Use of the socio-ecological model to explore trusted sources of COVID-19 information in Black and Latinx communities in Michigan.

Q2 Social Sciences
Gloria Carmona, Kashmira Sawant, Reema Hamasha, Fernanda Lima Cross, Susan J Woolford, Ayse G Buyuktur, Sarah Burke Bailey, Zachary Rowe, Erica Marsh, Barbara Israel, Jodyn Platt
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Abstract

Background: Identifying trusted sources of health information and exploring what makes these sources trustworthy is an important aspect of public health. This exploration requires embracing the cultural differences in minoritized communities, which are often treated as homogeneous. This qualitative study identifies and analyze the sources of trusted COVID-19 information among Black and Latinx communities in Michigan and assesses the rationale underlying this trust.

Methods: Interviews were conducted with 24 Black and 16 Latinx participants (n = 40) in four Michigan counties significantly impacted by COVID-19. The socio-ecological model was applied as an analytical framework for understanding the entities considered trusted sources of information. Within each level of the model, the dimensions of trustworthiness most salient for participants were identified.

Results: We found that sources of information came from all levels of the model, including interpersonal (COVID-19 survivors, church representatives, friends, relatives), organizational (employers, healthcare providers, traditional news reports), social media (hybrid source), community (members and groups), and public policy (county health department, federal and state government). Furthermore, participants determined whether they could trust information about COVID-19 by cross-referencing multiple resources. We identified competence, confidence, communication, and system trust as the dimensions of trustworthiness most often reported by participants.

Conclusions: Our research suggests public health communications should engage in cross-referencing practices, providing information from sources at all levels of interaction, cultural competency, and awareness of historical/structural inequities. These efforts would be further strengthened by attending to needs for both factual information as well as care and personal connection.

使用社会生态学模型探索密歇根州黑人和拉丁裔社区新冠肺炎信息的可信来源。
确定可信赖的健康信息来源,并探索是什么使这些来源值得信赖,是公共卫生的一个重要方面。这种探索需要包容少数民族社区的文化差异,而这些社区往往被视为同质的。这项定性研究确定并分析了密歇根州黑人和拉丁裔社区中可信任的新冠肺炎信息的来源,并评估了这种信任的基本原理。对24名黑人和16名拉丁裔参与者进行了访谈(n = 40)在受新冠肺炎严重影响的密歇根州四个县。社会生态模型被用作一个分析框架,用于理解被视为可信信息来源的实体。在模型的每一个层次中,都确定了参与者最显著的可信度维度。我们发现,信息来源来自模型的各个层面,包括人际关系(新冠肺炎幸存者、教会代表、朋友、亲戚)、组织(雇主、医疗保健提供者、传统新闻报道)、社交媒体(混合来源)、社区(成员和团体)和公共政策(县卫生部门、联邦和州政府)。此外,参与者通过交叉引用多个资源来确定他们是否可以信任有关新冠肺炎的信息。我们将能力、信心、沟通和系统信任确定为参与者最常报告的可信度维度。我们的研究表明,公共卫生传播应该参与交叉参考实践,从各个层面的互动、文化能力和对历史/结构性不平等的认识提供信息。这些努力将通过满足对事实信息以及护理和个人联系的需求而得到进一步加强。
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来源期刊
Journal of Communication in Healthcare
Journal of Communication in Healthcare Social Sciences-Communication
CiteScore
2.90
自引率
0.00%
发文量
44
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