Community health equity research & policy最新文献

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The Intersectional Impact of Disability and Immigration on Health: A Health Needs Assessment of Immigrants Living With Spinal Cord Injury in Houston, Texas. 残疾和移民对健康的交叉影响:德克萨斯州休斯顿脊髓损伤移民的健康需求评估
Community health equity research & policy Pub Date : 2024-01-01 Epub Date: 2023-01-20 DOI: 10.1177/2752535X221132445
Alane Celeste-Villalvir, Christine Kovic, Francisco Argüelles
{"title":"The Intersectional Impact of Disability and Immigration on Health: A Health Needs Assessment of Immigrants Living With Spinal Cord Injury in Houston, Texas.","authors":"Alane Celeste-Villalvir, Christine Kovic, Francisco Argüelles","doi":"10.1177/2752535X221132445","DOIUrl":"10.1177/2752535X221132445","url":null,"abstract":"<p><strong>Background: </strong>Immigrants with spinal cord injury (SCI) experience challenges with co-morbidities and lack of access to medical supplies and equipment. Much of the current disability and SCI literature does not include Latinx immigrants with SCI. To address this gap in knowledge, the present study explores the intersectional impact of disability and immigration on health as well as the health status and health needs of immigrants living with SCI.</p><p><strong>Methods: </strong>This community-partnered study is a secondary analysis of needs assessment data collected in February 2019 with 24 of the members of Living Hope Wheelchair Association, a nonprofit organization serving Latinx immigrants living with SCI in Houston, Texas.</p><p><strong>Results: </strong>Participants shared challenges with accessing healthcare, comorbidities, mental illness, transportation, and discrimination by healthcare professionals. They also shared difficulties accessing medical supplies, medical equipment, and the need for adaptations in their homes and vehicles.</p><p><strong>Conclusion: </strong>The findings corroborate those of previous studies with people with SCI, but highlights additional layers of marginalization and challenges faced by immigrants living with SCI. More research is needed to understand the health needs and health status of this population, including their access to care and management of chronic diseases such as diabetes and heart disease. Findings support the need for public health and immigration policies to promote inclusion and equitable access to services as well as improve the health and quality of life of immigrants.</p>","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"209-218"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10545281","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}
引用次数: 0
As Much As I Can - Utilizing Immersive Theatre to Reduce HIV-Related Stigma and Discrimination Toward Black Sexual Minority Men. 尽我所能——利用沉浸式戏剧来减少与艾滋病有关的耻辱和对黑人性少数男性的歧视。
Community health equity research & policy Pub Date : 2024-01-01 Epub Date: 2022-10-03 DOI: 10.1177/0272684X221115920
Paul A Burns, Emily Klukas, Courtney Sims-Gomillia, Angela Omondi, Melverta Bender, Tonia Poteat
{"title":"As Much As I Can - Utilizing Immersive Theatre to Reduce HIV-Related Stigma and Discrimination Toward Black Sexual Minority Men.","authors":"Paul A Burns, Emily Klukas, Courtney Sims-Gomillia, Angela Omondi, Melverta Bender, Tonia Poteat","doi":"10.1177/0272684X221115920","DOIUrl":"10.1177/0272684X221115920","url":null,"abstract":"<p><strong>Background: </strong>Despite advances in biomedical HIV prevention modalities such as pre-exposure prophylaxis to prevent the transmission of HIV, racial/ethnic and sexual/gender minority populations are disproportionately impacted by HIV epidemic. Alarming rates of HIV have persisted among Black gay and bisexual men, particularly in Southern states.</p><p><strong>Methods: </strong>Utilizing data from the ViiV ACCELERATE! initiative, we explored the impact of As Much As I Can, an immersive theatre production, on HIV-related stigma behaviors. A self-administered post-performance survey was conducted with a cohort (<i>n</i> = 322) of randomly selected audience members.</p><p><strong>Results: </strong>Overall, the results showed participants had a highly favorable experience, rating the performance with a mean score of 9.77/10. Respondents indicated they intended to change behaviors to promote HIV prevention education and to reduce stigma and discrimination including: (1) Say something if I hear stigmatizing language against people living with HIV (75.4%), (2) Say something if I hear anti-gay language (69.7%) and (3) Tell others about HIV prevention options (e.g., PrEP, PEP, condoms (64.1%). The findings show there is an association between HIV-related behavior intention and linkage to HIV care. Respondents who reported they were more likely to say something about HIV stigma were almost three times (O.R. 2.77; 95% C.I. 0.98-7.8) more likely to indicate they would follow up with a healthcare professional.</p><p><strong>Conclusions: </strong>This study suggests that immersive theatre is an effective method for communicating HIV prevention education and reducing HIV-related structural stigma and discrimination that increases HIV vulnerability for Black sexual minority men.</p>","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"151-163"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40394267","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}
