Community health equity research & policy最新文献

{"title":"How can Community Music Help Address Loneliness in Contexts of Social Marginalisation? Insights From Two Music for Social Connection Programs.","authors":"Emma Heard, Brydie-Leigh Bartleet, Joel Spence, Kylie Dean, Sam Eyles, Jenny Martinelli, Katie McGuire","doi":"10.1177/2752535X241304084","DOIUrl":"10.1177/2752535X241304084","url":null,"abstract":"<p><p>This study explores how participatory music programs can help build social connection for people experiencing loneliness in contexts of social marginalisation. Loneliness is a growing, global public health issue with social and structural drivers. There is an urgent need to investigate innovative approaches to programming that go beyond opportunities for social contact to address the multiple domains of loneliness. Designed collaboratively with two social sector organisations in an urban context in Australia, this study presents outcomes from two community programs that involved groups of people experiencing or at risk of loneliness engaging in music together. Using a qualitative methodology that included semi-structured and brief interviews, focus groups and ethnographic observation, researchers identified positive shifts in relation to social loneliness (related to social contact), emotional loneliness (related to social bonds and meaningful connections), and existential loneliness (related to community connection and acceptance) for participants of the music programs. This study contributes to an urgent gap in understanding effective programming to support people experiencing loneliness and bolsters emerging evidence about the role arts can play in strengthening health, community and social sector efforts to address inequity.</p>","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"131-145"},"PeriodicalIF":1.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12627244/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142755824","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":"<i>'We're More Prepared than Before</i>: Understanding the Strategies Used by a Non-governmental Organization During the COVID-19 Pandemic in Sub-Saharan Africa.","authors":"Satveer Dhillon, Isaac Luginaah, Susan J Elliott, Justine Nagawa, Ronah Agaba Niwagaba","doi":"10.1177/2752535X251317651","DOIUrl":"10.1177/2752535X251317651","url":null,"abstract":"<p><p>IntroductionThe COVID-19 pandemic had a negative impact on populations worldwide, particularly on older adults residing in low - and middle-income countries. Due to these negative impacts, non-governmental organizations (NGOs) provided extensive support, which affected their operations.MethodsUsing the social resilience framework, the purpose of this study was to better understand what strategies NGOs used to support vulnerable populations and how they are building back stronger from the COVID-19 pandemic. In the fall of 2022, 26 (virtual) in-depth interviews were conducted with staff and volunteers from an NGO supporting older adults in Uganda.ResultsSeveral key themes emerged including using existing resources to better support older adults and staff and the importance of having multiple sources of revenue to support organizational operations.DiscussionThe key lessons learned by NGO staff and volunteers can be utilized to enact policy and practice change to help strengthen NGOs' social resilience. This would allow them to continue implementing innovative strategies to support vulnerable populations during times of crisis.</p>","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"185-194"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12627247/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143071272","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":"Health-Related Social Needs Intervention for Adolescents and Young Adults With Type 2 Diabetes and Their Caregivers: An Exploratory Study Using Human-Centered Design.","authors":"Maya I Ragavan, Brianna Hewitt, Erin Mickievicz, Callie Laubacher, Caleb Harrison, Kristin N Ray, Abigail Carpenter, Lynne Williams, Bobbi Watts Geer, Arvin Garg, Mary Ellen Vajravelu","doi":"10.1177/2752535X251316990","DOIUrl":"10.1177/2752535X251316990","url":null,"abstract":"<p><p>Youth-onset type 2 diabetes (T2D) is increasingly common and projected to impact over 200,000 adolescents and young adults by 2060. Youth with T2D frequently experience health-related social needs (HRSN) that increase their risk for poor outcomes. Using human-centered design methodology, we explored how best to address HRSN in pediatric endocrinology clinics. We conducted two parallel, six-session group meetings with youth (<i>n</i> = 4) and caregivers of youth (<i>n</i> = 6), as well as individual interviews with 12 pediatric endocrinology clinicians. An inductive thematic data analysis approach was used. Participants described that HRSN are pervasive for youth with T2D and are especially impactful after diagnosis. Participants thought that addressing HRSN in healthcare settings was important but emphasized that interventions need to be affirming and provide tangible, relevant resources. Engagement with community health workers trained around diabetes management is needed, as is structural change to disrupt health disparities. Future research and clinical transformation are discussed.