Community health equity research & policy最新文献

{"title":"Racially Equitable Homeless Services: Exploring Organizational Characteristics.","authors":"Whitney Thurman, Elizabeth Heitkemper, Tara Hutson, Summer Wright, Amy Patten, Andrea Kaltz","doi":"10.1177/2752535X251321535","DOIUrl":"10.1177/2752535X251321535","url":null,"abstract":"<p><p>PurposeRacial disparities in homelessness are pervasive and necessitate sustained effort on improving racial equity in homeless services. This study used a community-engaged approach and qualitative methods to describe the role of informal organizations identified by Black adults with lived experience of homelessness as preferred locations for accessing services and to explore the values and beliefs of these informal organizations. The study included representatives (<i>N =</i> 19) of community organizations (<i>N</i> = 17) in one southern city. Most participants (<i>n</i> = 14, 73.6%) worked in paid positions and included executive directors as well as volunteers.FindingsThematic analysis identified three themes that characterized values and the ways in which these organizations interface with one another and with the formal homelessness response system (HRS): <i>boots-on-the-ground, the homelessness response system is inequitable,</i> and <i>cautious collaboration.</i> Findings reveal avenues through which local collaboration can be improved and potential policies to improve racial equity in homeless services.ConclusionsInformal organizations fill critical gaps in services and can reach people experiencing homelessness who are unable or unwilling to access formal services. However, informal organizations often remain disconnected from the larger HRS which can exacerbate racial inequities. Community care hubs are a promising solution to incorporating smaller organizations and building a more integrated and equitable HRS.</p>","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"231-243"},"PeriodicalIF":2.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12963461/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469896","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":"Enhancing Interprofessional Community Engagement and Humanistic Interactions in Health Professional Education in Salvador, Brazil: The Programa Candeal Experience.","authors":"Joely Wilder Merriman, Gabriel Jeferson Rodríguez Machado, Marcos Almeida Matos, Atson Carlos de Souza Fernandes, Adrienne Morgan, Lavínia Boaventura Silva Martins, Renata Roseghini, Sidney Carlos de Jesus Santana, Amancio Jose de Souza","doi":"10.1177/2752535X251334862","DOIUrl":"10.1177/2752535X251334862","url":null,"abstract":"<p><p>Twenty years of existing medical literature speak to a global interest in interprofessional experiences and the role of community engagement in the formation of 21st century health professionals, with recent literature highlighting shortcomings in the ability to form satisfactory therapeutic alliances with patients of lower socioeconomic status. A paucity of literature regarding effective interventions to rectify these gaps in care remains. This manuscript reports the findings of a retrospective analysis of participant satisfaction with Programa Candeal, a previously un-evaluated interprofessional health education program at the Bahiana School of Medicine and Public Health in Salvador, Brazil, seeking to improve the capacity of health professional students to work successfully on interdisciplinary health care teams through hands-on experience interacting with disenfranchised populations outside of the traditional roles of provider and patient. Results of a mixed quantitative-qualitative survey reveal that Programa Candeal is successful in encouraging health professional students to practice community engagement, cultivates a literacy with the concept of multi professional teamwork, and promotes humanistic interactions with community members at some of the widest socioeconomic divides in Brazil. This manuscript also highlights the relative ease of implementing a semi-automated online evaluation protocol without undue administrative burden in a low-resource environment.</p>","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"311-319"},"PeriodicalIF":1.8,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059107","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":"\"You Start With the Community\": The Value of Community-Based Approaches to COVID-19 in Sri Lanka.","authors":"Fiona Carter-Tod, Jessie V Ford, Jessica L Weissman","doi":"10.1177/2752535X251337660","DOIUrl":"10.1177/2752535X251337660","url":null,"abstract":"<p><p><b>Background:</b> Despite the previous success of a universal health care system, Sri Lanka is facing novel challenges including non-communicable diseases such as diabetes and cancer, an aging population, and most recently, the COVID-19 pandemic. Previous pandemic and disaster responses worldwide have centered local community approaches as crucial for effective solutions. However, there is a gap in the literature surrounding the role of community organizations in Sri Lanka's public health response. <b>Purpose:</b> This study investigates the role of community-based responses during the COVID-19 pandemic in Sri Lanka through the perspective of public health professionals and nongovernmental organization (NGO) affiliates. <b>Research Design:</b> The study is based on qualitative interviews and the antecedent literature review, used to triangulate the collected qualitative data.