12 results
Search Results
2. Global learning: A post-COVID-19 approach to advance health equity.
- Author
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Parke, Dana Marie, Ogbolu, Yolanda, and Rowthorn, Virginia
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MIDDLE-income countries , *INTERDISCIPLINARY education , *ENDOWMENTS , *INTERPROFESSIONAL relations , *LEARNING , *WORLD health , *INTERNATIONAL relations , *HEALTH equity , *PUBLIC health , *COMMUNITY services , *COVID-19 pandemic , *WEBINARS , *LOW-income countries - Abstract
The COVID-19 pandemic has accelerated acceptance of learning from other countries, especially for high-income countries to learn from low- and middle-income countries, a practice known as global learning. COVID-19’s rapid disease transmission underscored how connected the globe is as well as revealed stark health inequities which facilitated looking outside of one’s borders for solutions. The Global Learning for Health Equity (GL4HE) Network, supported by Robert Wood Johnson Foundation, held a 3-part webinar series in December 2021 to understand the current state of global learning and explore how global learning can advance health equity in the post-COVID-19 era. This paper reflects on these cutting-edge discussions about the current state of global learning, drawing upon the highlights, perspectives, and conclusions that emerged from these webinars. The paper also comments on best practices for global learning, including adapting for context, addressing biases, funding considerations, ensuring bidirectional partnerships, community engagement, and adopting a multidisciplinary approach. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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3. "Look After Each Other"– Ethical Concerns in the Use of Communicative Appeals to Solidarity in the Face of a Pandemic.
- Author
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Guttman, Nurit
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STEREOTYPES , *SELF-efficacy , *SOCIAL cohesion , *AUTONOMY (Psychology) , *INTERNATIONAL agencies , *HEALTH equity , *COMMUNICATION ethics , *COVID-19 pandemic , *HEALTH promotion - Abstract
During the recent COVID-19 pandemic international organizations and national and local governments employed appeals to solidarity or "we-messages" for the purpose of encouraging the public to adopt mitigation measures and to help more vulnerable others. Since appeals to solidarity inherently aim to influence people's views and practices, they raise ethical concerns similar to concerns associated with health communication persuasive campaigns (e.g. respect for autonomy, personal responsibility, stigmatization) and concerns more specifically associated with appeals to solidarity (e.g. divisiveness). The first part of the paper introduces a conceptual distinction between two types of approaches to solidarity according to an instrumental or moral emphasis. Appeals to solidarity according to this distinction are illustrated with examples from the COVID-19 pandemic. The second part summarizes normative justifications and advantages for employing appeals to solidarity. The third part presents ethical concerns associated with appealing to solidarity in the time of a pandemic. Drawing on these concerns, the final part presents propositions for normative conditions for employing solidarity appeals in a time of a pandemic and notes the importance of research needed to identify additional ethical concerns and conceptions of solidarity in multicultural societies. It concludes with noting the importance of employing appeals to solidarity that go beyond mitigating the pandemic and of conducting a critical discourse on the mandate of the state to make "top-down" moral demands. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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4. Poverty, choice and dying in the UK: a call to examine whether public health approaches to palliative care address the needs of low-income communities.
- Author
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Hansford, Lorraine, Thomas, Felicity, and Wyatt, Katrina
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HEALTH services accessibility , *PUBLIC health , *COMMUNITIES , *PATIENTS' attitudes , *SOCIOECONOMIC disparities in health , *HEALTH attitudes , *POVERTY , *HEALTH equity , *ATTITUDES toward death , *PALLIATIVE treatment , *MEDICAL needs assessment , *COVID-19 pandemic , *HEALTH promotion - Abstract
People living on a low income are less likely to access palliative care in the UK; however, beyond the statistics, little is known about the impact of poverty on attitudes towards death and experiences of dying and bereavement. Covid-19 has disproportionally affected poorer communities and foregrounded issues of social and health inequalities including experiences of loss and grief. Whilst this might suggest an opportune moment for embracing inclusive health-promoting approaches to palliative care, this paper argues that the centrality of concepts such as choice within such approaches, and assumptions about what constitutes a 'good death', disregard the ways in which structural, social and economic aspects of poverty interface with attitudes towards and experiences of dying, and may exacerbate inequalities in death and dying. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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5. Can White allyship contribute to tackling ethnic inequalities in health? Reflections on the experiences of diverse young adults in England.
