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Improving Health Equity for Spanish-Speaking Latine Communities: Community Priorities, Challenges, and
Sandy K Aguilar-Palma1, Lilli Mann-Jackson1, Jorge Alonzo1
1Department of Social Sciences and Health Policy, Wake Forest University School of Medicine, Winston-Salem, NC 27157-1063, USA.
Abstract:
Our community-based participatory research (CBPR) partnership convened an in-person, bilingual empowerment theory-based community forum to disseminate and translate findings from our trial of Nuestra Comunidad Saludable (Our Healthy Community), a multilevel intervention designed to improve uptake of COVID-19 testing and vaccination among Spanish-speaking Latine communities in North Carolina. The forum brought together community members, healthcare providers, organizational representatives, and academic researchers from across North Carolina. Drawing on findings from the intervention trial, participants engaged in facilitated, structured dialogue to identify community priorities and generate recommendations to advance health equity among Latine communities. Thirty-six participants identified eight priorities: (1) reducing health service gaps and inequities exposed by COVID-19; (2) expanding access to bilingual, culturally responsive mental health services; (3) improving understanding of HIV prevention and treatment; (4) strengthening services for children with disabilities; (5) protecting immigrant rights and ensuring safe access to services; (6) increasing political and social support for Latine health; (7) improving access to trusted, culturally responsive providers and community organizations; and (8) addressing social determinants of health, including employment, housing, and food security. The empowerment-based forum identified community priorities, challenges, and recommendations that can inform practice, intervention, policy, and research, and advance health equity for Spanish-speaking Latine communities.
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