Health Equity最新文献

{"title":"\"This is Exactly What the Community Needs\": Evaluation of Home Visitor's Experience Facilitating a Postpartum Mental Health and Cash Supplement Program.","authors":"Kene Orakwue, Nicole Quinones, Andrea Smith, Amanda Weber Hitchner, Jé Judson","doi":"10.1177/24731242261484372","DOIUrl":"10.1177/24731242261484372","url":null,"abstract":"<p><strong>Background: </strong>Significant racial inequities exist in perinatal mood disorders and diagnoses. Traditional postpartum care consists of a singular six-week visit, which leaves many individuals feeling unsupported. Postpartum home visiting programs have demonstrated effectiveness in reducing symptoms of perinatal depression. Preliminary evidence suggests that cash transfers can improve both mental health and maternal health.</p><p><strong>Methods: </strong>This study uses the Birth Justice Collaborative Postpartum Support Pilot to evaluate how home visiting coupled with cash transfers supports maternal mental health. Two focus groups (Black, <i>n</i> = 3, American Indian, <i>n</i> = 3) with home visitors (HVs) were conducted in January 2025. Authors used a semi-structured guide focused on gleaning insights from the HVs' perspective. Then inductive coding and thematic analysis were used to elucidate learnings.</p><p><strong>Results: </strong>Six themes were illuminated regarding the role of the HV and how they supported postpartum families. Overall HVs spoke highly of this pilot and deemed it successful. HVs reiterated that this program is necessary. The most notable limitations of the pilot were addressing the sustainability of the home visiting workforce and the lack of cultural alignment in the Family Spirit curriculum with Black participants.</p><p><strong>Discussion: </strong>HV and cash transfers support perinatal mental health through a variety of ways. Insights from HVs reveal this care is needed and is well received, but it requires flexibility to tailor support and attentive leadership to facilitate the conditions for HVs to thrive. A well-supported perinatal workforce can, in turn, provide adequate care, leading to improved mental health for postpartum families.</p>","PeriodicalId":36602,"journal":{"name":"Health Equity","volume":"10 ","pages":"24731242261484372"},"PeriodicalIF":2.3,"publicationDate":"2026-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13569995/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148956932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"Ekip Manman\": Group Prenatal Care Adapted for Pregnant Haitian Immigrants in Boston, Massachusetts.","authors":"Luca Anna Koritsanszky, Brynn Macaulay, Claire Gonzalez, Kate Mitchell Balla, Katharine Hutchinson, Thamarah Crevecoeur","doi":"10.1177/24731242261461010","DOIUrl":"10.1177/24731242261461010","url":null,"abstract":"<p><strong>Background: </strong>Perinatal health disparities disproportionately impact immigrant populations. Recent federal policy changes in the United States increase health risks for Haitian immigrants in the United States. Group prenatal care improves outcomes among vulnerable groups. Perinatal health professionals at a Boston health center adapted the CenteringPregnancy^© model to meet the perinatal needs of Haitian immigrants. This article describes the process of adapting CenteringPregnancy^© for Haitian immigrant populations.</p><p><strong>Methods: </strong>This quality improvement project used the Model for Improvement framework to guide adaptation of the CenteringPregnancy^© model. A non-exhaustive literature review of the CenteringPregnancy^© model and thematic analysis of stakeholder interviews with perinatal care team members at the health center (<i>n</i> = 7) and midwives from partner sites (<i>n</i> = 3) informed the adaptation process. Interviews aimed to better understand adverse social determinants of health, the importance of mental health, and the challenges patients face navigating the paradigms of the Haitian and American health care systems. The Salutogenic Framework was used to identify best practices for effective group care that improve comprehensibility, manageability, and meaningfulness for Haitian immigrants.</p><p><strong>Results: </strong>Five adaptations to the CenteringPregnancy^© model emerged from stakeholder interviews: (1) prioritizing mental health, (2) integrating immigration expertise, (3) addressing differing medical paradigms between Haiti and the United States, (4) building early bridges to pediatric care, and (5) reducing social isolation. Educational materials were also developed in Haitian Creole.</p><p><strong>Discussion and implementation considerations: </strong>Factors for successful implementation included institutional buy-in, integration of a perinatal care coordinator, adjunct routine obstetric care for high-risk pregnancies, scalable electronic medical record systems, and ongoing care coordination across the care team.</p><p><strong>Conclusion and health equity considerations: </strong>\"Ekip Manman,\" the adapted group care model, advances maternal health equity for Haitian immigrants in Boston. This adaptation can inform culturally tailored perinatal programs for other immigrant communities in Boston and beyond-and can contribute to perinatal health equity efforts throughout the United States.