<b>Study Sample:</b> Ten interviews were conducted to gain an understanding of the role of community organizations in Sri Lanka's COVID-19 pandemic response from both those who work within the public health sector as well as community organizations that assisted with public health efforts. <b>Results:</b> Findings demonstrate that community organizations aided in the COVID-19 response through various forms of hands-on support, most commonly including fundraising and the provision of resources, food, safety equipment, and educational materials. In addition, community organizations' were most successful in navigating the pandemic climate when they communicated closely with communities, engaged in ongoing collaboration with the government, and used innovative strategies. <b>Conclusion:</b> We see this work as exploratory and important for informing future research on the Sri Lankan public health context. Our findings suggest that community organizations should not be overlooked in global public health contexts as they are often well positioned to combat arising public health issues through their unique networks and potential for new and creative solutions.</p>","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"255-263"},"PeriodicalIF":1.8,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143993597","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":"Food Systems, Indigenous Knowledge and Systems Thinking: A Case Study in Regional New Zealand.","authors":"Rachael Glassey, David Tipene-Leach, David Rees, Boyd Swinburn","doi":"10.1177/2752535X251324808","DOIUrl":"10.1177/2752535X251324808","url":null,"abstract":"<p><p>BackgroundThe nutritional health of tamariki (children) in Aotearoa New Zealand (NZ) is poor. Nourishing Hawke's Bay (NHB) began as an initiative to address this problem in low advantage regions of Hawke's Bay (HB) and evolved into the evaluation of Ka Ora. Ka Ako the free, healthy school lunch programme, and the scoping of wider improvements in the regional food ecosystem.PurposeThe aim of this paper is to describe how NHB co-designed and evaluated food interventions incorporating systems thinking and mātauranga Māori (traditional knowledge), as lenses through which to view the initiative.Study Sample and Research DesignCognitive mapping interviews (n = 11) with community health and education leaders identified six key co-design principles or Pou (metaphorical posts) for NHB.Data CollectionFurther systems methods, such as group model building and system dynamics modelling, and mātauranga Māori methods, such as wānanga (Māori learning forums), involved the community in food systems mapping and intervention co-design and prioritisation.ResultsThree Pou, 'food security,' 'mātauranga Māori' and 'children's hauora' (wellbeing), set the research agenda for NHB. the other three Pou, 'work with community,' 'cohesion and integration' and 'start with schools,' determined the subsequent research processes. Along with standard population evaluation methods (including quantitative and qualitative assessments of changes in student health and wellbeing), a participatory Value for Investment (VFI) analysis assessed return on investment.ConclusionsCombining systems thinking and mātauranga Māori is a novel, participatory approach co-creating pathways to improved nutrition and food security for tamariki and holds promise for wider food system changes in regional NZ.</p>","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"277-286"},"PeriodicalIF":1.8,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143538091","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":"\"It's Important to Use Dialogue that Promotes a Safe Space of Inclusivity\": Reflections From a Community Engagement Studio to Inform Creative Alcohol Research.","authors":"Sara E Baumann, Leigh Anne Schmidt, Annika Agarwal, RaNaja Kennedy, Robert W S Coulter, Brigit Joseph, Elizabeth Miller, Christina Mair","doi":"10.1177/2752535X251341639","DOIUrl":"10.1177/2752535X251341639","url":null,"abstract":"<p><p>There is a pressing need for research that prioritizes the inclusion of diverse communities in the alcohol research field. A community-engaged approach can lead to more sustainable approaches, enhance buy-in, and lead to actions that are more equitable. The Community Engagement Studio (CES) model, which facilitates discussions between researchers, community engagement coordinators, and community experts, is one structured method to support conducting community-engaged research. In our creative alcohol study, we utilized Collaborative Filmmaking (CF) - a participatory, visual research method - to explore structural and neighborhood effects on alcohol use. We applied the CES model to enhance our study with community input prior to launch, which is particularly important when applying novel methodologies. The CES discussion illuminated several topics for the research team to consider regarding research study logistics (e.g., filmmaking prompts, recruitment, filmmaking support) and how to approach the research topic of alcohol use (e.g., trauma, sensitivity). This allowed the research team to make critical adjustments to their approach to ensure the tools, data collection techniques, and recruitment methods were appropriate. Input from community experts also uncovered important considerations related to trauma, ethics, and trust, which are vital for creative, participatory health research. Overall, the CES served as a valuable model for fostering community dialogue and can be used to enhance the impact of creative research.