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A Qualitative Study of Health Equity's Role in Community Coalition Development
Sadie Chen1, Galya Walt2, Alison Aldrich1
1The Ohio State University, Columbus, OH, USA.
Summary
Community coalitions addressing the opioid epidemic can improve effectiveness by prioritizing health equity. Focusing on diversity and equitable data collection strengthens their ability to serve diverse communities and reduce overdose deaths.
Area of Science:
- Public Health
- Sociology
- Health Equity
Background:
- Opioid overdose deaths are rising, particularly in minority communities, exacerbated by fentanyl.
- Community coalitions are a key strategy for public health issues, but their function during crises is understudied.
Purpose of the Study:
- To explore how community coalitions function during the opioid epidemic.
- To identify factors influencing coalition effectiveness in addressing opioid overdose deaths.
Main Methods:
- Qualitative analysis of 321 interviews with members of 56 coalitions from the HEALing Communities Study (HCS).
- Inductive thematic analysis to identify emergent themes, mapped to the Community Coalition Action Theory (CCAT).
Main Results:
- Coalition development themes highlighted the crucial role of health equity.
- Lack of diversity was seen as a barrier, while a focus on health equity enhanced effectiveness and community-specific initiatives.
- Coalition members recognized the need for diversity and equitable practices.
Conclusions:
- Health equity should be integrated as a core construct within the Community Coalition Action Theory (CCAT).
- Including data on individuals served in pooled resources is essential for monitoring health equity within coalitions.
- Enhancing CCAT with health equity principles can improve coalition strategies for public health crises.
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