A mixed-methods community needs assessment of Santa Maria and Guadalupe, California

Santa Maria and Guadalupe are neighboring cities in northern Santa Barbara County that have a lower socioeconomic profile than the county overall, are >75% Latino, and have up to 32,000 residents who identify as Indigenous, primarily Mixtec-speaking people from southern Mexico. We conducted a mixed-methods community needs assessment to identify unique health challenges and barriers that Latinx and Mixtec individuals faced. From January to April 2021, targeted and general recruitment approaches were used to recruit a convenience sample of 159 participants (74% Latinx, 72% female, mean age 41.3 years) to complete modified long- and short-form versions of a community health concerns survey. Fifty-four completed the 40-item form and 102 completed the 19-item form. Of these, 24 individuals who expressed interest in further participation took part in structured, open-ended interviews. Among the key issues raised in surveys and interviews were housing, healthcare, and access to recreational resources. However, perspectives and priorities differed depending on the form of data collection (closed-ended survey vs. open-ended interview). For example, interviews echoed survey respondents' dissatisfaction regarding lack of safe and affordable housing but added perspective on housing conditions and vulnerability to landlords' decisions. In interviews, expanding existing resources and mobilizing as a community were noted as potential solutions; existing policies, language, and lack of interest by those in power were raised as significant barriers. Our assessment suggests that Santa Maria and Guadalupe communities face concerns about housing, healthcare, and access to recreational resources. Government, community, and healthcare sectors should focus on addressing these basic health needs.

The online version contains supplementary material available at 10.1007/s44155-024-00127-8.