</p>","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"171-183"},"PeriodicalIF":1.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12226807/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069780","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":"Liberal/Individualized Versus Materialist/Structuralist Approaches to Addressing Social and Health Inequalities: Education and Income as Social Determinants of Health.","authors":"Avery Ervin, Dennis Raphael","doi":"10.1177/2752535X251316086","DOIUrl":"10.1177/2752535X251316086","url":null,"abstract":"<p><p><b>Background:</b> While consensus exists that the sources of health inequalities are social inequalities brought on by the experience of qualitatively different living and working conditions, means of addressing these conditions continue to be the subject of dispute. Whether to emphasis education or income as a social determinant of health is one such example of differing views on the sources of these inequalities and the means of addressing them. These different emphases are often justified through the narrow examination of the magnitude of statistical relationships between educational attainment and income with health outcomes.<b>Purpose:</b> We offer a broader view, seeing these differing emphases as indicative of contrasting views of the nature of society and means of responding to these inequalities with emphasis on education representing a liberal reformist view of the issue while an emphasis on income representing a materialist structuralist view.<b>Research design and study sample:</b> We examine, the validity of this hypothesis through an analysis of content of five representative publications that consider educational attainment as a social determinant of health and five that do so for income.<b>Analysis and results:</b> We find that the emphasis on education as a social determinant of health focuses on the attributes of the individual and is generally accepting of the structures and processes of the existing economic and political order. In contrast, an emphasis on income - when placed within a materialist analysis - views existing systems as inequitably distributing income and other resources thereby requiring their reform or transformation.<b>Conclusion:</b> Considering evidence of deteriorating living and working conditions for many in Canada and elsewhere, we see the latter emphasis as more useful for understanding and addressing these disturbing developments.</p>","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"209-228"},"PeriodicalIF":1.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12627241/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048722","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":"\"It Was Like a Baptism by Fire:\" Sexual and Reproductive Healthcare Providers' Training Experiences Related to the Provision of Care to Black and Latina Women Who Use Substances in the United States.","authors":"Eli Wasserman, Bailey Brewer, Brittany Mandeville, Caroline Welch, Madeline Noh, Angela R Bazzi, Katie Biello, Madina Agénor","doi":"10.1177/2752535X251409440","DOIUrl":"10.1177/2752535X251409440","url":null,"abstract":"<p><p>Black and Latina cisgender and transgender women who use substances face adverse sexual and reproductive health (SRH) outcomes due to intersecting forms of discrimination and limited access to high-quality SRH services. Insufficient research has explored healthcare providers' views and experiences related to delivering SRH care to multiply marginalized women, especially the role of training in shaping their attitudes and practices. Using purposive sampling, we conducted online, in-depth interviews with 20 SRH care providers in Massachusetts and Rhode Island in August-November 2023 to elucidate how their training influenced their provision of SRH care to Black and Latina cisgender and transgender women who use drugs and identify the strategies they used to address the limitations of their formal training. Using intersectionality-informed thematic analysis, we found that most providers expressed dissatisfaction with their clinical education, which failed to address how racism, transphobia, and substance use stigma simultaneously influenced SRH outcomes and care. Further, many reported that the training needed to provide high-quality SRH care to Black and Latina cisgender and transgender women who use drugs largely occurred outside of their formal education, but that burnout, time constraints, and lack of reimbursement undermined their ability to obtain additional training and deliver tailored care. Providers also described how their professional and personal backgrounds influenced their practices and noted that specialized SRH education, working in person-centered care settings, and sharing social identities with patients facilitated their provision of high-quality SRH care to Back and Latina women who use drugs. Medical and nursing programs should incorporate training on intersectional discrimination and facilitate the enrollment of students with multiple minoritized social identities to advance SRH equity and justice.