引用次数: 0
Shifting the Paradigm From Participant Mistrust to Researcher & Institutional Trustworthiness: A Qualitative Study of Researchers' Perspectives on Building Trustworthiness With Black Communities. 从参与者不信任到研究者&机构可信度的范式转变:研究人员对黑人社区建立可信度观点的定性研究。
Community health equity research & policy Pub Date : 2024-01-01 Epub Date: 2022-09-20 DOI: 10.1177/0272684X221117710
Cynterria Henderson, Taylor Scott, Bee Schinder, Erricka Hager, Felicia Savage Friedman, Elizabeth Miller, Maya I Ragavan
{"title":"Shifting the Paradigm From Participant Mistrust to Researcher & Institutional Trustworthiness: A Qualitative Study of Researchers' Perspectives on Building Trustworthiness With Black Communities.","authors":"Cynterria Henderson, Taylor Scott, Bee Schinder, Erricka Hager, Felicia Savage Friedman, Elizabeth Miller, Maya I Ragavan","doi":"10.1177/0272684X221117710","DOIUrl":"10.1177/0272684X221117710","url":null,"abstract":"<p><strong>Introduction: </strong>Black communities are deeply underrepresented in research, due, in large part, to research mistrust. It is critical to shift the burden of trust building from communities to researchers and research institutions, which have perpetrated harm against Black communities for centuries. In this study, we examine researchers' perspectives on how to become trustworthy to Black-identifying participants and communities.</p><p><strong>Methods: </strong>We conducted semi-structured interviews with researchers affiliated with our institution's Clinical and Translational Science Institute. Participants were recruited through email and responded to the study team if they wished to participate. Interviews occurred through Zoom, took 60 minutes, and were audio recorded. We used an inductive thematic data analysis approach.</p><p><strong>Results: </strong>Sixteen researchers, who were affiliated with medicine, public health, psychology, education, and nursing, participated in this study. Participants agreed that researchers bear the responsibility for building trust and noted how critical it is to address the underrepresentation of Black participants in research through equitable recruitment and that researchers must be transparent and engage in reciprocal research practices. Community-partnered research was highlighted as a way to develop trustworthiness. Finally, participants noted that trustworthiness must also be built at the institutional level, rather than just by individual researchers.</p><p><strong>Discussion: </strong>To our knowledge, this is one of the first studies to examine researchers' perspectives on how to build their own trustworthiness, with a specific focus on trust-building with Black communities. Explicit training and resources are needed to build trustworthiness into academic centers.</p>","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"127-136"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40372881","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}
引用次数: 1
Understanding the Public Health Role, Motivations, and Perceptions of Community Health Workers Deployed to Low-Income Housing in Richmond, Virginia. 了解公共卫生的角色,动机,社区卫生工作者部署到低收入住房在里士满,弗吉尼亚州的看法。
Community health equity research & policy Pub Date : 2024-01-01 Epub Date: 2023-01-30 DOI: 10.1177/2752535X231154051
Iyabo Obasanjo, Alison Scott, Monica Griffin, Amma Agyemang-Duah, Charlie Westhoff, Stephanie Toney, Patrice Shelton
{"title":"Understanding the Public Health Role, Motivations, and Perceptions of Community Health Workers Deployed to Low-Income Housing in Richmond, Virginia.","authors":"Iyabo Obasanjo, Alison Scott, Monica Griffin, Amma Agyemang-Duah, Charlie Westhoff, Stephanie Toney, Patrice Shelton","doi":"10.1177/2752535X231154051","DOIUrl":"10.1177/2752535X231154051","url":null,"abstract":"<p><strong>Background: </strong>For the US health indicators to improve to the level of other developed countries, the use of Community Health Workers (CHWs) in vulnerable populations has been indicated as a possible long-term intervention. There are few models of long-term deployment of CHWs as part of the district level public health system in the US.</p><p><strong>Method: </strong>In this study we interviewed CHWs who served as neighborhood-integrated health district staff assigned to low-income housing in Richmond, Virginia for 10 years. Qualitative analyses of their taped and transcribed interviews resulted in 5 themes from the interviews. The themes were Activities, Satisfaction, Strengths, Facilitation/Resources and Challenges. We highlighted quotes from the CHWs interviews for themes and summarized the findings from each theme.