Community health equity research & policy最新文献

{"title":"COVID-19 communication campaigns in Southeast Asia countries with multilingual communities: A scoping review.","authors":"Gita Miranda Warsito, Linda Portsmouth, Sharyn Burns","doi":"10.1177/2752535X261496345","DOIUrl":"https://doi.org/10.1177/2752535X261496345","url":null,"abstract":"<p><p>BackgroundThe complexities of multilingualism in COVID-19 communication campaigns across Southeast Asia's multicultural countries remain unexplored.ObjectiveThis paper aims to map and summarize the development, implementation, and evaluation of COVID-19 preventive behavior and vaccination campaigns in the region.MethodsUtilizing the PRISMA-ScR framework, major databases were searched for relevant articles published between January 2020 and March 2025, focusing on the content and delivery of COVID-19 communication campaigns within multilingual Southeast Asian countries.ResultsTwenty articles were retrieved, most of which originated from Indonesia (n = 11), followed by Vietnam (n = 3), Malaysia, the Philippines, and Singapore (n = 2 each). Studies on prevention (n = 13) outnumbered those on vaccination campaigns (n = 5). Of the 86 described campaign materials, posters (n = 63) were the most prevalent media type, primarily developed by the government (n = 60). Most materials used the country's official language for the campaigns, with 49 for prevention and 27 for vaccination. Channels varied; government social media dominated in Malaysia, while physical public spaces were most common elsewhere. The strategic implementation of multilingual and culturally specific communication emerged as a key opportunity, in contrast to the major challenge of the widespread anti-vaccine misinformation on social media.ConclusionsThe reported communication materials were largely characterized by an urgent, mass-reach approach using a country's official language, which endangered linguistic minorities. Crucially, this review highlights a systemic mishap in campaign assessment, marked by a near-total absence of evidence-based impact data, hindering the evaluation of effective strategies for public health outcomes.</p>","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"2752535X261496345"},"PeriodicalIF":2.2,"publicationDate":"2026-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149217436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Feasibility and acceptability of a shelter-based health empowerment program for pregnant and parenting youth experiencing homelessness.","authors":"Marvin So, Pooja Brar, Christina Woodlee, Jennifer Worley, Sarah M Kaja, Annie-Laurie McRee, Christopher J Mehus, Janna R Gewirtz O'Brien","doi":"10.1177/2752535X261496350","DOIUrl":"https://doi.org/10.1177/2752535X261496350","url":null,"abstract":"<p><p>Parenthood is common among youth experiencing homelessness (YEH), with multi-generational implications for health. Research on how to improve health among this historically marginalized population is limited. Our community-university partnership assessed the feasibility and acceptability of a shelter-based health empowerment program, which aimed to improve health among YEH and their children and prevent unplanned pregnancies. Drawing on frameworks from implementation science, we conducted semi-structured interviews with program participants (<i>n</i> = 11). We then conducted thematic analysis, using three interviews with program staff to triangulate. All youth participants were female, ages 15-20 years, and pregnant and/or parenting children ages 0-3. Youth suggested additional content areas and modifications to program structure and design; we responsively adapted the program in real-time. Our findings suggest that shelter-based programming may be a feasible and acceptable approach towards promoting health and well-being among young parents and their children living in shelter, and highlight potential elements needed for successful implementation.</p>","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"2752535X261496350"},"PeriodicalIF":2.2,"publicationDate":"2026-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149217355","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is promoting health equity through a well-being economy a Trojan horse for a post-capitalist socialist economy? Will it make it through the public policy gates?","authors":"Toba Bryant, Dennis Raphael","doi":"10.1177/2752535X261496407","DOIUrl":"https://doi.org/10.1177/2752535X261496407","url":null,"abstract":"<p><p>BackgroundAttempts to promote health equity through traditional means of public policy advocacy have proven profoundly unsuccessful in Canada. Despite decades of research, policy statements and declarations as to the importance of addressing the causes of health inequalities that prematurely sicken and kill, the quality and equitable distribution of the living and working conditions, i.e., the social determinants of health, continue to decline.PurposeIn this paper we examine the most recent attempt to promote public policy to reverse these developments - the well-being economy - that calls for \"an economy designed to serve people and the planet, not the other way around\" which has similarities with the coexisting concept of a post-capitalist socialist economy.AnalysisWe compare and contrast the assumptions of both approaches through a critical materialist political economy perspective lens and their likelihood of moving the health equity-promoting public policy agenda forward.FindingsWe found most of the well-being economy literature's preferred outcomes are remarkably consistent with the vision of a post-capitalist socialist economy that puts the well-being of people above profit-making. However, the means by which advocates propose these outcomes may come about are profoundly different. The omission of the terms socialist or socialism in the well-being economy literature suggests its advocates may see it as a Trojan Horse for infiltrating these concepts into public policy discourse.ConclusionWe see the well-being economy concept as another well-meaning initiative to promote health equity that is likely to be ignored by governing authorities whose interests are aligned with those for whom such an economy would conflict with their profit-making motives. Instead, we call for explicit consideration of a post-capitalist socialist economy and how it could move us towards a health equity promoting society.