{"title":"A Cross-Sectional Analysis of Community Perceptions of Flu and COVID-19 Vaccines at Turtle Creek Primary Care Center.","authors":"Anjana Murali, Jorna Sojati, Marina Levochkina, Catherine Pressimone, Kobi Griffith, Erica Fan, Allie Dakroub","doi":"10.1177/2752535X231205665","DOIUrl":"10.1177/2752535X231205665","url":null,"abstract":"<p><strong>Background: </strong>Influenza (flu) and COVID-19 vaccination rates are subpar across the US, especially in racial and/or socioeconomic minority groups who are understudied in public health literature.</p><p><strong>Objective: </strong>The objective of this mixed-methods study was to elucidate attitudes of patients at the Turtle Creek Primary Care Center, a clinic that cares for ∼70% non-white patients, towards flu and COVID-19 vaccines, with the goal of establishing vaccine education gaps and increasing vaccine uptake in minority communities.</p><p><strong>Design/patients: </strong>This study was conducted as a cross-sectional analysis. Authors completed 123 patient phone surveys of patients cared for at the Turtle Creek clinic inquiring about flu and COVID-19 infection status and vaccination uptake (August 26-October 10, 2021).</p><p><strong>Approach/key results: </strong>We found that rates of vaccination were subpar in the Turtle Creek community, with only 54% having received the COVID-19 vaccine and only 44% receiving the flu vaccine regularly. There was a strong association between COVID-19 and flu vaccine acceptance and a notable correlation between vaccine acceptance and age. When assessing how vaccine acceptance was influenced by trusted sources of information, those who cited trusting \"medical professionals\" and \"word of mouth\" had higher odds of COVID-19 vaccine acceptance but those who cited trusting \"social media\" had decreased odds of acceptance. Finally, we uncovered 14 common factors for either vaccine acceptance or refusal that clustered into four overarching themes of trust, need, safety, and availability.</p><p><strong>Conclusion: </strong>These data highlight the necessity of improved vaccine education and reveal targetable populations and approaches for disseminating vaccine information.</p>","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"439-451"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41221811","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}
Dara D Mendez, Stephanie N Christian, Andrea Casas, Samantha Scott, Hannah Hardy, Roderick Harris, Aja Wilkerson, Tiffany L Gary-Webb
{"title":"Instituting Racial Equity: The Allegheny County Racial and Ethnic Approaches to Community Health Initiative.","authors":"Dara D Mendez, Stephanie N Christian, Andrea Casas, Samantha Scott, Hannah Hardy, Roderick Harris, Aja Wilkerson, Tiffany L Gary-Webb","doi":"10.1177/2752535X221135301","DOIUrl":"10.1177/2752535X221135301","url":null,"abstract":"<p><strong>Introduction: </strong>In 2018, The Live Well Allegheny: Lifting Wellness for African Americans (LWA2) Initiative was developed to support six priority, Black communities in Allegheny County, Pennsylvania to address health equity in chronic disease. The LWA2 coalition members participated in ongoing anti-racism and racial equity sessions with a nationally recognized anti-racist facilitation team. The sessions included a 2-days experience in January 2020 along with follow up meetings throughout 2020.</p><p><strong>Methods: </strong>Surveys were administered to understand their perceptions related to anti-racism and oppression and subsequent actions as a result of the sessions. Additionally, we conducted nine in-depth interviews with organizational partners (January -May 2020) to evaluate the overall effectiveness of the coalition and inform future activities.</p><p><strong>Results: </strong>Ten participants completed the post session surveys. Seven out of 10 survey respondents felt they had a good understanding of how oppression (racism, sexism, capitalism) influenced their life and work. However, the majority indicated needing the tools to implement anti-racist strategies in their work. The in-depth interviews with organizational partners revealed that racial equity was of concern to all partners but there was variability in intentionality around racial equity as a core element of each organization's mission, goals and subsequent actions.</p><p><strong>Discussion: </strong>As a result of the interviews, coalition members developed a racial equity statement and theory of change for implementation in the coalition work and within individual organizations along with a plan for implementing an equity audit of the coalition. Coalitions of this kind should be intentional about implementing continuous strategies related to anti-racism for structural changes toward achieving racial equity in their overall work.</p>","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"391-397"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40574834","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}
Lea Ayers LaFave, Naomi Clemmons, Milton Kotelchuck, Naima Morales Cozier, Ana Geltman, Dianne R Browne, Katie Kenyon
