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Journal of racial and ethnic health disparities · 2025

Sorteando ("Sorting Out") Systemic Barriers and Social Support Promoters of Women's Health: Intersectional Community-Based Participatory Research in Borderland Communities Peri- and Post-COVID-19.

СтатьяПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод пока не подготовлен
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Peace-Tuskey Kim, Barrales Sarah, Ramirez Sandra Ortega, Ganthier Lovely

Аннотация

OBJECTIVES: To identify systemic barriers leading to health inequities and health promoters experienced peri- and post-COVID-19 that impacted the health outcomes of women residing in geopolitical borderland communities of southern Arizona. Community-directed interventions that improve community health were sought.

METHODS: In 2023, we collected survey, interview, and focus group data documenting reported healthcare access, safety, stress, and discrimination experienced by a community of predominantly Mexican-origin women. Community-based participatory research and intersectional approaches were utilized. Data were analyzed and translated through group consensus processes.

RESULTS: Mental health was the most significant health concern, and social support was identified as the greatest promoter of health. A grounded theory model emerged depicting the overarching theme, Building Strength and Inclusion Through Connection During COVID-19 and describing lived experiences of the community. Ten community-directed intervention strategies were developed and disseminated to decision-makers for improved community health.

CONCLUSIONS: Underrepresented border communities bear the undue burden of health inequity underpinned by restrictive immigration policies and exclusion to critical resources. As communities recover from the impacts of COVID-19, intervention and prevention efforts must include organic local knowledge that accelerates public health. This study is crucial for community health practice and policy and presents emergent grounded theory, community-led praxis processes leading to effective health improvement strategies, and five key insights that inform future studies and programs.

Предметные рубрики MeSH

ИП Урсолов Владлен Сергеевич

ИНН 500118482352 · ОГРНИП 314500117700049

Реквизиты и контакты