Inequity and the disproportionate impact of COVID-19 on communities of color in the United States: The need for a trauma-informed social justice response.

Fortuna, Lisa R.; Tolou‐Shams, Marina; Robles-Ramamurthy, Barbara; Porche, Michelle V.

doi:10.1037/tra0000889

Cited by 300 publications

(276 citation statements)

References 12 publications

(11 reference statements)

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“…Health experts have expressed concern that the 2020-2021 flu season could present additional challenges to individual health, and could place strains on healthcare systems which may need to address both a COVID-19 pandemic and a flu season at the same time [47]. Given that African Americans and Hispanics are disproportionately affected by COVID-19 and are less likely to get the flu vaccine compared to other demographic groups, it is critical to employ new approaches that can deliver positive messages about vaccination to these groups [48].…”

Section: Resultsmentioning

confidence: 99%

Using social media influencers to increase knowledge and positive attitudes toward the flu vaccine

Bonnevie¹,

Rosenberg²,

Kummeth³

et al. 2020

PLoS ONE

117

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Seasonal influenza affects millions of people across the United States each year. African Americans and Hispanics have significantly lower vaccination rates, and large-scale campaigns have had difficulty increasing vaccination among these two groups. This study assessed the feasibility of delivering a flu vaccination promotion campaign using influencers, and examined shifts in social norms regarding flu vaccine acceptability after a social media micro influencer campaign. Influencers were asked to choose from vetted messages and create their own original content promoting flu vaccination, which was posted to their social media pages. Content was intentionally unbranded to ensure that it aligned with the look and feel of their pages. Cross-sectional pre-and post-campaign surveys were conducted within regions that received the campaign and control regions to examine potential campaign impact. Digital metrics assessed campaign exposure. Overall, 117 influencers generated 69,495 engagements. Results from the region that received the campaign showed significant increases in positive beliefs about the flu vaccine, and significant decreases in negative community attitudes toward the vaccine. This study suggests that flu campaigns using a ground-up rather than top-down approach can feasibly reach at-risk groups with lower vaccination rates, and shows the potentials of using an influencer-based model to communicate information about flu vaccination on a large scale.

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Section: Resultsmentioning

confidence: 99%

Using social media influencers to increase knowledge and positive attitudes toward the flu vaccine

Bonnevie¹,

Rosenberg²,

Kummeth³

et al. 2020

PLoS ONE

117

View full text Add to dashboard Cite

show abstract

“…Utilize evidence-based interventions that promote resilience and mitigate social determinants (e.g., parent training, peer-based interventions, etc. ; Fortuna et al., 2020 ). Adapt our current interventions to meet the needs of non-English speaking families.…”

Section: Opportunities For Pediatric Psychologists To Focus On Inequimentioning

confidence: 99%

“…A disturbing trend has persisted as states report data on illness, hospitalizations, and deaths due to COVID-19; Black, Indigenous, and/or People of Color (BIPOC) are disproportionately contracting coronavirus, as well as dying from COVID-19 ( Centers for Disease Control and Prevention, 2020 ). The disparate impact of the coronavirus on BIPOC has been linked to preexisting inequities including poorer access to healthcare, low-wage employment, increased likelihood of living in crowded spaces, overrepresentation in detention/correction facilities, and more ( Fortuna et al., 2020 ).…”

Section: Introductionmentioning

confidence: 99%

Commentary: Reflections on the COVID-19 Pandemic and Health Disparities in Pediatric Psychology

Valenzuela

Crosby

Harrison

2020

Journal of Pediatric Psychology

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The COVID-19 (2019 novel coronavirus) pandemic has had a significant economic, social, emotional, and public health impact in the United States. A disturbing trend is that Black, Indigenous, and/or People of Color (BIPOC) are disproportionately contracting coronavirus, as well as dying from COVID-19. Objective/Methods The pandemic has the potential to entrench and magnify existing health disparities and families marginalized across multiple demographic intersections such as race/ethnicity, class, immigration status, are especially vulnerable. These inequities have been further underscored by the recent murders of Black Americans by police and a resulting spotlight on racial injustice in the United States. Results Efforts to lessen the spread of the virus, have resulted in changes in pediatric primary and subspecialty service delivery which may affect access for BIPOC communities. BIPOC trainees including those with debt or caregiving responsibilities may be faced with new barriers resulting in delays in completion of their training. Further, clinical, community-based, and translational research has been disrupted by heightened safety precautions and social distancing which may affect BIPOC representation in research downstream. Conclusion In our roles as clinicians, supervisors, trainees, and researchers in primary and subspecialty care as well as in academia, pediatric psychologists have an ethical responsibility to address the disproportionate burden of this pandemic on vulnerable communities and to allocate our time and resources to ensuring health equity now and in the aftermath of COVID-19.

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“…Exposure to multiple chronic stressors (racism, financial instability, crime, etc. ), traumatic experiences, social inequalities, immigrant stressors, and barriers to access to services have a negative effect on both the health and mental health of these under-resourced communities (Fortuna et al, 2020).…”

mentioning

confidence: 99%

Expanding Possibilities: Flexibility and Solidarity with Under‐resourced Immigrant Families During the COVID‐19 Pandemic

2020

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The novel coronavirus has added new anxieties and forms of grieving to the myriad practical and emotional burdens already present in the lives of underserved and uninsured immigrant families and communities. In this article, we relate our experiences since the COVID‐19 crisis to the lessons we have learned over time as mental health professionals working with families in no‐cost, student‐managed community comprehensive health clinics in academic‐community partnerships. We compare and contrast the learnings of flexibility of time, space, procedures, or attendance we acquired in this clinical community setting during regular times, with the new challenges families and therapists face, and the adaptations needed to continue to work with our clients in culturally responsive and empowering ways during the COVID‐19 pandemic. We describe families, students, professionals, promotoras (community links), and IT support staff joining together in solidarity as the creative problem solvers of new possibilities when families do not have access to Wi‐Fi, smartphones, or computers, or suffer overcrowding and lack of privacy. We describe many anxieties related to economic insecurity or fear of facing death alone, but also how to visualize expanding possibilities in styles of parenting or types of emotional support among family members as elements of hope that may endure beyond these unprecedented tragic times of loss and uncertainty.

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Inequity and the disproportionate impact of COVID-19 on communities of color in the United States: The need for a trauma-informed social justice response.

Cited by 300 publications

References 12 publications

Using social media influencers to increase knowledge and positive attitudes toward the flu vaccine

Using social media influencers to increase knowledge and positive attitudes toward the flu vaccine

Commentary: Reflections on the COVID-19 Pandemic and Health Disparities in Pediatric Psychology

Expanding Possibilities: Flexibility and Solidarity with Under‐resourced Immigrant Families During the COVID‐19 Pandemic

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