{"title":"Activating Life Course Theory through a Whole System Prevention Framework to Address the Wicked Problem of Maternal and Infant Morbidity and Mortality.","authors":"Lea Ayers LaFave, Naomi Clemmons, Milton Kotelchuck, Naima Morales Cozier, Ana Geltman, Dianne R Browne, Katie Kenyon","doi":"10.1177/2752535X231170737","DOIUrl":"10.1177/2752535X231170737","url":null,"abstract":"<p><strong>Background: </strong>Racial/ethnic disparities in maternal and infant morbidity and mortality (MIM&M) is a wicked problem that is reinforced and perpetuated by our system[s] of care. Life Course Theory (LCT) helps to explain drivers of health disparities, but its application is challenged. An upstream approach that promotes systemic change requires the implementation of an expanded prevention framework that includes primordial and quaternary prevention.</p><p><strong>Research design: </strong>We developed an innovative expanded Whole System Prevention Framework (WSPF) that incorporates LCT, prevention (including primordial and quaternary prevention) and systems thinking.</p><p><strong>Study sample: </strong>We implemented this new conceptual Framework with two Healthy Start community partnerships through training, service mapping, and strategic planning to address upstream drivers of MIM&M.</p><p><strong>Data collection and analysis: </strong>Service mapping revealed few Healthy Start upstream activities/services with the predominance being delivered downstream at the program (microsystem) level.</p><p><strong>Results: </strong>Service mapping provided a snapshot of the current service distribution of services across the systems. The preponderance were primary, secondary and tertiary prevention activities (75.5% and 65.6%) delivered at the program level (58.2% and 68%), revealing opportunities for upstream strategies to promote equity. The implementation process provided a new way to frame strategic planning and develop upstream strategies to promote health equity and reduce MIM&M.</p><p><strong>Conclusion: </strong>The Whole System Prevention Framework and its implementation methodology could be applied to address other wicked problems.</p>","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"349-364"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11143759/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9754741","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}
Darlingtina Esiaka, Christina C Yarborough, Bernadette A Fausto, Mark A Gluck
{"title":"A Mini-Review of Strategies for Recruiting Older African Americans to Alzheimer's Disease Research.","authors":"Darlingtina Esiaka, Christina C Yarborough, Bernadette A Fausto, Mark A Gluck","doi":"10.1177/0272684X221118493","DOIUrl":"10.1177/0272684X221118493","url":null,"abstract":"<p><p>African Americans experience higher incidence and prevalence of Alzheimer's disease (AD). Yet, they continue to be underrepresented in AD research, limiting the ability to generalize findings to the increasingly diverse US population. To reduce AD disparities, targeted efforts are needed to increase the representation of African Americans in AD research. This mini review identified evidence-based strategies that increased research participation among older African Americans. Four recruitment strategies emerged from eight published peer-reviewed studies that directly evaluated the effectiveness of strategies aimed at increasing the number of African American participants in Alzheimer's research. The strategies include community outreach and education, face-to-face discussions, remote access, and referral and partnership with local organizations. Across different locations, these strategies increased the number of African Americans enrolled into AD research, the number of people that signed up to donate their brains for AD research upon death, and the knowledge and perception of AD in the communities. Targeted efforts are effective in increasing AD research participation among older African Americans, especially when combined with approaches that emphasize transparency and mutual trust and involve the community as stakeholders in the research process.</p>","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"419-428"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11025449/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40368685","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":"Completing the Transition to Community Health Equity Research and Policy: A New Editorial Board.","authors":"Kathryn P Derose, Aline Gubrium","doi":"10.1177/2752535X241256784","DOIUrl":"10.1177/2752535X241256784","url":null,"abstract":"","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"347"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140959900","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}
Alexis K Grant, Jennifer K Felner, Yvette Castañeda, Preethi Pratap, Jeni Hebert-Beirne
{"title":"Leveraging Key Informant Interviews to Inform Intervention Development: The Greater Lawndale Healthy Work Project.","authors":"Alexis K Grant, Jennifer K Felner, Yvette Castañeda, Preethi Pratap, Jeni Hebert-Beirne","doi":"10.1177/2752535X231196395","DOIUrl":"10.1177/2752535X231196395","url":null,"abstract":"<p><strong>Background: </strong>The Greater Lawndale Healthy Work project is a sequential mixed methods community based participatory research project that examines work as a structural determinant of health and builds community capacity for healthy work in a predominantly Black and Latinx community in Chicago known as Greater Lawndale (GL).</p><p><strong>Objectives: </strong>We interviewed community leaders in GL as key informants to understand the barriers to healthy work and inform intervention development.</p><p><strong>Methods: </strong>We conducted a directed content analysis of transcripts from 20 key informants and coded the social ecology and type of intervention.</p><p><strong>Results: </strong>Every key informant mentioned at least one asset in GL, showing an opportunity to employ a capacity-oriented approach to intervention development. Key informants suggested a variety of interventions to address precarious work across levels of the social ecology, with individual and community level interventions being the most salient.</p><p><strong>Conclusion: </strong>Through this approach, we were able to navigate tensions and challenges in conducting research for community-wide change. Key informant stakeholder interviews can be leveraged to meaningfully inform intervention development and support the development of multi-level, sustainable, and culturally acceptable interventions that advance health equity.</p>","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"429-438"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10041906","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":"Completing the Transition to Community Health Equity Research and Policy: A New Editorial Board.","authors":"Kathryn P Derose, A. Gubrium","doi":"10.1177/2752535X241256784","DOIUrl":"https://doi.org/10.1177/2752535X241256784","url":null,"abstract":"","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":"48 18","pages":"2752535X241256784"},"PeriodicalIF":0.0,"publicationDate":"2024-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140965731","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}