</p><p><strong>Results: </strong>CHWs carried out a variety of activities daily and these were described. The CHWs were generally satisfied with their job because it enabled them to assist others. The strength of their communities was resilience, and the resources they needed more included physical resources, human resources, political support, and more comprehensive programming. Their client's challenges include transportation, mental health, and physical safety and the CHWs challenge to effectively carrying out their work with clients was trust by community members.</p><p><strong>Conclusion: </strong>The information garnered from the CHWs would be useful in designing CHW programs at other health districts.</p>","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"219-227"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10586485","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}
引用次数: 0
"Black Women Don't Always Put Our Healthcare First": Facilitators and Barriers to Cervical Cancer Screening and Perceptions of Human Papillomavirus Self-Testing Among Church-Affiliated African American Women. “黑人妇女并不总是把我们的医疗保健放在第一位”:在教会附属的非裔美国妇女中,宫颈癌筛查的促进者和障碍以及对人类乳头瘤病毒自我检测的看法。
Community health equity research & policy Pub Date : 2024-01-01 Epub Date: 2022-09-20 DOI: 10.1177/0272684X221115494
Kelsey Christensen, Alexandria G Bauer, Tacia Burgin, Joah Williams, Joan McDowd, Gary Sutkin, Kymberly Bennett, Carole Bowe Thompson, Jannette Y Berkley-Patton
{"title":"\"Black Women Don't Always Put Our Healthcare First\": Facilitators and Barriers to Cervical Cancer Screening and Perceptions of Human Papillomavirus Self-Testing Among Church-Affiliated African American Women.","authors":"Kelsey Christensen, Alexandria G Bauer, Tacia Burgin, Joah Williams, Joan McDowd, Gary Sutkin, Kymberly Bennett, Carole Bowe Thompson, Jannette Y Berkley-Patton","doi":"10.1177/0272684X221115494","DOIUrl":"10.1177/0272684X221115494","url":null,"abstract":"<p><p><b>Background:</b> African American women are at greater risk for cervical cancer incidence and mortality than White women. Up to 90% of cervical cancers are caused by human papillomavirus (HPVs) infections. The National Institutes of Health (NIH) co-developed HPV self-test kits to increase access to screening, which may be critical for underserved populations. <b>Purpose/Research Design:</b> This mixed methods study used the Theory of Planned Behavior to examine attitudes, barriers, facilitators, and intentions related to receipt of cervical cancer screening and perceptions of HPV self-testing among church-affiliated African American women. Study Sample/Data Collection: Participants (<i>N</i> = 35) aged 25-53 participated in focus groups and completed a survey. <b>Results:</b> Seventy-four percent of participants reported receipt of cervical cancer screening in the past 3 years. Healthcare providers and the church were supportive referents of screening. Past trauma and prioritizing children's healthcare needs were screening barriers. Concerns about HPV self-testing included proper test administration and result accuracy. <b>Conclusions:</b> Strategies to mitigate these concerns (e.g., delivering HPV self-test kits to the health department) are discussed.</p>","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"137-150"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40372884","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}
引用次数: 0
Extending Kingdon's Multiple Streams Policy Framework Through an Analysis of How Community Health Workers in India Are Driving Policy Changes. 通过分析印度社区卫生工作者如何推动政策变革,扩展金登的多流政策框架。
Community health equity research & policy Pub Date : 2023-12-17 DOI: 10.1177/2752535X231222654
Sanjana Santosh, Sumit Kane
{"title":"Extending Kingdon's Multiple Streams Policy Framework Through an Analysis of How Community Health Workers in India Are Driving Policy Changes.","authors":"Sanjana Santosh, Sumit Kane","doi":"10.1177/2752535X231222654","DOIUrl":"10.1177/2752535X231222654","url":null,"abstract":"<p><p>In this paper we develop and provide a novel account of the process through which the Accredited Social Health Activists (ASHAs), a cadre of seemingly powerless community health workers in India, are navigating a complex policy process to incrementally achieve their goals. ASHAs have been demanding better working conditions, better compensation, and regularisation as public service employees through protests and strikes and have managed to gain concessions from both the Central and various State governments. We observed two important aspects that emerged: (a) ASHAs achieved incremental increases in their wages despite being the lowest in the health system hierarchy, and, (b) major gains were made during the 2 years of the pandemic. We examine and analyse ASHAs' engagement and strategies used, both overt and covert, sometimes with the government, and the role of other actors in determining these policy outcomes. We do so by drawing on academic literature and news media reports; we trace the changes in ASHAs' wages by tying together key events, 'windows of opportunity', and actions of 'policy entrepreneurs' involved in the process.In doing so, we further develop and propose an extension to Kingdon's multiple streams policy framework through the addition of a 'narrative stream'.</p>","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"2752535X231222654"},"PeriodicalIF":0.0,"publicationDate":"2023-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138813424","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}
