban jurisdictions with Chinese-speaking or Spanish-speaking populations across the United States.

Participants: 36 LHD and 31 CBO staff working on outreach to Chinese and Spanish speakers during COVID-19.

Method: Interviews were audio-recorded, transcribed verbatim, and analyzed using a team-based, codebook approach to thematic analysis.

Results: During COVID-19, CBOs extended LHD capacity to develop and disseminate effective communication, meaning communication that is rapidly in-language, culturally resonant, locally relevant, and trusted. Practical strategies to enable and sustain effective collaboration were needed to address operational dimensions (eg, material and administrative) and relational dimensions (eg, promoting trust and respect).

Conclusion: Policies and financing to support LHD-CBO collaborations are critical to improving communication with people with LEP and addressing long-standing inequities in outcomes during outbreaks.

为英语水平有限的人群开发传染病爆发应急通信:地方卫生部门与社区组织之间持续合作的启示。
目的:我们鼓励州和地方公共卫生部门(LHDs)与社区组织(CBOs)合作,以加强与紧急情况下易受伤害社区的沟通并促进保护性实践,但对于在这种情况下促进合作的实用方法,我们却缺乏基于证据的了解。本研究重点关注在传染病爆发期间,合作如何增强地方卫生机构与英语水平有限(LEP)的人进行有效沟通的能力,以及促进地方卫生机构与社区组织之间富有成效的合作的策略:设计:定性、电话访谈,2021 年 3 月至 10 月进行:参与者:36 名地方卫生防疫部门工作人员和 31 名社区组织工作人员:在 COVID-19 期间,36 名地方卫生机构和 31 名社区组织工作人员负责针对讲中文和西班牙语的人群开展外联工作:方法:对访谈进行录音、逐字转录,并采用以团队为基础的编码本方法进行主题分析:结果:在 COVID-19 期间,社区组织扩展了地方卫生机构开发和传播有效沟通的能力,即快速使用语言、在文化上产生共鸣、与当地相关且值得信赖的沟通。需要制定切实可行的战略来促进和维持有效的合作,以解决操作层面(如物质和行政)和关系层面(如促进信任和尊重)的问题:结论:支持地方卫生机构与社区组织合作的政策和资金对于改善与当地语言使用者的沟通以及解决疫情爆发期间长期存在的结果不平等问题至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
American Journal of Health Promotion
American Journal of Health Promotion PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
4.40
自引率
3.70%
发文量
184
期刊介绍: The editorial goal of the American Journal of Health Promotion is to provide a forum for exchange among the many disciplines involved in health promotion and an interface between researchers and practitioners.
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