</p>","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"2752535X251409440"},"PeriodicalIF":1.8,"publicationDate":"2025-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145822251","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":"Reflections on Protecting, Promoting, and Advancing the Public Health of the Nation.","authors":"Rachel L Levine","doi":"10.1177/2752535X251383651","DOIUrl":"https://doi.org/10.1177/2752535X251383651","url":null,"abstract":"","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"2752535X251383651"},"PeriodicalIF":1.8,"publicationDate":"2025-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145822205","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":"Racial Self-Efficacy and Ethnic Identity in the Context of Neighborhood Violence and Internalizing Symptoms Among Black and Latinx youth: An Application of the Minority Stress Theory.","authors":"Sitara M Weerakoon, Mike Henson-Garcia, Raquel Rose, Joy Lindsay, Nimisha Srikanth, Ijeoma Opara","doi":"10.1177/2752535X251406670","DOIUrl":"10.1177/2752535X251406670","url":null,"abstract":"<p><p>BackgroundBlack and Latinx youth are disproportionately exposed to neighborhood violence and related mental health challenges. Racial-ethnic identity shapes how adolescents perceive, interpret, and cope with stressful environmental conditions, yet its role in these associations remains underexplored.MethodsUsing cross-sectional data from 621 Black and Latinx adolescents (mean age = 15.5 years), we applied structural equation modeling to examine associations of perceived neighborhood violence, racial self-efficacy, ethnic identity exploration, and internalizing symptoms of anxiety.ResultsGreater exposure to neighborhood violence was associated with lower racial self-efficacy (β = -0.22, <i>p</i> < .001), which was in turn associated with reduced internalizing symptoms (β = -0.14, <i>p</i> < .001). Ethnic identity exploration was negatively associated with racial self-efficacy (β = -0.10, <i>p</i> < .05) and was not significantly associated with internalizing symptoms (β = -0.04, <i>p</i> > .05).ConclusionsThese findings highlight potential psychosocial processes associated with neighborhood violence and suggest that racial self-efficacy may play a meaningful role in the mental health experiences of minoritized youth.</p>","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"2752535X251406670"},"PeriodicalIF":2.2,"publicationDate":"2025-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13094771/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145672972","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 Members' Perspectives on Men's Risk and Protective Health Factors: A Community-Based Participatory Research Study.","authors":"Cary Carr, Sarah L Collins, Gaia Zori, Lindsey M King, Abraham A Salinas-Miranda, Roneé E Wilson, Kenneth Scarborough, Estrellita Lo Berry, Deborah Austin, Richard Briscoe, Georgette King, Lillian Cox, Carrie Y Hepburn Brown, Evangeline Best, Conchita Burpee, Acquel Allen-Mitchell, Hamisu M Salihu","doi":"10.1177/2752535X251404211","DOIUrl":"https://doi.org/10.1177/2752535X251404211","url":null,"abstract":"<p><p>Despite men's health playing a significant role in the well-being of infants, children, and women, there is a gap in maternal and child health research which more broadly considers men's health as a component of family's and community's overall well-being and for the sake of men's <i>own</i> health and well-being, particularly from the perspective of men with marginalized identities, such as Black men, and community members. Therefore, our community-based participatory research study aimed to explore what community members perceive as protective and risk factors for the general health of men in a low-income community using a generic qualitative approach with focus groups and thematic analysis. We identified six protective factor themes (health behaviors, economic stability, expected male responsibilities, healthcare engagement, social network, and faith, spirituality, and driving forces), as well as six risk factor themes (health behaviors, impact of mentorship, experience of driving forces, healthcare avoidance, mental health concerns, and systemic bias, racism, and social inequity). There are actionable steps public health practitioners and policymakers should prioritize, including addressing structural barriers to men's health, such as by combating discrimination and increasing access to healthcare, removing barriers to mental health care, and creating opportunities for increased social support. These strategies can give way to greater opportunities for men to engage in protective behaviors that can both improve their health across the life-course and positively impact the health of mothers, infants, children, and communities.