</p>","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"2752535X261496407"},"PeriodicalIF":2.2,"publicationDate":"2026-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149197829","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Language barriers in Canadian pharmacies: A review of interpretation services and health equity gaps in Newfoundland and Labrador.","authors":"Josheil Kaur Boparai, Reem Hamud, Abby Pace, Kathy Chan, Alexis Grace Young, Saniya Alwani","doi":"10.1177/2752535X261498251","DOIUrl":"https://doi.org/10.1177/2752535X261498251","url":null,"abstract":"<p><p>Despite the Canada Health Act's emphasis on \"reasonable access\" to care, many newcomer patients for whom English is a second language face communication barriers when seeking medical treatment in Canada. This barrier is especially prevalent in Canadian pharmacies, where interpretation services are often limited or non-existent. With the expanding scope of pharmacy practice across Canadian provinces, accurate translation of clinical concerns and medication instructions is crucial to ensure patients' health and safety.Interpretation services in medical settings are inconsistently implemented nationwide, with British Columbia, Manitoba, and Ontario offering comparatively strong interpretation service models. While Newfoundland and Labrador offer interpretation in public health facilities via Remote Interpretation Ontario (RIO), this platform is currently unavailable in privately owned and community-based pharmacies. Integrating provincially funded platforms like RIO into all pharmacies, with the cost covered by public funding to eliminate financial barriers for smaller businesses, would improve healthcare quality and equity for Canada's rapidly diversifying population.</p>","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"2752535X261498251"},"PeriodicalIF":2.2,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149186672","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Community views of factors influencing participation in dengue research: Fuzzy cognitive mapping in Dhaka, Bangladesh.","authors":"Marie-Catherine Gagnon-Dufresne, Md Mizanur Rahman, Protyasha Ghosh, Sarah Cooper, Iván Sarmiento, Neil Andersson, Kate Zinszer","doi":"10.1177/2752535X261496395","DOIUrl":"https://doi.org/10.1177/2752535X261496395","url":null,"abstract":"<p><p>BackgroundBangladesh is among the countries most affected by dengue, the fastest spreading vector-borne disease worldwide. Engaging communities in designing and implementing solutions is a promising strategy for dengue control. However, collaborating with communities in urban settings like Dhaka presents challenges. As part of a pilot study for a cluster randomized controlled trial testing participatory interventions, we aimed to understand factors influencing community participation in dengue research in Dhaka.MethodsWe used fuzzy cognitive mapping to explore perceived barriers and enablers of participation. We engaged 97 participants (community members and leaders, community health workers, personnel from NGOs, public health actors, and local researchers) in 28 participatory mapping sessions. We analyzed maps using tools from graph theory, fuzzy logic, and thematic and social network analysis. Composite maps compared community and non-community perspectives.ResultsParticipants identified 223 factors influencing participation, grouped into 22 categories. Composite maps highlighted the five most influential. Both community and non-community participants emphasized positive community perceptions of dengue, involvement of community leaders, and logistical challenges as important determinants of participation. Community participants also stressed receiving benefits and innovative information sharing, while non-community participants focused on Dhaka's sociopolitical context.DiscussionAddressing barriers and leveraging enablers to community participation before beginning research is essential. Fuzzy cognitive mapping not only identified key factors, but also revealed which were most important, to whom, and why. This approach can guide researchers and others in building more equitable partnerships with communities - a step towards inclusive and decolonizing global health research.