Public Health Program, Ponce Health Sciences University, Ponce Research Institute-Ponce Medical School Foundation, Inc., Hispanic Alliance for Clinical and Translational Research, Ponce 00716, Puerto Rico.
Center for Sociomedical Research and Evaluation, Graduate School of Public Health, University of Puerto Rico Medical Sciences Campus, Hispanic Alliance for Clinical and Translational Research, San Juan 00936, Puerto Rico.
Int J Environ Res Public Health. 2023 Jul 10;20(14):6335. doi: 10.3390/ijerph20146335.
Social determinants of health contribute to health disparities and inequities. We conducted a community forum on the topic of isolation with the objectives of (1) identifying and prioritizing key health-related issues needing attention in isolated communities in Puerto Rico; (2) developing strategies in terms of Policies, Programs, and Practices to address the community priorities we identified. We used the triangulation method for qualitative data, integrating the Colorado State University's Tri-ethnic Center Model and the Delphi Technique for a better understanding of community health needs and priorities. The five community health-related priorities identified in the community forum were: (1) access to health services (physical and mental); (2) older adults; (3) access to basic services; (4) preparedness for future disasters/emergencies; and (5) COVID-19 and access to vaccination. The Alliance Leaders and Advisory Boards understand that we will work with the priorities of preparedness for future natural disasters/emergencies and COVID-19 and access to vaccination. Fifteen strategies were developed for these priorities and were grouped into five areas that require more attention in order to reduce health disparities. Isolated communities in Puerto Rico present an intersectionality of factors that affect a wide range of health-related risks and outcomes.
社会决定因素对健康差距和不平等有影响。我们就隔离这一主题举办了一个社区论坛，目的是：(1) 确定和优先考虑波多黎各隔离社区中需要关注的关键健康相关问题；(2) 制定政策、方案和实践方面的战略，以解决我们确定的社区优先事项。我们使用定性数据的三角测量方法，整合了科罗拉多州立大学三民族中心模型和德尔菲技术，以更好地了解社区健康需求和优先事项。社区论坛确定了五个与社区健康相关的优先事项：(1) 获得（身体和心理健康）服务的机会；(2) 老年人；(3) 获得基本服务的机会；(4) 为未来灾害/紧急情况做好准备；(5) COVID-19 和疫苗接种机会。联盟领导人和顾问委员会明白，我们将致力于为未来自然灾害/紧急情况和 COVID-19 及疫苗接种机会的准备工作制定优先事项。针对这些优先事项制定了 15 项战略，并将其分为五个需要更多关注的领域，以减少健康差距。波多黎各的隔离社区存在着影响广泛健康相关风险和结果的各种因素的交集。
