Department of Epidemiology and Biostatistics | University of California, San Francisco, USA.
The Social Innovation and Urban Opportunity Lab, Streetwyze | UCSF & San Francisco State University, San Francisco, Oakland, CA, USA.
J Racial Ethn Health Disparities. 2024 Dec;11(6):3748-3756. doi: 10.1007/s40615-023-01824-x. Epub 2023 Oct 16.
Amid the spread of the novel coronavirus (COVID-19), racially and economically marginalized communities experienced a disproportionate burden of disease and social consequences (e.g., unemployment, increased exposure). This study seeks to understand strategies that these communities employed to cope with unequal burdens of the pandemic.
We utilized qualitative data collected between 2020 and 2021 from a mobile mapping platform designed to facilitate real-time, geocoded data collection on individual's experiences and perceptions of their neighborhoods. Reports were iteratively coded by an academic researcher and community partner. We employed an inductive approach to analysis, which allowed findings to emerge organically without constraint of researcher hypotheses.
A total of 19 respondents (14 under the age of 45, 16 non-White, 15 with less than half a year of emergency savings) provided 236 qualitative reports. Participants described innovative strategies for exchanging resources as a means of informally networking and building community, the importance of tailored programming (e.g., for specific racial/ethnic groups) in fostering belonging and comfort, and the importance of two specific dimensions of services-interactions with service providers and the quality of goods or services-in providing dignified care.
Amidst exacerbated racial and economic disparities emerging from the COVID-19 pandemic, our study highlights the need for investment in mutual aid, the importance of tailored services and support, and promoting dignity in social services. As other macro-level social stressors become more prevalent as the pandemic continues, these findings can inform how we examine and address them.
在新型冠状病毒（COVID-19）传播期间，在种族和经济上处于边缘地位的社区经历了不成比例的疾病和社会后果（例如，失业、接触增加）。本研究旨在了解这些社区在应对大流行的不平等负担时所采用的策略。
我们利用 2020 年至 2021 年期间从移动测绘平台收集的定性数据，该平台旨在促进对个人对其社区的经历和看法的实时、地理编码数据收集。报告由学术研究人员和社区合作伙伴进行迭代编码。我们采用了一种归纳分析方法，使研究结果有机地出现，而不受研究假设的限制。
共有 19 名受访者（14 名年龄在 45 岁以下，16 名非白人，15 名紧急储蓄不到半年）提供了 236 份定性报告。参与者描述了交换资源的创新策略，作为非正式网络和建立社区的一种手段，定制编程（例如，针对特定种族/族裔群体）在培养归属感和舒适感方面的重要性，以及服务中两个特定维度的重要性——与服务提供者的互动和商品或服务的质量——提供有尊严的护理。
在 COVID-19 大流行加剧的种族和经济差距中，我们的研究强调了对互助投资的必要性、定制服务和支持的重要性以及促进社会服务中的尊严。随着大流行的继续，其他宏观层面的社会压力源变得更加普遍，这些发现可以为我们如何检查和解决这些问题提供信息。
