Survey of the Health of Urban Residents: a Community-Driven Assessment of Conditions Salient to the Health of Historically Excluded Populations in the USA
Survey of the Health of Urban Residents: a Community-Driven Assessment of Conditions Salient to the Health of Historically Excluded Populations in the USA
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DOI：
10.1007/s40615-020-00852-1
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发表时间：
2020-08-24
影响因子：
3.9
通讯作者：
Matthews-Alvarado, Kevelis
中科院分区：
文献类型：
--
作者：
Alang, Sirry;Pando, Cynthia;Matthews-Alvarado, Kevelis
来自城市居民健康调查（SHUR）的数据确定了警察暴行与医疗不信任之间的联系，引起了媒体、政策和研究的重大关注。在2019冠状病毒病、种族主义和警察暴行等相互交织的危机中，本报告描述了SHUR的调查开发和数据收集程序。我们在宾夕法尼亚州阿伦敦对黑人、拉丁裔和移民进行了焦点小组调查。研究结果被用于制定和完善对全国城市居民健康显著影响的指标。采用定额抽样；对有色人种和通常不去医生诊所就诊的人进行过度抽样。非西班牙裔白人占样本的近三分之二（63.65%,n = 2793）。黑人/非裔美国人受访者占样本的14.2% (n = 623)，而11.62% （n = 510）是拉丁裔。只有43.46%的受访者表示医生办公室是他们通常的护理来源。针对特定人群压力源的新测量方法包括与警察的一系列负面接触、这些接触的频率以及受访者对这些接触是否必要的评估。SHUR评估了在出现问题、担心被监禁以及特定原因的压力源（如种族相关印象管理）时报警的可能性。主要结论：SHUR （n = 4389）是研究人员寻求解决国家健康监测调查不经常测量的经历对健康的影响的有用资源。它包括受访者的邮政编码，提供了将这些数据与邮政编码级别的卫生系统、社会和经济特征联系起来的机会，这些特征塑造了超越个人因素的健康。
Background Data from the Survey of the Health of Urban Residents (SHUR) identified connections between police brutality and medical mistrust, generating significant media, policy, and research attention. Amidst intersecting crises of COVID-19, racism, and police brutality, this report describes survey development and data collection procedures for the SHUR. Basic Procedures We conducted focus groups with Black men, Latinxs, and immigrants in Allentown, Pennsylvania. Findings were used to develop and refine measures of conditions salient to the health of urban residents across the country. Quota sampling was employed; oversampling people of color and persons whose usual source of care was not a doctor's office. Main Findings Non-Hispanic Whites made up just under two thirds of the sample (63.65%,n = 2793). Black/African American respondents accounted for 14.2% of the sample (n = 623), while 11.62% (n = 510) were Latinx. Only 43.46% of respondents reported a doctor's office as their usual source of care. Novel measures of population-specific stressors include a range of negative encounters with the police, frequency of these encounters, and respondents' assessments of whether the encounters were necessary. SHUR assessed the likelihood of calling the police if there is a problem, worries about incarceration, and cause-specific stressors such as race-related impression management. Principal Conclusions SHUR (n = 4389) is a useful resource for researchers seeking to address the health implications of experiences not frequently measured by national health surveillance surveys. It includes respondents' zip codes, presenting the opportunity to connect these data with zip code-level health system, social and economic characteristics that shape health beyond individual factors.