New York State, New York City, New Jersey, Puerto Rico, and the US Virgin Islands' Health Department Experiences Promoting Health Equity During the Initial COVID-19 Omicron Variant Period, 2021-2022.

IF 2.1 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Health Security Pub Date : 2023-09-01 Epub Date: 2023-08-17 DOI:10.1089/hs.2023.0001
Heidi Cox, Yonathan Gebru, Libby Horter, Francisco S Palomeque, Kristopher Myers, Daniel Stowell, Torian Easterling, Nayeli Salazar de Noguera, Amanda Medina-Forrester, Josely Bravo, Siomara Pérez, Jaikiz Chaparro, Lisa La Place Ekpo, Hannah Cranford, Scott Santibañez, Diana Valencia
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Abstract

In this case study, we aim to understand how health departments in 5 US jurisdictions addressed health inequities and implemented strategies to reach populations disproportionately affected by COVID-19 during the initial Omicron variant period. We used qualitative methods to examine health department experiences during the initial Omicron surge, from November 2021 to April 2022, assessing successful interventions, barriers, and lessons learned from efforts to promote health equity. Our findings indicate that government leadership supported prioritizing health equity from the beginning of the pandemic, seeing it as a need and vital part of the response framework. All jurisdictions acknowledged the historical trauma and distrust of the government. Health departments found that collaborating and communicating with trusted community leaders helped mitigate public distrust. Having partnerships, resources, and infrastructure in place before the pandemic facilitated the establishment of equity-focused COVID-19 response activities. Finally, misinformation about COVID-19 was a challenge for all jurisdictions. Addressing the needs of diverse populations involves community-informed decisionmaking, diversity of thought, and delivery measures that are tailored to the community. It is imperative to expand efforts to reduce and eliminate health inequities to ensure that individuals and communities recover equitably from the effects of COVID-19.

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2021-2022年新冠肺炎奥密克戎变异株初期,纽约州、纽约市、新泽西州、波多黎各和美属维尔京群岛卫生部在促进卫生公平方面的经验。
在本案例研究中,我们旨在了解美国5个司法管辖区的卫生部门如何解决卫生不平等问题,并实施战略,以在最初的奥密克戎变异株时期接触受新冠肺炎不成比例影响的人群。我们使用定性方法研究了2021年11月至2022年4月奥密克戎最初激增期间卫生部门的经验,评估了成功的干预措施、障碍以及从促进卫生公平的努力中吸取的教训。我们的研究结果表明,政府领导层从疫情一开始就支持优先考虑卫生公平,将其视为应对框架的一个需求和重要组成部分。所有司法管辖区都承认历史创伤和对政府的不信任。卫生部门发现,与值得信赖的社区领导人合作和沟通有助于减轻公众的不信任。在大流行之前建立伙伴关系、资源和基础设施有助于建立以公平为重点的新冠肺炎应对活动。最后,关于新冠肺炎的错误信息对所有司法管辖区来说都是一个挑战。满足不同人群的需求涉及社区知情决策、思想多样性和针对社区的交付措施。当务之急是扩大减少和消除卫生不平等的努力,以确保个人和社区公平地从新冠肺炎的影响中恢复。
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来源期刊
Health Security
Health Security PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
4.80
自引率
6.10%
发文量
70
期刊介绍: Health Security is a peer-reviewed journal providing research and essential guidance for the protection of people’s health before and after epidemics or disasters and for ensuring that communities are resilient to major challenges. The Journal explores the issues posed by disease outbreaks and epidemics; natural disasters; biological, chemical, and nuclear accidents or deliberate threats; foodborne outbreaks; and other health emergencies. It offers important insight into how to develop the systems needed to meet these challenges. Taking an interdisciplinary approach, Health Security covers research, innovations, methods, challenges, and ethical and legal dilemmas facing scientific, military, and health organizations. The Journal is a key resource for practitioners in these fields, policymakers, scientific experts, and government officials.
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