</p>","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"2752535X251404211"},"PeriodicalIF":1.8,"publicationDate":"2025-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145643499","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 End-of-Life Perspectives in Structurally Vulnerable Populations: A Qualitative Focus Group Study.","authors":"Anouk Bérubé, Sophie Dupéré, Diane Tapp, Ariane Plaisance","doi":"10.1177/2752535X251400396","DOIUrl":"https://doi.org/10.1177/2752535X251400396","url":null,"abstract":"<p><p>BackgroundPalliative care is a key component of the healthcare system, yet structurally vulnerable populations face significant barriers to accessing it and its support in care planning. This study explored beliefs, needs, and concerns related to palliative care and advance care planning among these populations.MethodsTwo semi-structured focus groups were conducted in major cities in the province of Quebec, Canada, in May and August of 2022. Participants had to be at least 18 years old and be able to speak and understand French. They also had to attend or use the services of a partnered community organization serving the target population. Data was analyzed according to the thematic content analysis approach.ResultsFifteen (15) persons participated: all were Caucasian, and most were women, born before 1960, single, and retired. Misconceptions and a lack of awareness of the various palliative care options were generally observed among participants. Experience with caring for a dying person, access to a family physician, and access to a legal professional were identified as elements promoting awareness of palliative care. Participants raised an urgent need for more accessible information about palliative care and advance care planning, and for more access to care.ConclusionsA good understanding of palliative care options helps individuals and families make informed decisions and be better prepared for the end of life. Structurally vulnerable people urgently need accessible information to support this preparation. This study supports the development of equity-focused policies and tailored interventions to improve access and planning for this population.</p>","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"2752535X251400396"},"PeriodicalIF":1.8,"publicationDate":"2025-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145643518","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":"That's Where Our Humanness Lies\": How Families Leverage Social Capital to Access Antenatal Care in Rural, Eastern Zimbabwe.","authors":"Anthony Shuko Musiwa, Vandna Sinha, Jill Hanley, Morten Skovdal, Mónica Ruiz-Casares","doi":"10.1177/2752535X251395358","DOIUrl":"https://doi.org/10.1177/2752535X251395358","url":null,"abstract":"<p><p>Families across sub-Saharan Africa (SSA) often rely on social capital to access traditional, faith-based, and biomedical antenatal care (ANC). Yet, many current studies focus on biomedical ANC and emanate predominantly from the Global North. In this qualitative case study, we aimed to explore how families utilize social capital to access various types of ANC in Mafararikwa, a rural ward in Eastern Zimbabwe. We generated data through interviews with 30 health professionals, and consultations, focus group discussions, and storyboarding with 71 community-level key informants and parents or legal guardians. We analyzed the data thematically. We identified four main themes: Theme 1: Support through social networks and community groups (families draw support from social networks, local groups, and community initiatives to engage with different types of ANC); Theme 2: Material and non-material support (families draw material and non-material supports from social networks, local groups, and community initiatives to engage with various forms of ANC); Theme 3: Reciprocal norms and sociocultural practices (families leverage reciprocal actions, norms of respect and courtesy towards pregnant women, mutual trust, and socio-cultural practices to engage with diverse ANC types); and Theme 4: Informal supports and care mixing dynamics (local informal supports shape families' interactions with different types of ANC). The complex ways families in Mafararikwa leverage social capital to access preferred forms of ANC reflect context-specific relationships and holistic health conceptions grounded in <i>Ubuntu</i>. Culturally-specific responses that strengthen these relationships are needed to ensure equitable ANC outcomes in Mafararikwa and beyond.</p>","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"2752535X251395358"},"PeriodicalIF":1.8,"publicationDate":"2025-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145566185","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}