引用次数: 0
Contending With Precarity: Health and Multi-Sectoral Supports for Migrant Agricultural Workers in Southern Ontario. 应对妊娠风险:安大略省南部移民农业工人的健康和多部门支持》(Contending With Precarity: Health and Multi-Sectoral Supports for Migrant Agricultural Workers in Southern Ontario)。
Community health equity research & policy Pub Date : 2023-12-14 DOI: 10.1177/2752535X231221587
C Susana Caxaj, Glynis George, Erika Borrelli, Linda Frost
{"title":"Contending With Precarity: Health and Multi-Sectoral Supports for Migrant Agricultural Workers in Southern Ontario.","authors":"C Susana Caxaj, Glynis George, Erika Borrelli, Linda Frost","doi":"10.1177/2752535X231221587","DOIUrl":"10.1177/2752535X231221587","url":null,"abstract":"<p><p>Research has long-documented how Canada's temporary foreign worker programs (TFWP) foster workers' precarity through their status as non-citizens and living and working conditions, ultimately, impacting their health. While studies point to limited supports and services for workers, their role in reinforcing or alleviating the precarious conditions that migrant agricultural workers experience remains largely unexplored. This paper draws on interviews with 35 service providers in three migrant-intensive regions in southwestern Ontario, to explore how service providers describe and construct support. We explore the barriers workers face in accessing services, challenges providers experience in supporting workers, and strategies employed to surmount these barriers. We argue that this multiregional analysis is important to illuminate how support shapes and is shaped by the larger structural context, namely common features of Canada's TFWP. A more comprehensive understanding of support moreover, provides direction for sustainable interventions that can promote the health and wellbeing of this population.</p>","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"2752535X231221587"},"PeriodicalIF":0.0,"publicationDate":"2023-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11437694/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138813418","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}
引用次数: 0
Community Groups Co-Design Evidence-Based Docudramas to Communicate About Child Spacing in Bauchi State, Nigeria: A Qualitative Descriptive Study. 在尼日利亚包奇州,社区团体共同设计以证据为基础的纪录片,宣传生育间隔:定性描述研究。
Community health equity research & policy Pub Date : 2023-12-12 DOI: 10.1177/2752535X231221594
Umaira Ansari, Khalid Omer, Yagana Gidado, Muhd Chadi Baba, Adamu Ibrahim Gamawa, Lois Ezekiel Daniel, Neil Andersson, Anne Cockcroft
{"title":"Community Groups Co-Design Evidence-Based Docudramas to Communicate About Child Spacing in Bauchi State, Nigeria: A Qualitative Descriptive Study.","authors":"Umaira Ansari, Khalid Omer, Yagana Gidado, Muhd Chadi Baba, Adamu Ibrahim Gamawa, Lois Ezekiel Daniel, Neil Andersson, Anne Cockcroft","doi":"10.1177/2752535X231221594","DOIUrl":"10.1177/2752535X231221594","url":null,"abstract":"<p><p>In Bauchi State, northern Nigeria, communities recognise short birth interval (<i>kunika</i> in the Hausa language) as harmful, but family planning is a sensitive topic. This paper describes the development of a culturally safe way to communicate about <i>kunika</i> in a conservative Muslim setting. The objective was to co-design culturally safe communication material, based on local knowledge about short birth interval, to share with women and men in households.Six community co-design groups of women and six of men (total 96 participants) reviewed summaries of their previously created maps of perceived local causes of <i>kunika,</i> categorised as frequent sex, family dynamics and non-use of contraception. They advised how these causes could be discussed effectively and acceptably with women and their husbands in households and suggested storylines for three short video docudramas about the prevention of <i>kunika.</i> The research team created the docudramas with a local producer and fieldworkers piloted their use in households.The design groups advised that communication materials should focus on child spacing rather than on limitation of family size. Even sensitive issues could be covered. People would not change their sexual behaviour but could be advised to use contraceptives to prevent <i>kunika</i>. The groups approved the final videos and six focus groups of visited women and men reported they were acceptable and helpful. Community co-design of communication about <i>kunika</i> was feasible and led to videos about a sensitive topic that were acceptable to ordinary men and women in communities in Bauchi.</p>","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"2752535X231221594"},"PeriodicalIF":0.0,"publicationDate":"2023-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11418317/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138813417","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}
