COVID-19 challenges, responses, and resilience among rural Black women: a study protocol.

COVID-19 challenges, responses, and resilience among rural Black women: a study protocol.
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DOI:
10.3389/fpubh.2023.1156717
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发表时间:
2023
影响因子:
5.2
通讯作者:
Li, Xiaoming
Li, Xiaoming
中科院分区:
医学3区
文献类型:
--
作者:
Qiao, Shan;Wilcox, Sara;Olatosi, Bankole;Li, Xiaoming

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尽管农村黑人妇女在COVID-19大流行期间经历了沉重的负担和挑战,但许多人可能也表现出了克服挑战的力量和韧性。将采用混合方法和基于社区的参与式方法,从南卡罗来纳州(SC)农村地区的黑人妇女、社区卫生工作者和社区领导人那里收集关于大流行期间的挑战、应对措施、复原力和经验教训的多层次数据。具体而言,将记录农村黑人妇女在COVID-19大流行期间的独特情况和生活经历,通过与黑人妇女、社区卫生工作者和从农村SC社区招募的当地社区领导人进行焦点小组讨论和深入访谈,了解她们在有效管理社会、身体和心理健康挑战方面的需求。障碍,促进者,和多层次的复原力发展的潜在影响将通过一项调查管理的农村黑人妇女从11个农村县(其中一个作为网站的问卷的试点测试)。将编写一份公共卫生实践报告,其中包括建议的战略,通过对来自多种来源的定性和定量数据进行三角测量,优化卫生系统的应急准备和反应。拟议研究的结果将为应对大流行期间健康因素挑战的社会决定因素、培养复原力以及为决策者提供循证决策信息提供宝贵的参考。这项研究将有助于制定公共卫生应急准备计划,这可以促进妇女、其家庭和当地社区的复原力,并在传染病爆发和其他公共卫生紧急情况期间优化农村黑人妇女及其家庭的卫生系统的有效准备和反应。
Despite the aggregated burdens and challenges experienced by rural Black women during the COVID-19 pandemic, many likely also demonstrated strength and resilience to overcome challenges. A mixed methodology and a community-based participatory approach will be used to collect multilevel data on challenges, responses, resilience, and lessons during the pandemic from Black women, community health workers, and community leaders in rural areas in South Carolina (SC). Specifically, the unique circumstances and lived experiences of rural Black women during the COVID-19 pandemic will be documented to understand their needs regarding effective management of social, physical, and mental health challenges through focus group discussions and in-depth interviews with Black women, community health workers, and local community leaders recruited from rural SC communities. Barriers, facilitators, and potential impacts of multilevel resilience development will be identified through a survey administered among rural Black women recruited from 11 rural counties (with one as site for a pilot testing of the questionnaire). A report for public health practice will be developed, including recommended strategies to optimize health systems' emergency preparedness and responses through triangulation of qualitative and quantitative data from multiple sources. Findings in the proposed study will provide valuable references in terms of addressing social determinants of health factor challenges during the pandemic, fostering resilience, and informing evidence-based decision-making for policymakers. The study will contribute to the development of public health emergency preparedness plans, which can promote the resilience of women, their families, and local communities as well as optimize effective preparedness and response of health systems for rural Black women and their families during infectious disease outbreaks and other public health emergencies.
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