</p>","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"2752535X261496395"},"PeriodicalIF":2.2,"publicationDate":"2026-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149167591","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cultural perceptions and care practices for hypertension and diabetes: a qualitative study among the bajo coastal community in Indonesia.","authors":"Laode Saltar, Heltty Heltty, Sitti Mikarna Kaimuddin","doi":"10.1177/2752535X261494169","DOIUrl":"https://doi.org/10.1177/2752535X261494169","url":null,"abstract":"<p><p>BackgroundHypertension and diabetes are increasing in Indonesian coastal communities, where limited healthcare access and strong socio-cultural influences shape illness perceptions, care-seeking, and chronic disease management.ObjectiveThis study aimed to explore how the Bajo coastal community perceives and responds to hypertension and diabetes within their social and cultural context.MethodsA descriptive qualitative design was employed. Fourteen adults diagnosed with hypertension and/or diabetes in a coastal district of Southeast Sulawesi, Indonesia, were purposively selected. Data were collected through semi-structured, in-depth interviews and analyzed thematically using Braun and Clarke's approach.ResultsFour themes emerged: (1) perceptions of chronic disease, including symptoms, causes, and risks; (2) cultural beliefs and traditional healing practices; (3) self-awareness and health behaviors in the context of limited healthcare access; and (4) social roles and environment, particularly the influence of family, customary leaders, and community-based health education. Participants commonly understood illness through bodily symptoms, informal knowledge, and spiritual meanings. Care pathways were often pluralistic, combining traditional and biomedical treatment, while access to diagnosis and continuity of care was constrained by distance, cost, and limited services.ConclusionChronic disease care in the Bajo community is shaped by cultural beliefs, social relationships, and structural barriers. Culturally responsive, community-based, and equity-oriented strategies are needed to improve care in remote coastal settings.</p>","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"2752535X261494169"},"PeriodicalIF":2.2,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149139587","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Experiences with the Department of Housing and Urban Development smoke-free air policy in North Carolina.","authors":"Sarah D Mills, Fatima Zohra Hedadji, Shantel Campbell, Deshira D Wallace, Emery Van Voorhis, Nina Smith","doi":"10.1177/2752535X261494803","DOIUrl":"https://doi.org/10.1177/2752535X261494803","url":null,"abstract":"<p><p>IntroductionTo combat high rates of tobacco use and secondhand smoke exposure, the Department of Housing and Urban Development (HUD) implemented a smoke-free air policy. The present study examined residents' experiences with the smoke-free air policy in two metropolitan counties in North Carolina.MethodsResidents of HUD public housing were recruited in Durham and Wake Counties. The research team developed a semi-structured interview guide to gather information about public housing residents' attitudes about, knowledge of and experiences with the policy. Participants were also asked to provide recommendations to improve policy implementation. To analyze the data collected from resident interviews, we used a hybrid deductive/inductive approach.ResultsTwenty-three residents of HUD public housing completed interviews. Residents' experiences were organized across key themes: resident knowledge of the policy, policy support, compliance and enforcement, and policy impact on tobacco use/secondhand smoke exposure. All residents interviewed reported that they knew about the policy, and most approved of the policy. However, many residents reported violations. Residents were reluctant to report violations and expressed concerns about preserving autonomy in their residential spaces and protecting individuals who smoke from eviction. Some residents reported less smoke around their home, while others reported no change or even more smoking in their building. Residents suggested increased signage about the policy and that HUD offer free smoking cessation support.ConclusionFindings from this study suggest challenges related to implementation of the smoke-free air policy. Pairing consistent policy reminders with accessible cessation resources may improve compliance and strengthen policy impact.</p>","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"2752535X261494803"},"PeriodicalIF":2.2,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149139725","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Improving Human Papillomavirus (HPV) Vaccine Uptake in Canada: A Call for Equity and Inclusivity.","authors":"Noah Doucette, Audrey Steenbeek","doi":"10.1177/2752535X251368427","DOIUrl":"10.1177/2752535X251368427","url":null,"abstract":"<p><p>Human Papillomavirus (HPV) is the most common sexually transmitted infection worldwide. Specifically, HPV is responsible for a large proportion of anal, cervical, vaginal, vulvar, penile and oropharyngeal cancers, highlighting the importance of optimizing the prevention of this public health issue. To date, vaccination is the most effective method for preventing HPV-related infections and associated diseases; however, vaccine uptake remains well below national targets. In Canada, gender-neutral HPV vaccination is recommended for all individuals between nine and 26 years, but can also be administered to adults until the age of 45. Despite widespread adoption of publicly-funded school-based vaccination programs, some populations report disproportionately lower rates of HPV vaccine uptake, including young adults, transgender peoples and men who have sex with men (MSM), rendering them vulnerable to morbidity and mortality. Addressing HPV-related disparities requires a coordinated, multi-level call to action involving collaboration between academic and community partners to normalize inclusive, gender-neutral vaccination. This paper explores opportunities for optimizing HPV vaccine uptake in Canada by emphasizing the importance of healthcare provider recommendation, improved access to community-based vaccination services, and representation of diverse populations (e.g., young adults, transgender peoples, MSM) in the development and delivery of vaccine communication/messaging. The time is now to normalize inclusive HPV vaccination in order to mitigate the persistence of vaccine-related disparities and strive toward global initiatives of health equity.