</p>","PeriodicalId":36602,"journal":{"name":"Health Equity","volume":"10 ","pages":"24731242261461010"},"PeriodicalIF":2.3,"publicationDate":"2026-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13570042/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148956862","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"What's the CommuniTEA?: The Role of Community Care in Black Maternal Health.","authors":"Leslie Coney, Jazmin Williams, Aashika Ashok, Ishita Kohli, M'Nya Preston, Trushaa Ramanan, Kinjal Vora, Julie Kientz","doi":"10.1177/24731242261471390","DOIUrl":"10.1177/24731242261471390","url":null,"abstract":"<p><strong>Introduction: </strong>Community is an integral part of the health and well-being of individuals. Community care is particularly important for Black birthing people who are and have historically been harmed by institutional systems of care. The purpose of this study is to understand the role(s) of community care for Black birthing people during pregnancy, birth, and postpartum.</p><p><strong>Methods: </strong>We conducted 12 semistructured interviews (<i>N</i> = 12) with Black women who have given birth in Washington State. We performed a thematic analysis of the interview data using an iterative coding process.</p><p><strong>Results: </strong>We found community care enables TRIBE (Tangible, Relational/peer, Informational, Birthworker, Emotional) support. In addition, we found that identity plays a key role in how Mothers define community, seek support, and experience joy in motherhood.</p><p><strong>Health equity implications: </strong>Community care creates holistic support networks that address essential needs often neglected by traditional health care systems. The TRIBE framework serves as both a way to understand support and a guide for designing better care systems. It challenges traditional research and clinical ideals by recognizing community, not just clinicians, as vital to maternal health outcomes. Future efforts should prioritize funding, formal partnerships, and service integration that uplift community care models, including expanding Medicaid coverage for doulas and investing in community-based maternal health organizations supporting Black birthing people and families.</p>","PeriodicalId":36602,"journal":{"name":"Health Equity","volume":"10 ","pages":"24731242261471390"},"PeriodicalIF":2.3,"publicationDate":"2026-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13462502/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148727098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Lessons Learned from Community-Based Participatory Research: Recruiting Older Black Adults in Clinical Research.","authors":"Maria Villalona, Julia DeLuca, Bridget Hall, Amrutha Garimella, Andrew DeMott, Roberta Tovey, Susan Hughes, Ana-Maria Vranceanu, Louisa Sylvia","doi":"10.1177/24731242261477278","DOIUrl":"10.1177/24731242261477278","url":null,"abstract":"<p><strong>Introduction: </strong>Black participants, especially older adults, remain underrepresented in clinical research due to longstanding barriers, including systemic racism within the health care system and resulting mistrust of medical and research institutions.</p><p><strong>Methods: </strong>Using a community-based participatory research (CBPR) framework, this paper identifies facilitators and barriers for recruiting older Black adults into a community-based exercise study, emphasizing collaboration and co-learning with community members.</p><p><strong>Results: </strong>Strategies include building community partnerships, developing culturally appropriate recruitment materials, eliciting community feedback, and providing meaningful, tangible benefits to participants.</p><p><strong>Discussion: </strong>These facilitators illustrate effective CBPR implementation and provide a practical framework for recruitment in future research.</p>","PeriodicalId":36602,"journal":{"name":"Health Equity","volume":"10 ","pages":"24731242261477278"},"PeriodicalIF":2.3,"publicationDate":"2026-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13462621/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148725325","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reimagining Safe Sleep: Using Participant-Generated Photography and Community Insight to Address Infant Mortality Inequities in New York City.","authors":"Tracy Wong, Martine Hackett","doi":"10.1177/24731242261475105","DOIUrl":"10.1177/24731242261475105","url":null,"abstract":"<p><strong>Background: </strong>Sleep-related infant deaths disproportionately affect Black non-Hispanic families in New York City, representing a critical perinatal health equity issue. Traditional safe sleep messaging can fail to reflect the lived realities of structurally marginalized communities, creating disconnects between clinical recommendations and caregiving practices.</p><p><strong>Objective: </strong>To demonstrate how participant-generated photography can reimagine perinatal care by centering Black maternal knowledge in infant safety interventions.</p><p><strong>Methods: </strong>We conducted photo-elicitation interviews with 30 Black non-Hispanic mothers of infants aged <12 months in New York City. Participants documented their infant's sleep environments through photography (<i>n</i> = 86 images), which were then used to elicit in-depth interviews exploring decision-making processes and lived experiences. Selected photographs and quotes were incorporated as role-playing scenarios in training sessions with infant home-visiting staff.</p><p><strong>Results: </strong>Nearly all photographs depicted sleep environments with multiple risk factors according to traditional guidelines; however, participants demonstrated sophisticated reasoning rooted in love, survival, and contextual safety. Key themes included: (1) multiple caregivers and sleep locations reflecting housing instability and extended family networks; (2) daytime and unplanned sleep driven by work schedules and practical constraints; and (3) knowledge-practice disconnects, where mothers understood clinical recommendations but adapted them to structural realities. When used in staff training, 97% of 165 home visitors and health care staff found these authentic images to be helpful for identifying real-world risks.