- Author
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Ejegi-Memeh, Stephanie, Salway, Sarah, McGowan, Victoria, Villarroel-Williams, Nazmy, Ronzi, Sara, Egan, Matt, Gravenhorst, Katja, Holman, Daniel, and Rinaldi, Chiara
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RACISM , *FOCUS groups , *HUMAN research subjects , *PUBLIC health , *EXPERIENCE , *INFORMED consent (Medical law) , *RESEARCH funding , *HEALTH equity , *COALITIONS , *REFLECTION (Philosophy) , *COVID-19 pandemic - Abstract
Ethnic diversity and racism have not featured strongly in English research, policy or practice centred on understanding and addressing health inequalities. However, the COVID-19 pandemic and the Black Lives Matter movement have shone fresh light on deep-rooted ethnic inequalities and mobilised large segments of the population into anti-racist demonstration. These recent developments suggest that, despite strong counterforces within national government and the mainstream media, there could be a shift towards greater public awareness of racism and potentially a willingness to take individual and collective action. This paper addresses these developments, and specifically engages with the contested notion of 'allyship'. We bring together the experiences of 25 young adults living across England and prior literature to raise questions about whether and how racialized White individuals can play a role in dismantling systemic racism and reducing ethnic inequalities in health. Our analysis reveals a variety of complexities and obstacles to effective and widespread allyship. Findings suggest the need to nurture contingent, responsive and reflexive forms of allyship that can attend to the harms inflicted upon racially minoritized people as well as push for systemic transformation. White allyship will need to take a variety of forms, but it must be underpinned by an understanding of racism as institutional and systemic and a commitment to tackling interlocking systems of oppression through solidarity. The issues addressed are relevant to those occupying public health research, policy and practice roles, as well as members of the public, in England and other multi-racial settings. [ABSTRACT FROM AUTHOR]
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- 2023
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6. Inhabiting the state subjunctively: Transgender life-making alongside death and a pandemic.
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Bhattacharya, Sayan
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CIVIL rights , *LEGAL status of transgender people , *NEGOTIATION , *UNCERTAINTY , *INTERPROFESSIONAL relations , *DEATH , *HEALTH equity , *PUBLIC welfare , *COVID-19 pandemic - Abstract
The Indian Prime Minister, Narendra Modi, while addressing the United Nations General Assembly on 26 September 2020, stated that India had introduced legal reforms to accord rights to transgender citizens. Even though there is not much material basis to these rights, transgender communities have been protesting against the state and at times negotiating with it to get laws that are more in alignment with their rights. In the wake of serialised deaths and precarity intensified by the Covid-19 pandemic, transgender communities also stage other negotiations in the everyday with activists, transnationally funded NGOs and academics researching their communities, encounters that are not as spectacular as the protests against the state, but that which ensures their daily sustenance. This paper investigates how they inhabit these systemically violent institutions. Deploying ethnographic field notes from eastern India, this paper argues that they inhabit them subjunctively, which is not about refusing engagement with what is oppressive but about the ceaseless conjuring of improvisatory and contingent gestures that are marked by hope as well as uncertainty. The simultaneity of protests, rage, hopelessness, hope, negotiations, supplications and scepticism allow them to not only endure the violence of institutions but also to rupture them and imagine them otherwise. [ABSTRACT FROM AUTHOR]
- Published
- 2022
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7. Notes from the field: moving initiatives from isolation to collective impact to change community-engaged research practices in an academic medical system.
