在缺乏资源的黑人,土著和拉丁裔人口中,社区对COVID-19的抵抗力:一种混合方法研究
Lisa Cacari Stone1, Heidi Rishel Brakey1, Shannon Sanchez-Youngman1
1The University of New Mexico, Albuquerque, NM, USA.
概括
由于结构性不平等,种族和民族少数群体面临更糟糕的COVID-19结果. 社区的性战略,包括信任和文化叙述,在面临的流行病挑战中大大提高了疫苗接种和护理.
科学领域:
- 公共卫生 公共卫生
- 健康 公平 卫生 公平
- 社会学 社会学 社会学
背景情况:
- COVID-19大流行突显了美国种族和民族少数群体的严重健康结果差异.
- 美国原住民,拉丁裔和非洲裔美国人经历了不成比例的感染,住院和死亡率.
- 环境和社会脆弱性等系统性问题,加上资金不足的公共卫生基础设施,加剧了这些差异.
研究的目的:
- 调查不同种族,种族和地理位置的人群中COVID-19疫苗接种的差异.
- 探索社区性在减轻负面健康影响和改善疫苗接种方面的作用.
主要方法:
- 采用混合方法的社区参与方法.
- 利用数字社区故事 (N=34),采访卫生服务提供者 (N=14) 和定量调查 (N=1,194).
- 来自一个社会生态模型的社区性.
主要成果:
- 对社区弹性,文化弹性叙述的信任,以及卫生提供者使用弹性技术与疫苗接种增加有关.
- 这些因素也支持在悲伤和失去期间的自我照顾和社区照顾.
- 弹性策略在应对复杂的创伤事件和个人/职业损失方面被证明是有效的.
结论:
- 文化,个人和社区的性是应对大流行相关压力和损失的重要策略.
- 建立社区性可以帮助缓解种族和种族人口所经历的健康差异.
- 未来的公共卫生干预措施应整合以弹性为重点的方法,以改善健康公平.
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