</p>","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"265-276"},"PeriodicalIF":1.8,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12276936/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144236019","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":"Community-Engaged Health Communication Strategies During the COVID 19 Pandemic: Experiences From Southern Andean Peru.","authors":"Jeannie Samuel, Carmen J Yon, Ariel Frisancho, Luz Estrada, Milagro Lourdes Valdez Jaén, Domingo P Paucar Pari, Daniel Rojas","doi":"10.1177/2752535X251323637","DOIUrl":"10.1177/2752535X251323637","url":null,"abstract":"<p><p>This study examines the work of a collective of community-based Indigenous health rights activists in southern Peru who, at the height of the pandemic, designed, recorded, and disseminated seven Quechua language and culturally tailored Public Service Announcements for radio broadcast to provide information about COVID-19 vaccines. The activists took initiative amid a dysfunctional vaccine roll-out, when vaccination rates in their region were among the lowest in the country, and when mortality rates from COVID-19 were very high. The experiences of the activist collective, including their participatory, community-based approach and their connections with health workers, demonstrate the importance of pre-existing, strong, respectful relationships between communities and health systems in times of public health crisis. This is not an easy task given that relationships between communities and Peru's government-run health system are complex and shaped by dynamics of power, including colonial legacies and contemporary injustices. This case critically reflects on the notion of resilience and provides insights into the enduring struggles by Indigenous activists to decolonize and strengthen the public health system by pushing for forms of community participation based on substantive partnerships with community-based actors that genuinely integrate their knowledge and expertise.</p>","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"287-299"},"PeriodicalIF":2.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12963467/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143635008","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":"Five Translational Design Principles for Communicating Research to Practice in Public Health.","authors":"Stephanie Andersen, Laura Brossart, Zara Petković, Rebecca Wilz, Amy Endrizal, Rachel Hackett, Angella Sandra Namwase, Veronica L C Easson, Mia T Vogel, Douglas A Luke, Todd Combs","doi":"10.1177/2752535X261433121","DOIUrl":"10.1177/2752535X261433121","url":null,"abstract":"<p><p>Translational products can help bridge the gap between research and practice by sharing scientific evidence in ways that non-academic audiences find accessible and useful. Here we present five translational design principles for dissemination of research evidence to public health practitioners and partners. The result of more than two decades of work in the development, production, revision, and continuous improvement of the <i>Best Practices User Guides</i> and supplemental reports, we illustrate the principles here using <i>Tobacco Where You Live: Native Communities</i>, a guide for tobacco prevention and control for American Indian and Alaska Native groups and their public health partners. The team developed the translational design principles through a multi-phase process: (1) conducting a multi-state evaluation and national advisory workgroup to identify translational features for communicating evidence, (2) applying findings to develop a set of translational products, CDC's <i>Best Practices User Guides</i> and <i>Tobacco Where You Live Supplements</i>, and (3) evaluating product quality through a national survey. Users find the evidence-based guides helpful, easy to understand, and actionable. The five principles contend that translational products should: (1) stem from evidence-informed sources, (2) include actionable information, (3) have a modular structure, (4) use language for an understandable delivery, and (5) come in accessible formats. Though the <i>User Guides</i> and the example here address tobacco use, researchers and practitioners can use the translational design principles to communicate evidence for various public health challenges and opportunities. Broad applications of the principles can help to increase intervention fidelity and the impact of public health evidence.</p>","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"2752535X261433121"},"PeriodicalIF":2.2,"publicationDate":"2026-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147583016","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":"Exploring the Potential to Use Citizen Science to Monitor and Improve Walkability of Socially Diverse Neighbourhoods.","authors":"Roger Lay, Leonie Cranney, Elizabeth Leece, Ben J Smith, Samantha Rowbotham, Yvonne Laird","doi":"10.1177/2752535X261434112","DOIUrl":"https://doi.org/10.1177/2752535X261434112","url":null,"abstract":"<p><p>BackgroundWalkability is an important contributor to physical activity, aiding the prevention of chronic diseases. Decision makers rely on accurate, nuanced data to inform the planning of walkable communities. While objective walkability tools have variable capacity to predict walking behaviour, combining community perceptions with these tools can provide more nuanced insights, especially in areas of socioeconomic disadvantage. This study explored the potential to apply a citizen science approach to monitor and improve walkability of socially diverse neighbourhoods by understanding the perspectives of key decision makers and practitioners.MethodsInterviews with stakeholders from local councils, government health services, and a community volunteer group explored walkability in Western Sydney, including use and experiences of walkability assessment tools, and views on using citizen science for walkability monitoring and improvement. Data were analysed inductively using thematic analysis.ResultsParticipants saw a need to improve walkability in certain areas of Western Sydney, but identified insufficiencies with existing auditing tools. A citizen science approach was considered a promising means of capturing and addressing the multitude of factors influencing walkability, through its ability to provide nuanced and compelling local information. However, council staff had concerns about managing public expectations and attaining representation of the community's diversity. Participants provided insights for possible avenues of effective and meaningful engagement.ConclusionIf stakeholders' concerns are addressed and supported by policy commitment, the adoption of a citizen science approach has potential to bring considerable value to the monitoring and improvement of walkability in socially diverse localities.