</p><p><strong>Conclusions: </strong>Participant-generated visual methods can transform perinatal care by revealing wisdom embedded in marginalized communities' caregiving practices. Rather than viewing deviations as \"non-compliance,\" this approach illuminates how structural inequities shape infant care and points toward more equitable, community-informed interventions.</p>","PeriodicalId":36602,"journal":{"name":"Health Equity","volume":"10 ","pages":"24731242261475105"},"PeriodicalIF":2.3,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13458321/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148713722","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Material Needs Security and Food Security Among Lebanese Adults with Type 2 Diabetes: A Cross-Sectional Study.","authors":"Ola Sukkarieh, Leonard E Egede, Haya Abuhijleh, Maya Bassil","doi":"10.1177/24731242261469686","DOIUrl":"10.1177/24731242261469686","url":null,"abstract":"<p><strong>Objectives: </strong>Type 2 diabetes (T2DM) is a growing public health concern, particularly in the Middle East and North Africa (MENA) region, where prevalence rates continue to rise. Social determinants of health, including material needs security and food security, play a critical role in diabetes management, yet their interrelated effects remain underexplored. This study aims to examine the relationship between material needs security and food security among Lebanese adults with T2DM of low socioeconomic status.</p><p><strong>Methods: </strong>A cross-sectional study was conducted on 299 Lebanese adults with T2DM recruited from three primary health care centers. Participants completed validated questionnaires assessing sociodemographic factors and food security. Material needs security score was computed based on ownership and access for certain house utilities, as well as car ownership. Unadjusted and adjusted logistic regression models were conducted to evaluate associations between material needs security and food security.</p><p><strong>Results: </strong>Higher material needs security was significantly associated with food security in both the unadjusted and adjusted regression models (odds ratio = 1.26, 95% confidence interval: 1.06-1.49, <i>p</i> = 0.007). Food and material needs insecurities were more prevalent among females and individuals with lower income, lower education, and lack of health insurance.</p><p><strong>Conclusion: </strong>This study highlights the strong association between material needs security and food security in Lebanese adults with T2DM, emphasizing the importance of addressing social determinants in diabetes management. Policies targeting financial stability, food security interventions, and access to health care are essential to improving health outcomes in vulnerable populations.</p>","PeriodicalId":36602,"journal":{"name":"Health Equity","volume":"10 ","pages":"24731242261469686"},"PeriodicalIF":2.3,"publicationDate":"2026-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13451736/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148698026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implementing Racial and Social Justice Policies: A Qualitative Study of Three Local U.S. Jurisdictions.","authors":"Kellee White Whilby, Makeda Walelo, Alana J Gunn","doi":"10.1177/24731242261473059","DOIUrl":"10.1177/24731242261473059","url":null,"abstract":"<p><strong>Objective: </strong>Processes for implementing racial equity and social justice (RESJ) policies are not well understood, despite their growing adoption across local governments. To address this gap, this qualitative study examines how practitioners navigate the day-to-day work of translating RESJ policy mandates into practice and the institutional, political, and organizational conditions shaping implementation across three jurisdictions in a large U.S. metropolitan area.</p><p><strong>Methods: </strong>We conducted in-depth, semi-structured interviews with 10 practitioners involved in RESJ policy implementation and identified through purposive sampling between June and November 2023. Interviews explored participants' experiences with policy interpretation, community and stakeholder engagement, organizational capacity, accountability, and perceived policy impact. Data were analyzed using a reflexive thematic analysis.</p><p><strong>Results: </strong>Six themes and 14 subthemes were identified. The themes characterized participants' experiences with interpreting and operationalizing policy mandates; organizational capacity and resource constraints; data infrastructure and practices; formal and relational accountability and oversight; emotional and ethical challenges; and political durability and risk. The findings illuminated key barriers and facilitators shaping policy adoption, acceptability, feasibility, fidelity, and sustainment, highlighting critical leverage points within RESJ policy implementation processes.</p><p><strong>Discussion: </strong>These insights underscore the need for greater institutional capacity, explicit and transparent accountability mechanisms, and sustained political and material support to strengthen RESJ policy implementation. Amid recent retrenchment of equity-focused policies, these findings provide guidance for policymakers and administrators seeking to design, implement, and sustain equity policies within local government systems.