- Author
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Lobb, Rebecca, King, Kareem, Pierre-Louis, Laetitia, Bora, Celia, Albert, Arielle, Richmond, Allyson, Schroeder, Ryan, Pamphile, Jennifer, Battaglia, Tracy, and Sprague Martinez, Linda
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SOCIAL participation , *MEETINGS , *ACADEMIC medical centers , *HEALTH services accessibility , *COMMUNITIES , *SOCIAL isolation , *ORGANIZATIONAL change , *PATIENT monitoring , *HEALTH , *INFORMATION resources , *INTERPROFESSIONAL relations , *MISINFORMATION , *HEALTH equity , *COVID-19 pandemic , *MEDICAL research - Abstract
Medical mistrust among the public was amplified during the COVID-19 pandemic due to racial and social inequities in infection rates and misinformation in the media. In Boston, two initiatives were launched by the Boston University Clinical Translational Science Institute (BU CTSI), Boston Medical Center (BMC), community health centers (CHCs), and community organizations to establish longitudinal and authentic partnerships with community-research boundary spanners who remained trusted sources of information. Each initiative addressed the immediate need for community-informed and partnered COVID research and provided a structure for longitudinal partnerships. In this paper, we describe the process of envisioning how these two initiatives could move from isolation toward collective impact. We also identify opportunities to improve community-engaged research practices within an academic health system. Our approach provides a structure that other organizations can use to align initiatives and move toward boundary-crossing partnerships which foster health equity. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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8. One year into the pandemic: the impacts of social vulnerability on COVID-19 outcomes and urban–rural differences in the conterminous United States.
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Rifat, Shaikh Abdullah Al and Liu, Weibo
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SOCIAL determinants of health , *COVID-19 , *MINORITIES , *RURAL conditions , *POPULATION geography , *RACE , *INCOME , *DESCRIPTIVE statistics , *METROPOLITAN areas , *HEALTH equity , *ETHNIC groups , *COVID-19 pandemic - Abstract
This paper first explores spatial distributions and patterns of COVID-19 case rates (cases/100,000 people) and mortality rates (deaths/100,000 people) and their disparities between urban and rural counties in the contiguous US. A county-level social vulnerability index was created using principal component analysis. Social vulnerability components were regressed against both county case and mortality rates. Results suggest that hotspots of case and mortality rates are clustered in Midwest and Upper-Midwest US. We found substantial disparities in case and mortality rates between urban and rural counties. County social vulnerability was positively correlated with both case and mortality rates suggesting counties with higher social vulnerability had higher case and mortality rates. Relationships between social vulnerability components and case and mortality rates vary across the conterminous US. Additionally, counties with increased racial and ethnic minorities, higher percentages of minors, and lower median household income are associated with higher COVID-19 case and mortality rates. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
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9. COVID-19 and health inequalities: lessons for pandemic disasters yet to come.
- Author
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Miller, DeMond Shondell and Thorpe Jr., Roland J.
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HEALTH equity , *COVID-19 pandemic , *SOCIAL scientists , *DISASTERS , *EQUALITY - Abstract
The COVID-19 pandemic poses unique challenges as long-standing health disparities and social inequalities play out before our eyes whenas unsustainable healthcare infrastructures and this pandemic COVID-19 collide. At this moment, COVID-19 offers social scientists a reflection point for understanding and reimagining new equitable structures to address the needs of our society. This special issue—COVID-19, Health and Society: Lessons for Pandemic Disasters Yet to Come—presents a collection of papers that advance our understanding of the structural forces that impact the health and well-being of vulnerable populations and prevent the social change needed to build safer, healthier, and more resilient communities. [ABSTRACT FROM AUTHOR]
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- 2022
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10. Addressing COVID-19 vulnerabilities: How do we achieve global health security in an inequitable world.
