Community-Centered Assessment to Inform Pandemic Response in Georgia (US)

Henry Akintobi, Tabia; Quarells, Rakale C.; Bednarczyk, Robert A.; Khizer, Saadia; Taylor, Brittany D.; Nwagwu, Michelle N. A.; Hill, Mekhi; Ordóñez, Claudia E.; Sabben, Gaëlle; Spivey, Sedessie; Davis, Kayla; Best, Michael L.; Chen, Amy Z.; Lovell, Katherine; Craig, Leslie S.; Mubasher, Mohamed

doi:10.3390/ijerph20095741

Cited by 3 publications

(1 citation statement)

References 21 publications

(21 reference statements)

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“…From a public health perspective, the misinformation and disinformation surrounding the COVID-19 pandemic and its effects, resulting in increased morbidity and mortality, have been well documented in the United States and globally (Akintobi et al, 2023;Farooq & Rathore, 2021;Gisondi et al, 2022;Islam et al, 2020;Naeem & Boulos, 2021;Pian et al, 2021). Unlike prior pandemics, such as the 1918 influenza outbreak or even the resurgence of polio in 2003-2004, social media is a new, complicating, and potentially escalating factor in addressing the challenges of emerging infectious diseases (Bernard et al, 2021;Gottlieb & Dyer, 2021;Johnson et al, 2022).…”

Section: Biological Weapons and Emerging Infectious Diseases Are Diff...mentioning

confidence: 99%

How COVID-19 is reshaping U.S. national security policy

Kosal

2023

Polit. life sci.

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In the wake of the COVID-19 pandemic, the United States is actively reshaping parts of its national security enterprise. This article explores the underlying politics, with a specific interest in the context of biosecurity, biodefense, and bioterrorism strategy, programs, and response, as the United States responds to the most significant outbreak of an emerging infectious disease in over a century. How the implicit or tacit failure to recognize the political will and political decision-making connected to warfare and conflict for biological weapons programs in these trends is explored. Securitization of public health has been a focus of the literature over the past half century. This recent trend may represent something of an inverse: an attempt to treat national security interests as public health problems. A hypothesis is that the most significant underrecognized problem associated with COVID-19 is disinformation and the weakening of confidence in institutions, including governments, and how adversaries may exploit that blind spot.

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Section: Biological Weapons and Emerging Infectious Diseases Are Diff...mentioning

confidence: 99%

How COVID-19 is reshaping U.S. national security policy

Kosal

2023

Polit. life sci.

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"We're Not in That Circle of Misinformation": Understanding Community-Based Trusted Messengers Through Cultural Code-Switching

Chen,

Park,

Darkwa

et al. 2024

Proc. ACM Hum.-Comput. Interact.

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While social computing technologies are increasingly being used to counter misinformation, more work is needed to understand how they can support the crucial work of community-based trusted messengers, especially in marginalized communities where distrust in health authorities is rooted in historical inequities. We describe an early exploration of these opportunities in our collaboration with Black and Latinx young adult "Peer Champions" addressing COVID-19 vaccine hesitancy the U.S. state of Georgia. We conducted interviews engaging them with a social media monitoring and outreach dashboard we designed, to probe their understanding of their roles and current and potential use of digital platforms. With the concept of cultural code-switching as a framing, we found that the Peer Champions leveraged their particular combination of cultural, health, and digital literacy skills to understand their communities' concerns surrounding misinformation and to communicate health information in a culturally appropriate manner. While being positioned between their communities and public health research and practice motivated and enabled their work, it also introduced challenges in finding (mis)information online and navigating tensions around authenticity and respect when engaging those close to them. Our research contributes towards characterizing the valuable and difficult work trusted messengers do, and (re)imagining collaboratively designed interpretive digital tools to support them.

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Identifying social determinants of health in populations exposed to structural inequities: a qualitative study of the COVID-19 pandemic experiences of Black and Latinx people living with HIV and cardiovascular risks

Loeb,

Albarran,

Lee

et al. 2024

Front. Public Health

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IntroductionBlack and Latinx communities experience inequities in the social determinants of health (SDOH) and high rates of chronic illnesses [e.g., cardiovascular disease (CVD), HIV]. The COVID-19 pandemic amplified these long-standing SDOH disparities. However, scant attention has been paid to the pandemic-related experiences of populations exposed to structural inequities.MethodsUsing a semi-structured interview guide, 60 in-depth telephone interviews were conducted with Black and Latinx people living with HIV (PLWH) and CVD risks to assess: (1) perceived personal and community risk for COVID-19; (2) knowledge of and access to COVID-19 public health information; (3) barriers to COVID-19 public health recommendations and vaccine uptake; and (4) perceptions of HIV, CVD, and COVID-19. Interviews were professionally transcribed into either English or Spanish. Spanish transcripts were translated into English. Rapid qualitative analysis was used to summarize each transcript into a structured templaicte corresponding to interview guide domains. Summaries were combined into matrices for identification and comparison of themes across domains.ResultsParticipants reported risks for COVID-19 due to being immunocompromised and SDOH, including transportation, exposure to risks conferred by others, living in under-resourced neighborhoods, and housing insecurity. Participants engaged in protective countermeasures by adhering to public health mandates. Relationships with providers, participating in community support groups, and digital inclusion and literacy were salient with respect to dissemination of COVID-19 information and vaccine uptake. Experiences with managing a chronic illness facilitated vaccine acceptance. Participants described language barriers, experiences of discrimination, and a historical lack of trust in medical systems and vaccines.DiscussionThis study provides a real-time narrative from PLWH and CVD risks who were vulnerable during the height of the COVID-19 pandemic. Implications include the need for continuity with providers and established community networks, increasing internet access and digital health literacy, and addressing historical trauma incurred in medical settings. It is critical to understand the impact of traditional SDOH on those living with chronic illness as well as other social determinants that shed light on access to public health information, adherence to public health recommendations, and vaccine uptake among populations exposed to structural inequities.

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Community-Centered Assessment to Inform Pandemic Response in Georgia (US)

Cited by 3 publications

References 21 publications

How COVID-19 is reshaping U.S. national security policy

How COVID-19 is reshaping U.S. national security policy

"We're Not in That Circle of Misinformation": Understanding Community-Based Trusted Messengers Through Cultural Code-Switching

Identifying social determinants of health in populations exposed to structural inequities: a qualitative study of the COVID-19 pandemic experiences of Black and Latinx people living with HIV and cardiovascular risks

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