</p>","PeriodicalId":36602,"journal":{"name":"Health Equity","volume":"10 ","pages":"24731242261473059"},"PeriodicalIF":2.3,"publicationDate":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13451699/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148698018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Improving Community-Driven Health Benchmarks Through University-Community Partnerships: Using Community Engagement to Establish the Center for African American Health in Kansas.","authors":"Michelle L Redmond, Danielle Binion, Jason E Glenn, Jill Peltzer, Sharla Smith, Mildred Oligbo, Nicole Garner, Nozella Brown, Dora Scroggins, J Michelle Vann, Jerrihlyn McGee","doi":"10.1177/24731242261458120","DOIUrl":"10.1177/24731242261458120","url":null,"abstract":"<p><p>Addressing health inequities in Kansas on access to care, health outcomes, and the impact of social determinants of health is necessary. The Center for African American Health (CAAH), now <i>The Broderick Crawford Center for Advancing Community Health and Health Outcomes</i> was established to create a community-university partnership to improve health outcomes in two Kansas communities. CAAH was uniquely created to utilize community-based participatory research tools in creating health and behavioral health programs, fostering education, and research implementation that focuses on health equity. This perspective will focus on the implementation of the center in two Kansas communities.</p>","PeriodicalId":36602,"journal":{"name":"Health Equity","volume":"10 ","pages":"24731242261458120"},"PeriodicalIF":2.3,"publicationDate":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13451747/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148698041","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implementation and Impact of a Community Advisory Board to Promote Health Equity in a State-Based Contraceptive Access Initiative.","authors":"Elizabeth Janiak, Natasha M Lerner, Lillian W Acton, Chantel Bethea, Katharine O White","doi":"10.1177/24731242261466915","DOIUrl":"10.1177/24731242261466915","url":null,"abstract":"<p><p>Partners in Contraceptive Choice and Knowledge (PICCK) was a time-limited (2018-2023) initiative to improve access to and quality of contraceptive care at Massachusetts birth hospitals and included continuous involvement of a community advisory board (CAB). In addition to providing strategic guidance, CAB members co-lead didactic activities, helped develop a patient-centered contraceptive decision aid, and created a novel mechanism to provide health literacy and accessibility assessments to clinics. Inclusion of a CAB in PICCK proved feasible and helped ensure equity-focused programming.</p>","PeriodicalId":36602,"journal":{"name":"Health Equity","volume":"10 ","pages":"24731242261466915"},"PeriodicalIF":2.3,"publicationDate":"2026-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13443245/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148686210","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Community-Based Participatory Approach to Develop a Social Risk Screening Protocol, Tailored to the Needs of Pregnant and Postpartum People in Metro Atlanta.","authors":"Kayla Adams, Zykevise Gamble, Sheree L Boulet, Asha Immanuelle, Sandra-Lily Lantum, Seema Csukas, Hannah Kumarasamy, Rosalind Hill, Natalie Albright, Virgina Tester, Kaitlyn K Stanhope","doi":"10.1177/24731242261475078","DOIUrl":"10.1177/24731242261475078","url":null,"abstract":"<p><strong>Introduction: </strong>Our goal was to co-create a locally tailored social risk screening protocol for use in obstetric care settings in Metro Atlanta.</p><p><strong>Methods: </strong>We conducted a community-based participatory study consisting of key informant interviews and a year-long working group. Interviews were conducted with representatives of community organizations (<i>n</i> = 7) and people who were currently or recently pregnant (<i>n</i> = 8). Select interview participants and care providers were then invited to participate in a working group. Over six meetings, the group collaboratively reviewed interview data, current literature, published screening tools, and local resource information for eight domains: education/employment, health literacy, housing, food insecurity, financial strain, childcare, safety, and transportation. A final set of questions and recommended processes for social needs screening during pregnancy and postpartum were iteratively derived via group consensus.</p><p><strong>Results: </strong>Key interview themes included the need for a central and reliable source of information, challenges of enrollment, limited availability of resources for some domains of needs (e.g., housing), and the inability of passive navigation strategies (e.g., written resource lists) to effectively meet needs. The working group created a final screening tool consisting of a combination of an initial question regarding any urgent needs and 36 multiple-choice and open-ended questions. The tool included recommendations for timing of screening during pregnancy and processes for resource provision within each domain.</p><p><strong>Conclusions: </strong>The community-informed social needs screening tool and protocol provides a framework for targeted social support during and after pregnancy that could be integrated in routine obstetric care in Metro Atlanta and other practice settings.</p>","PeriodicalId":36602,"journal":{"name":"Health Equity","volume":"10 ","pages":"24731242261475078"},"PeriodicalIF":2.3,"publicationDate":"2026-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13451746/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148698003","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}