</p>","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"2752535X261434112"},"PeriodicalIF":1.8,"publicationDate":"2026-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147500859","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":"Why Promoting Health Equity in Canada Requires a Social Movement.","authors":"Dennis Raphael, Toba Bryant","doi":"10.1177/2752535X261427050","DOIUrl":"https://doi.org/10.1177/2752535X261427050","url":null,"abstract":"<p><p>BackgroundDespite a robust research literature on the importance of promoting health equity and stated commitments by public health authorities to this goal, progress in doing so has been disappointing in Canada. One reason is the failure to mobilize the public in support of this goal. Almost a decade ago, Sir Michael Marmot called for a \"social movement\" to promote health equity but there are reasons for why such a movement has not taken hold in Canada.PurposeWe carry out a critical narrative review and case study of Canadian health equity activities that examines the intersection of these activities with definitions of what constitutes a social movement.AnalysisEmploying Harvey's concept of critical social research as not taking for granted apparent social structure and processes, we look beneath the surface of appearances to ask why health equity activities have generally failed in Canada such that a social movement - as defined in the social movements literature - is required to move forward.FindingsSocial movements engage the public to resist problematic social conditions outside of established governance structures and processes yet for the most part, health equity advocacy in Canada has been limited to those who do so as part of their paid employment or research funding by Canadian governing authorities whose policies create these conditions. As a result of these arrangements, health equity advocacy cannot readily meet the conditions necessary for a social movement: communicating the need for such a movement; identifying those responsible for health inequities; establishing networks supporting such a goal; and cultivating a distinct health equity identity.ConclusionWe suggest reviewing the structures, processes, and successes and failures of a variety of social movements, e.g., Social Medicine, Environmental, Labour, and Anti-Globalization, among others, to identify lessons and insights that may assist in the development of a health equity social movement in Canada.</p>","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"2752535X261427050"},"PeriodicalIF":1.8,"publicationDate":"2026-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147470445","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":"Understanding Crisis to Inform Crisis Response: Community Perspectives From a Qualitative Ethnographic Case Study.","authors":"Polly Ford-Jones, Chiemela Iheanacho, Simon Adam, Sheryl Thompson, Danielle Pomeroy, Liben Gebremikael, Dustin Carter, Patrina Duhaney, Petra Meijer","doi":"10.1177/2752535X261434110","DOIUrl":"https://doi.org/10.1177/2752535X261434110","url":null,"abstract":"<p><p>Responses to crisis in the community have gained significant attention, recognizing potential life and death consequences of such responses, with particularly significant impacts for systematically marginalized communities and individuals. Dominant conceptualizations of crisis have been critiqued as medicalized and focused primarily on what medical care an individual in crisis receives, overlooking contextual and structural issues. This paper explores descriptions of crisis and considers how understandings of crisis align or misalign with the responses to crisis that exist within communities in Ontario, Canada. Utilizing a critical qualitative ethnographic case study approach and informed by a critical mental health lens, semi-structured interviews (<i>n</i> = 53), open-ended surveys (<i>n</i> = 60), and document analysis were conducted to gather perspectives from community members with lived experience, community-based organizations, and acute-care institutions such as paramedicine, police services, and emergency departments. Crisis was described as: broad, inclusive and self-defined; impacted by structural living conditions; resulting from barriers to access and the misfit of services to needs; and as resulting of the conditions of care. These findings contribute to a conceptualization of crisis that considers contextual, structural, and systemic issues impacting crisis. We discuss the importance of moving beyond a biomedical reductionist understanding of crisis and the ways in which we can challenge and shift medicalized and carceral systems of crisis care. As attention increasingly shifts towards the development and expansion of crisis-related responses, it is crucial to ensure that these responses adequately meet people's needs and, where possible, prevent further crises.</p>","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"2752535X261434110"},"PeriodicalIF":1.8,"publicationDate":"2026-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147437190","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}