- Author
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Šehović, Annamarie Bindenagel and Govender, Kaymarlin
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SAFETY , *HEALTH policy , *COVID-19 , *HEALTH services accessibility , *MIDDLE-income countries , *HUMAN rights , *PSYCHOLOGICAL vulnerability , *COVID-19 vaccines , *WORLD health , *HEALTH status indicators , *PUBLIC health , *SOCIAL security , *GOVERNMENT programs , *LOW-income countries , *MEDICALLY underserved areas , *STAY-at-home orders , *HEALTH equity , *COVID-19 pandemic , *HEALTH planning , *HEALTH promotion - Abstract
The spread of the serve acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which causes COVID-19, [WHO. (2019). Naming the coronavirus disease (COVID-19) and the virus that causes it. https://www.who.int/emergencies/diseases/novel-coronavirus-2019/technical-guidance/naming-the-coronavirus-disease-(covid-2019)-and-the-virus-that-causes-it] and is responsible for the COVID-19 pandemic is another in a long line of Coronavirus outbreak – and unlikely to be the last. More than a year into the pandemic, SARS-CoV-2 has exposed the dangerous hollowness of a global commitment to global health security. Global health security (GHS) has no uncontested definition, and despite ample pandemic warnings (HIV, H1N1, SARS, MERS-CoV, Ebola, Zika) the world, remains woefully unprepared for an adequate pandemic response; its lack of preparation the predicable result of inattention to equity and with it global health security. The first section of this paper lays out the particular challenges of COVID-19 for less well-resourced countries. The second part discusses the inequities being perpetuated and accentuated in the development and distribution of COVID-19 vaccines. The third section discusses ways to address these global inequities and its related complexities. We conclude by restating some of the key priorities for achieving GHS. [ABSTRACT FROM AUTHOR]
- Published
- 2021
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11. Racial Disparities in Healthcare: How COVID-19 Ravaged One of the Wealthiest African American Counties in the United States.
- Author
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D.Reed, Darius
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AFRICAN Americans , *HEALTH equity , *COVID-19 , *RACIAL inequality , *COVID-19 pandemic - Abstract
The COVID-19 pandemic swept the globe in January of 2020 causing mass panic and extreme hysteria. While pandemics are not new, COVID-19 is emerging as a public health crisis in nearly every household in America. In this paper, I discuss how COVID-19 has ravaged one of the wealthiest African American counties in the United States. Using Public Health Critical Race Praxis (PHCR) I seek to examine how disparities exist in health care and public funding is not equally distributed regardless of wealth and status for minoritized communities. Using PCHR's framework I highlight many of the disparities that exist in health care for people of color during this global health crisis and provide implications for improvement in federal, state, and local funding in communities of color. This article advances scholarship on the intersection between public health and social work particularly alluding to the need for increased advocacy for marginalized communities. [ABSTRACT FROM AUTHOR]
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- 2021
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12. Social determinants of health: the role of effective communication in the COVID-19 pandemic in developing countries.
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Ataguba, Ochega A. and Ataguba, John E.
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COMMUNICATION , *DISEASES , *HEALTH services accessibility , *HEALTH status indicators , *HYGIENE , *MORTALITY , *PERSONAL protective equipment , *HEALTH equity , *HEALTH & social status , *SOCIAL distancing , *STAY-at-home orders , *COVID-19 pandemic ,DEVELOPING countries - Abstract
The coronavirus disease 2019 (COVID-19) pandemic has affected many countries with increasing morbidity and mortality. Interestingly, many of the actions and policies adopted in countries are linked to the social determinants of health (SDH). The SDH are critical determinants of health and health inequalities that are not directly within the health sector. Policies such as social distancing, good hygiene, avoiding large gatherings, cancelling of social and sports events, using personal protective equipment, schools and restaurants closure, country lockdown, etc. are not necessarily within the health sector but have been promoted to prevent and attenuate COVID-19 infection rates significantly. The SDH that serve to reduce morbidity will forestall or substantially reduce the pressure on many weak health systems in developing countries that cannot cope with increased hospitalisation and intensive health care. This paper argues that one of the most critical social determinants of health (i.e. effective crisis and risk communication), is crucial in many developing countries, including those with fewer confirmed coronavirus cases. We note that the effectiveness of many of the other SDH in reducing the burden of the COVID-19 pandemic hinges on effective communication, especially crisis and risk communication. Although many countries are adopting different communication strategies during the COVID-19 crisis, effective crisis and risk communication will lead to building trust, credibility, honesty, transparency, and accountability. The peculiarity of many developing countries in terms of regional, cultural, linguistic and ethnic diversity is an essential consideration in ensuring effective crisis and risk communication. Developing countries facing significant poverty and disease burden cannot afford to handle the burgeoning of COVID-19 infections and must take preventive measures seriously. Thus, we submit that there is a need to intensify SDH actions and ensure that no one is left behind when communicating crisis and risk to the population to address the COVID-19 pandemic. [ABSTRACT FROM AUTHOR]
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- 2020
- Full Text
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