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新冠疫情凸显了有色人种社区的健康不平等:一项由青年主导的摄影发声调查。

COVID-19 shines a light on health inequities in communities of color: A youth-driven photovoice inquiry.

作者信息

Augsberger Astraea, Toraif Noor, Young Adrienne, Dimitri Noelle C, Bautista Rosaylin, Pierre Ja'Karri, Le Catherine, Idahor Osasenaga, Jusme Calvin, Gergen Barnett Katherine A

机构信息

School of Social Work, Boston University, Boston, Massachusetts, USA.

Department of Family Medicine, Boston Medical Center, Boston, Massachusetts, USA.

出版信息

J Community Psychol. 2022 Sep;50(8):3700-3715. doi: 10.1002/jcop.22866. Epub 2022 Apr 20.

Abstract

This manuscript reports on a youth-driven health assessment engaging youth of color in identifying community health priorities during the coronavirus disease 2019 (COVID-19) pandemic. Photovoice, a participatory visual ethnographic health assessment strategy, was used to explore the question: What does health or healthiness mean to you and/or your community? Youth captured images that represented their priorities. The photos were discussed using the SHOWed framework and analyzed thematically. Four themes related to community health were identified. Additionally, youth captured their narrative of COVID-19 as "a revealing force that highlights systemic inequities, driving individuals and communities to both cultivate their resilience and take healthcare into their own hands in response to government and policy level failures." Youth are acutely aware of the historical and structural inequities that create multi-level barriers to healthcare access. Health inequities existed long before the pandemic, but the current crisis requires us to examine ways to transform the healthcare landscape moving forward.

摘要

本手稿报告了一项由青年主导的健康评估,该评估让有色人种青年参与确定2019冠状病毒病(COVID-19)大流行期间的社区健康优先事项。照片Voice,一种参与性视觉民族志健康评估策略,被用于探讨以下问题:健康对你和/或你的社区意味着什么?青年们拍摄了代表他们优先事项的照片。使用SHOWed框架对照片进行了讨论,并进行了主题分析。确定了与社区健康相关的四个主题。此外,青年们将他们对COVID-19的叙述描述为“一种揭示力量,突出了系统性不平等,促使个人和社区培养韧性,并在政府和政策层面失败的情况下自行掌控医疗保健”。青年们敏锐地意识到历史和结构性不平等,这些不平等为获得医疗保健造成了多层次障碍。健康不平等在大流行之前就长期存在,但当前的危机要求我们研究如何在未来改变医疗保健格局。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d74e/9088309/af5092a30601/JCOP-50-3700-g006.jpg

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