</p>","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"77-82"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13499905/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144849959","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":"Impact of Itemized Versus Open Menu of Available Supplies and Services on Utilization of Street Medicine Program Resources - A Pre-post Study.","authors":"Allison Dumitriu Carcoana, Doniya Milani, Emily Heideman, Jillian Ngo, Lucy Guerra, Asa Oxner, Ambuj Kumar, Lynette Menezes","doi":"10.1177/2752535X251366842","DOIUrl":"10.1177/2752535X251366842","url":null,"abstract":"<p><p>BackgroundStreet medicine programs provide medical care to individuals experiencing homelessness through \"street runs,\" in which healthcare providers meet unhoused patients on the street and offer them care in that environment. Approximately 50 medical student-run street medicine programs operate in the United States. Data on strategies to improve street medicine services are limited. This study aimed to assess the impact of using an itemized menu of available supplies and services to guide patient encounters on a street medicine program's distribution of resources and therefore the numbers of patient needs that were met.MethodsWe performed a pre-post assessment study in an established street medicine program providing care in an urban downtown setting. Data were collected on the number and type of resources utilized in four street runs pre- and four street runs post-itemized menu implementation. Volunteers assisted patients in navigating the menu. The difference between resource utilization pre-post was assessed using the Mann-Whitney U test.ResultsThere were 98 patient encounters during the four street runs in the pre-itemized menu phase and 81 encounters in the post-itemized menu phase. There was a significant increase in patients' uptake of comfort items (<i>p</i> < .001), as well as clinical (p < .001) and overall (<i>p</i> < .001) needs met. There was no distribution of 17 resources during the four street runs pre-itemized menu implementation, but these resources were requested and received by patients 71 times in the four street runs post-implementation.ConclusionsImplementing an itemized menu significantly improved the street medicine program's ability to meet unhoused patients' needs.</p>","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"3-10"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144823325","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Promoting Health Equity in an Era of Growing Contradictions Between Capital Accumulation and Social Reproduction in Capitalist Economies.","authors":"Dennis Raphael, Toba Bryant, Rozhin Amin","doi":"10.1177/2752535X251370927","DOIUrl":"10.1177/2752535X251370927","url":null,"abstract":"<p><p><b>Background:</b> Despite a robust literature on the importance of promoting health equity, actual progress in doing so is flagging and this is especially the case in Anglo-Saxon liberal welfare states such as Canada, the USA, and the United Kingdom. <b>Purpose:</b> In this paper we place these developments within the context of the political economy concepts of capital accumulation -- or profit making -- and social reproduction -- or the ongoing functioning of society. <b>Research Design:</b> We carefully reviewed the current state of theorization and research into the political economy of health to identify the main themes and findings in this literature in relation to the polycrisis of living and working conditions in Canada, the USA, and United Kingdom.<b>Analysis:</b> We drew upon critical materialist political economy thought to show how the growing contradictions between profit making and societal functioning in capitalist economies - and this especially so in liberal welfare states -- threaten both the quality and equitable distribution of the living and working conditions that shape health - the social determinants of health - and the organization and delivery of health care. <b>Results:</b> While there is increasing application of political economy approaches to understanding the adverse effects of capitalism, almost all of these are limited to critiquing capitalism without envisioning a post-capitalist society. Various ways of addressing these contradictions are provided that include 1) redistribution, social spending by governments, and managing the market economy within existing economic and political structures; 2) movement towards social democratic or conservative models of governance common to the Nordic and Continental nations respectively; or 3) building a post-capitalist socialist future.<b>Conclusion:</b> While we offer three paths forward towards achieving health equity, we conclude that the last path, building a post-capitalist socialist future, offers the most useful means of promoting health equity in both the short and long-term.</p>","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"101-116"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13499926/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144980816","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}