Nicholas A. Rattray, Sean A Baird, D. Natividad, Leah Danson, Richard M. Frankel, Gala True
{"title":"Fostering Alignment and the Catalytic Potential of Community-Engaged Research With US Military Veterans and Advocates.","authors":"Nicholas A. Rattray, Sean A Baird, D. Natividad, Leah Danson, Richard M. Frankel, Gala True","doi":"10.1177/2752535X241245270","DOIUrl":"https://doi.org/10.1177/2752535X241245270","url":null,"abstract":"This paper explores the concept of \"community-engaged research\" (CEnR) within the context of Veteran health care delivery and reintegration programs. A multi-sector expert panel (msExP) was formed to evaluate and make recommendations on Veteran community reintegration research and programs. The panel consisted of Veterans, care partners, clinical providers, researchers, community stakeholders, and subject matter experts. The paper examines the composition and lifecycle of the panel, highlighting the characteristics and experiences of the participants. Shifts in the panel's purpose and engagement levels occurred in response to unanticipated disruptions, particularly the COVID-19 pandemic. The transformation of the panel emphasizes the importance of aligning individual and group needs and deepening intrapersonal relationships Findings based on observations, surveys, and interviews with panel members contribute to the field of community-engaged research by demonstrating the utility of catalytic validity that balances group and individual development. As part of a broader study on Veteran reintegration, the panel and its development over time allowed for various perspectives on Veteran experiences and reintegration within the community that shaped the overall project. Despite the challenges of developing and maintaining a panel alongside a research study, feedback from the panel members on their participation provides insight into the potential for future working alliances in community-engaged health research.","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":"209 2","pages":"2752535X241245270"},"PeriodicalIF":0.0,"publicationDate":"2024-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140693305","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}
J V Christanti, A P Setiadi, E Setiawan, B Presley, S V Halim, S A Wardhani, B Sunderland, Y I Wibowo
{"title":"Community-Based Approach to Promote Rational Use of Antibiotics in Indonesia: The Development and Assessment of an Education Program for Cadres.","authors":"J V Christanti, A P Setiadi, E Setiawan, B Presley, S V Halim, S A Wardhani, B Sunderland, Y I Wibowo","doi":"10.1177/2752535X231184029","DOIUrl":"10.1177/2752535X231184029","url":null,"abstract":"<p><strong>Background: </strong>Cadres play an important part in providing community-based education. This study developed and assessed an education program for cadres in Malang, Indonesia, as 'change agents' to promote rational antibiotic use.</p><p><strong>Methods: </strong>In-depth-interviews with stakeholders (<i>N</i> = 55) and a subsequent group discussion with key personnel (<i>N</i> = 5) were conducted to develop a relevant education tool for cadres. This was followed with a pilot study with cadres (<i>N</i> = 40) to assess the effectiveness and acceptability of the new tool.</p><p><strong>Results: </strong>Consensus was reached on the education tool media: an audio-recording (containing full information) with a pocketbook (containing key information) as a supplement. A pilot study on the new tool reported its effectiveness in improving knowledge (<i>p</i> < 0.001) and demonstrated a high acceptability (all respondents stated 'Strongly Agree' or 'Agree' on all statements).</p><p><strong>Conclusion: </strong>This study has created a model for an education tool which can potentially be implemented for cadres to educate their communities about antibiotics in the Indonesian context.</p>","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"281-293"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9737153","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":"Women and Care: Reflections on the Lived Experience of COVID-19 Sufferers.","authors":"Sheilalaine G Romulo, Ryan C Urbano","doi":"10.1177/2752535X231163029","DOIUrl":"10.1177/2752535X231163029","url":null,"abstract":"<p><p>Women play a crucial role in the care and response to the COVID-19 pandemic, whether in paid or unpaid work. This article looks into the lived experience of some of these women infected by COVID-19 while doing their job as care providers. We selected nine women from Cebu City, Philippines. We presented their lived experience through van Manen's phenomenology of practice. Themes of the lived experience reveal pain and separation, suffering and caring, stigma of discrimination, caring response, and supportive relationship in the midst of a health crisis. Our reflections reveal that even in serious vulnerability and sustained domestic burden, women remained steadfast in their caring character. Their caring attitude has turned the quarantine facility into a liveable space where empathy, reciprocity, and relationality dwell and thus help everyone survive the COVID-19 ordeal.</p>","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"243-252"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10014448/pdf/10.1177_2752535X231163029.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9178989","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}