引用次数: 0
Disparities in Lung Cancer Clinical Trial Discussion and Enrollment at a Safety Net Hospital. 一家安全网医院在肺癌临床试验讨论和注册方面存在的差异。
Community health equity research & policy Pub Date : 2023-12-12 DOI: 10.1177/2752535X231221394
Harshitha Dudipala, Laura Burns, Chinmay T Jani, Amr Radwan, Omar Al Omari, Mohini Patel, Seyda Kilic, Jenny Zhao, Kimberley Mak, Kei Suzuki, Umit Tapan
{"title":"Disparities in Lung Cancer Clinical Trial Discussion and Enrollment at a Safety Net Hospital.","authors":"Harshitha Dudipala, Laura Burns, Chinmay T Jani, Amr Radwan, Omar Al Omari, Mohini Patel, Seyda Kilic, Jenny Zhao, Kimberley Mak, Kei Suzuki, Umit Tapan","doi":"10.1177/2752535X231221394","DOIUrl":"https://doi.org/10.1177/2752535X231221394","url":null,"abstract":"<p><strong>Background: </strong>In the United States, less than 5% of all adult cancer patients enroll in clinical trials. Few studies explore participation in cancer clinical trials at safety net hospitals, which disproportionately care for minoritized, low-income, uninsured, and underinsured populations. Our study aims to investigate disparities in clinical trial discussions and enrollment among lung cancer patients at Boston Medical Center, the largest safety net hospital in New England.</p><p><strong>Methods: </strong>We included 1121 patients diagnosed with lung cancer between January 2015 and December 2020. Electronic Medical Records (EMR) were queried, and patients were categorized into three groups: (1) clinical trial discussed and the patient enrolled, (2) clinical trial discussed but the patient not enrolled, and (3) clinical trial not discussed. Sociodemographic variables such as age, gender, race, ethnicity, city, primary language, median household income, medical insurance type, and education level were also collected. Chi-squared,<i>t</i> test, and multivariate regression analysis was done using SPSS version 26.0.</p><p><strong>Results: </strong>Of the 1121 patients, clinical trials were discussed in 141 patients (12.6%), of which 22 (15.6%) were enrolled. Clinical trial discussions were conducted more with younger patients (68.19 vs 71.37, <i>p</i> = .001), but on multivariate analysis there was no significant difference (OR = 1.023; 95% CI 0.998-1.048; <i>p</i> = .068). There was no significant difference in clinical trial discussion or enrollment between the other sociodemographic factors.</p><p><strong>Conclusion: </strong>Additional study of barriers to cancer clinical trial discussion and enrollment at safety net institutions can serve as a prerequisite to ameliorating racial disparities observed on a national scale.</p>","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"2752535X231221394"},"PeriodicalIF":0.0,"publicationDate":"2023-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138813419","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}
引用次数: 0
Assessing Organizational Capacity to Advance Health Equity: Mixed-Methods Approach at a Local Health Department. 评估组织促进健康公平的能力:地方卫生部门的混合方法。
Community health equity research & policy Pub Date : 2023-11-29 DOI: 10.1177/2752535X231219297
Shipra Singh, Mounika Polavarapu, Katharine Vallerand, Yashika Bhoge, Krista McCarthy Noviski
{"title":"Assessing Organizational Capacity to Advance Health Equity: Mixed-Methods Approach at a Local Health Department.","authors":"Shipra Singh, Mounika Polavarapu, Katharine Vallerand, Yashika Bhoge, Krista McCarthy Noviski","doi":"10.1177/2752535X231219297","DOIUrl":"https://doi.org/10.1177/2752535X231219297","url":null,"abstract":"<p><p>Local health departments (LHDs) play a leading role in eliminating health inequities as they proactively identify and address barriers to optimal health within the community they serve. This study evaluated a Midwestern County LHD's commitment, collaborations, and capacity to advance health equity in their organization. A total of 81 employees completed the online survey (response rate = 51%) and 12 among randomly selected employees completed the qualitative interviews (31.5%). More than 75% of participants reported that all departments had explicit work plans and 50% had a strong capacity to address social determinants of health. Almost 50% of the participants reported strong internal collaboration, but less than 25% indicated that no external partners were involved during the program planning process. Finally, a few participants identified the need for increased diversity in leadership and expressed the importance of quality training and feedback.</p>","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"2752535X231219297"},"PeriodicalIF":0.0,"publicationDate":"2023-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138464715","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}
引用次数: 0
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