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Racial and Ethnic (In)equity in Development of Power Through Place-Based Initiatives
Mina Silberberg1, Matthew E Dupre2, James Moody3
1Department of Family Medicine and Community Health, Duke University School of Medicine, Durham, NC 27710, USA.
Place-based initiatives (PBIs) may not benefit all groups equally. This study found racial/ethnic disparities in power and representation within a PBI, highlighting the need for proactive equity measures.
Area of Science:
- Community Health Interventions
- Health Equity Research
- Social Determinants of Health
Background:
- Place-based initiatives (PBIs) aim to improve community well-being by investing in geographic areas.
- Disparities in outcomes among different population groups within communities are a concern for PBIs.
Purpose of the Study:
- To measure differences in "power to" by race/ethnicity within communities participating in a PBI.
- To assess the validity and reliability of indicators used to measure power dynamics in PBIs.
Main Methods:
- Five indicators of "power to" were measured across six communities during the first phase of the Healthy Places North Carolina (HPNC) PBI.
- Indicators included network representation, leadership attributes, perceived changes in attributes, network centrality, and perceived changes in network ties.
Main Results:
- Latine populations were underrepresented in the PBI network.
- In majority White communities, indications of White advantage were observed in network centrality and leadership attributes.
- In majority African American communities, non-White attributes ranked higher than White attributes.
Conclusions:
- Each "power to" indicator offered unique insights into PBI dynamics.
- Results suggest PBIs may inadvertently increase White benefit or fail to close existing gaps if racial/ethnic equity and power are not proactively addressed.
- Early measurement of power differences and changes is crucial for effective PBI implementation.
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