Systemic Racism Affecting Latinx Population Health During the COVID-19 Pandemic and Beyond: Perspectives of Latinx Community Health Workers and Community-Based Organization Leaders.
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2023-01
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Abstract
Introduction
The purpose of this study is to identify forms of systemic racism experienced by Latinx communities in North Carolina during the COVID-19 pandemic as identified by Latinx community health workers (CHWs) and community-based organization (CBO) leaders.Methods
We conducted three focus groups in July 2022 (N=16). We performed qualitative analysis of data using an iterative inductive approach of the original language in Dedoose.Results
Four central themes emerged: (1) Access to resources for Latinx individuals; (2) Immediate, transitional, and future fears; (3) Benefits of CHWs; and (4) Lessons learned.Discussion
Institutional and state policies often do not involve community members, such as CHWs and CBO leaders, at the start of the development process, leading to ineffective interventions that perpetuate health disparities and systemic racism.Health equity implications
Community-informed policy recommendations can improve alignment of community and policy priorities to create more effective interventions to address systemic racism and promote health equity.Type
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Plasencia, Gabriela, Rohan Gupta, Kamaria Kaalund, Viviana Martinez-Bianchi, Rosa Gonzalez-Guarda and Andrea Thoumi (2023). Systemic Racism Affecting Latinx Population Health During the COVID-19 Pandemic and Beyond: Perspectives of Latinx Community Health Workers and Community-Based Organization Leaders. Health equity, 7(1). pp. 715–721. 10.1089/heq.2023.0193 Retrieved from https://hdl.handle.net/10161/33128.
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Scholars@Duke
Viviana Sandra Martinez-Bianchi
Health Disparities, Access to Health Care, Women's Health, Latino Health Care, Chronic Disease Management, Socioeconomic Determinants of Health. Population Health.
Rosa Gonzalez-Guarda
Dr. Rosa Gonzalez-Guarda is a Professor at Duke University School of Nursing with interdisciplinary training in nursing, public health, and psychology. Her research addresses the intersection of violence, substance use, HIV and other sexually transmitted infections, and mental health through developing, testing, and scaling multi-level interventions to address common social and structural drivers of these conditions. She uses a syndemic orientation, mixed methods, and community engaged strategies to influence practice and policy changes to promote health equity and social justice for Latinos, other racial and ethnic minoritized groups, and communities affected by stress, adversity, and trauma. She is currently the principal investigator of an NIH funded study conducting a community randomized trial of a community health worker intervention addressing stress, resilience, and syndemic outcomes among Latino immigrant families.
Dr. Gonzalez-Guarda has had a longstanding commitment to diversifying the nursing workforce and improving the capacity of healthcare providers and scientists to address health equity. She was a member of the National Academies of Medicine committee that produced the landmark Future of Nursing Report (2010) and has led various local and national initiatives to promote health equity research careers for populations systemically excluded from health professions. She is currently co-leading a NINR funded T32 entitled “Nurse LEADS: Training in Nurse-LEd models of care ADdressing Systems of Care and Community Health," which includes a strong partnership with institutions that do not have access to training in nursing science. She also leads various local and national initiatives addressing violence, mental health, and health equity including serving on the Board of Directors for El Futuro (the Future), a local community-based mental health organization serving Latino and immigrant communities, and co-leading the Community Health Improvement Core for the National Institutes of Health Collaboratory of Pragmatic Clinical Trials. Dr. Gonzalez-Guarda is a fellow of the Substance Abuse Mental Health Service Administration Minority Fellowship Program, the Robert Wood Johnson Foundation Nurse Faculty Scholars program, and the American Academy of Nursing.
Andrea Thoumi
Andrea Thoumi, MPP, MSc is a PhD student in the Department of Population Health Sciences (DPHS), Duke University School of Medicine and graduate student researcher with the Research to Eliminate Global Cancer Disparities lab. As a bilingual and bicultural researcher, Ms. Thoumi is passionate about improving Latine health equity in the US and globally. Her work aims to reduce health inequities by generating and translating community-engaged evidence to change policy and clinical practice while centering community perspectives in research and scholarship.
Ms. Thoumi is the recipient of the Honorable Mention, Alice S. Hersh Emerging Leader Award, AcademyHealth (2023); Early-Stage Distinguished Investigator Award, Health Disparities Interest Group, AcademyHealth (2021); and Duke Presidential Award (2021) for her work with LATIN-19. She is also a 2024 BRIDGE Scholar at Duke.
Ms. Thoumi brings 15 years of experience leading multi-national and multi-sector teams with prior experience with PwC, the Brookings Institution, and the Duke-Margolis Institute for Health Policy. She also previously consulted for the Pan-American Health Organization/World Health Organization and the World Bank.
Ms. Thoumi holds a Master in Public Policy from Georgetown University, an MSc in Health Policy, Planning and Financing from the London School of Economics and the London School of Hygiene and Tropical Medicine, and BA in Community Health and International Relations from Tufts University.
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