“Stay home, save lives” has been shown to reduce the impacts of COVID-19; however, it is crucial to recognize that efforts not to stress healthcare systems may have unintended social consequences for domestic violence. This commentary addresses domestic violence as an important social and public health implication of COVID-19. As a pandemic with a high contagion level, necessary social distancing measures have been put in place across the world to slow transmission and protect medical services. We first present literature that shows that among the effects of social distancing are social and functional isolation and economic stress, which are known to increase domestic violence. We then present preliminary observations from a content analysis conducted on over 300 news articles from the first six weeks of COVID-19 “lockdown” in the United States: articles predict an increase in domestic violence, report an increase in domestic violence, and inform victims on how to access services. Assessing the intersection of the early news media messaging on the effect of COVID-19 on DV and the literature on social isolation and crisis situations, we conclude the commentary with implications for current policy related to (1) increased media attention, (2) increased attention in healthcare systems, (3) promoting social and economic security, and (4) long-term efforts to fund prevention and response, as well as research implications to consider. The research is presented as ongoing, but the policy and procedure recommendations are presented with urgency.
<p class="Pa6"><strong>Objective: </strong>Community-based participatory research processes build healthy communities, as well as promote trust and genuine collaborative partnerships between stakeholders. Fostering relationships is essential to promoting these partnerships, which are necessary for collaborative, coordinated, and integrated efforts toward improving health outcomes in the community. The objective of our research was to demonstrate social network analysis as an evaluative tool to assess movement toward positive health outcomes through promoting relationships.</p><p class="Pa6"><strong>Method: </strong>Using the example of the Gulf States Health Policy Center Coalition based at Bayou Clinic in Bayou La Batre, Alabama, we demonstrate the ability of social network analysis (SNA) methods to measure and map the formation of relationships, as well as the level and frequency of these relationships. Data were collected via email using a survey of Gulf States Health Policy Center Coalition members (N=80, 87%) and analyzed using UCInet software for social network analysis in April 2016.</p><p class="Pa6"><strong>Results: </strong>In this application of SNA to the community coalition of the Gulf States Health Policy Center, we find that, on average, coalition members doubled their own network within the coalition in a time period of <2 years and were working together more often and more collaboratively than they were before the coalition formed.</p><p class="Pa7"><strong>Conclusions: </strong>The increased frequency and level of collaboration among the Coalition network was accompanied by a higher level of collaboration among the coalition members as posited by social network and capital theories. As such, the community engagement fostered through the Coalition has increased and thus, to date, the Gulf States Health Policy Center has been effective in promoting partnerships and collaboration. <em></em></p><p class="Pa7"><em>Ethn Dis. </em>2017;27(Suppl 1):337-346; doi:10.18865/ed.27.S1.337.</p>
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