The effects of COVID-19 on African American communities in Baltimore's health enterprise zones: a mixed-methods examination.
The effects of COVID-19 on African American communities in Baltimore's health enterprise zones: a mixed-methods examination.
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DOI：
10.1186/s12889-023-16782-6
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发表时间：
2023-09-27
影响因子：
4.5
通讯作者：
中科院分区：
文献类型：
--
作者：
新冠肺炎大流行突显了社区资源对建成环境、健康和健康结果的影响。这项研究的目的是进行社区参与的研究，检查健康的各个方面，以及从社区成员的声音中获得医疗保健的机会，以此作为通过建筑环境改善健康公平的基础。这项研究采用了融合的混合方法设计，包括在2021年7月至2022年8月进行的调查和半结构化访谈，以检查有限的社区资源，如社区卫生诊所对新冠肺炎大流行期间参与者的影响。马里兰州巴尔的摩的CoVID 19对5个邮政编码(21215、21216、21217、21223和21229)的非裔美国人参与者的影响最大。将定量和定性数据整合在一起，以描述这两种类型在健康、医疗保健和医疗保健获取方面如何相互支持。超过一半的参与者表示对整体健康、提供的医疗保健质量和获得医疗保健服务的机会感到满意。然而，结果表明，与大流行病爆发前相比，在对整体社区健康进行半结构化访谈后，与健康和健康有关的因素存在极大差异，强调对健康的总体满意度并不等于对健康相关资源的满意，并建议参与者感到沮丧，被排除在改善所有年龄段的健康和精神健康服务、营养服务和社区活动以促进社区繁荣的急需的社区健康资源之外。由于扩大了对半结构化访谈的分析，数据整合提供了参与者实际经历的更现实的视角，并表明定量和定性数据并不总是相互支持的。未来改善建成环境和解决历史上的健康不平等问题的研究，将需要不断的社区参与，以更好地了解社区需求。这项研究结果鼓励正在进行的研究，以扩大社区参与研究和干预的资源。研究人员必须认识到不断变化的需求和持续存在的差距，只有在这些成果的支持下引入政策，做出公平的投资，以打造健康社区蓬勃发展的环境，才能解决持续存在的差距。网上版载有补充材料，可在10.1186/s12889-023-16782-6查阅。
The CoVID-19 pandemic underscored effects of community resources on the built environment, health and health outcomes. The purpose of this study was to conduct community-engaged research and examine aspects of health, and access to healthcare from the voices of community members, as a foundation for improving health equity through the built environment. This study utilized a convergent mixed methods design that included surveys and semi-structured interviews conducted from July 2021 to August 2022 to examine the impact of limited community resources, such as community health clinics on participants during the CoVID-19 pandemic. A convenient sample of 345 male and female African American participants represented five zip codes (21215, 21216, 21217, 21223, and 21229) in with the highest impact from CoVID 19, in Baltimore, Maryland. Quantitative and qualitative data were integrated to describe how the two types supported one another in health, healthcare and healthcare access. More than half of all participants reported satisfaction with overall health, quality of healthcare provided and access to health care services. However, results indicated extreme differences in factors related to health and wellness after, as comparted to before the onset of the pandemic, Semi-structured interviews, expanded on overall community health, highlighting that overall satisfaction with health does not equal satisfaction with health-related resources and suggested participants felt frustrated and left out of much-needed community health resources to improve health and mental health services for all ages, nutrition services and community activities that make communities thrive. Data integration provided a more realistic view of what participants really experience, due to the expanded analysis of semi-structured interviews, and indicated quantitative and qualitative data did not always support each other. Future research to improve the built environment, and to address historic health inequities, will require ongoing community engagement to better understand community needs. This study results encourage ongoing research to expand resources for community-engaged research and interventions. Researchers must remain cognoscente of changing needs, and persistent disparities that can only be addressed if policies, supported by these results, are introduced to make equitable investments to forge an environment where healthy communities thrive. The online version contains supplementary material available at 10.1186/s12889-023-16782-6.
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影响因子：
2.3
作者：
Quesada J;Hart LK;Bourgois P
通讯作者：
Bourgois P
影响因子：
3.2
作者：
Mmari, Kristin;Offiong, Asari;Mendelson, Tamar
通讯作者：
Mendelson, Tamar
影响因子：
20.8
作者：
Weaver, Amanda K.;Head, Jennifer R.;Gould, Carlos F.;Carlton, Elizabeth J.;Remais, Justin, V
通讯作者：
Remais, Justin, V
影响因子：
--
作者：
Singh, Gopal K;Daus, Gem P;Vedamuthu, Ivy P
通讯作者：
Vedamuthu, Ivy P
影响因子：
1.4
作者：
Hussein, Carlessia A.;Luckner, Mark;Sharfstein, Joshua M.
通讯作者：
Sharfstein, Joshua M.