Communication inequalities and health disparities among vulnerable groups during the COVID-19 pandemic - a scoping review of qualitative and quantitative evidence

BMC Public Health, Год журнала: 2023, Номер 23(1)

Опубликована: Март 6, 2023

Abstract Background The COVID-19 pandemic has exacerbated health disparities in vulnerable groups (e.g., increased infection, hospitalization, and mortality rates people with lower income, education, or ethnic minorities). Communication inequalities can act as mediating factors this relationship. Understanding link is vital to prevent communication public crises. This study aims map summarize the current literature on linked (CIHD) during identify research gaps. Methods A scoping review of quantitative qualitative evidence was conducted. search followed guidelines PRISMA extension for reviews performed PubMed PsycInfo. Findings were summarized using a conceptual framework based Structural Influence Model by Viswanath et al. Results yielded 92 studies, mainly assessing low education social determinant knowledge an indicator inequalities. CIHD identified 45 studies. association insufficient inadequate preventive behavior most frequently observed. Other studies only found part link: ( n = 25) 5). In 17 neither nor found. Conclusions supports findings past Public institutions should specifically target their reduce More about needed migrant status, financial hardship, not speaking language country residence, sexual minorities, living deprived neighborhoods. Future also assess input derive specific strategies overcome

Язык: Английский

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The cost of primary care consultations associated with long COVID in non-hospitalised adults: a retrospective cohort study using UK primary care data

BMC Primary Care, Год журнала: 2023, Номер 24(1)

Опубликована: Ноя. 20, 2023

The economic impact of managing long COVID in primary care is unknown. We estimated the costs consultations associated with and explored relationship between risk factors costs.

Язык: Английский

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Tackling the crisis in general practice

BMJ, Год журнала: 2023, Номер unknown, С. p966 - p966

Опубликована: Май 2, 2023

Язык: Английский

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Community led health promotion to counter stigma and increase trust amongst priority populations: lessons from the 2022–2023 UK mpox outbreak

BMC Public Health, Год журнала: 2024, Номер 24(1)

Опубликована: Июнь 19, 2024

Abstract Background Stigma, lack of trust in authorities, and poor knowledge can prevent health-seeking behaviour, worsen physical mental health, undermine efforts to control transmission during disease outbreaks. These factors are particularly salient with diseases such as mpox, for which 96% cases the 2022–2023 UK outbreak were identified among gay, bisexual, queer men who have sex (MSM). This study explored stigma behaviour Liverpool through lens recent mpox outbreak. Methods Primary sources data interviews national regional key informants involved response, participatory workshops priority populations. Workshop recruitment targeted Grindr users (geosocial dating/hookup app) at risk MSM; immigrant, black ethnic minority male workers Liverpool. Data analysed using a deductive framework approach, building on Health Stigma Discrimination Framework. Results Key informant ( n = 11) five 15) conducted. There prevalent reports anticipated experienced due public health messaging alongside high demand uptake vaccine regular attendance sexual clinics. Respondents believed limited impact was actions by LGBTQ + community, third sector, local from community primary healthcare felt their collective action tackle undermined central authorities citing under-resourcing; reliance goodwill; communication; tokenistic engagement. Mpox communication further challenged evidence risk. challenge exacerbated COVID-19 pandemic scientific perceptions infectious disease, authorities. Conclusions The clinics took crucial counter support seeking Lessons rights based inclusive community-led approaches outbreaks should be heeded UK, working towards more meaningful timely collaboration between affected communities, healthcare,

Язык: Английский

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Profiling the persistent and episodic nature of long COVID symptoms and the impact on quality of life and functional status: a cohort observation study

Journal of Global Health, Год журнала: 2025, Номер 15

Опубликована: Фев. 6, 2025

Post-viral issues following acute infection with coronavirus disease 2019 (COVID-19), referred to widely as long COVID, are associated episodic, persistent, and disabling symptoms affecting quality of life functional status. Evidence demonstrates a significant impairment course, but there remains limited empirical data profile determine the fluctuating symptom COVID. We devised 16-week, multicentre prospective cohort observation study changes in patient-reported outcomes, biological, physiological, psychological, cognitive parameters diagnosis and/or referral an established COVID clinic. Following baseline assessments, participants completed four face-to-face visits interspersed telephone consultations. Face-to-face included physiological assessment, outcome measures (PROMs), status, respiratory function. Telephone consultations involved PROMs profiling. Patient-reported outcomes improved from week sixteen, demonstrated between visit fluctuations frequency severity. Further findings highlight severity profiles extent status impairment. The presented here episodic relapsing nature should be used help characterise disability. They can inform development COVID-specific guidelines support services that adequately respond reductions patient well-being.

Язык: Английский

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Examining access to and trust in sources of COVID-19 information among CALD Asian communities in New Zealand

PLoS ONE, Год журнала: 2025, Номер 20(3), С. e0319326 - e0319326

Опубликована: Март 28, 2025

During the COVID-19 pandemic, effective crisis communication has been crucial yet challenging, especially for culturally and linguistically diverse (CALD) communities. This study explored how CALD Asian communities in New Zealand accessed trusted various sources of information. A cross-sectional online survey with 1,267 respondents was conducted 2021. Findings revealed that participants engaged information, despite delays government efforts to provide appropriate Those without English as a first language tended have access fewer information sources. Ethnic group preferences varied: Indian South East groups favoured official channels (mainstream media websites), Chinese preferred messaging applications workplaces, Korean showed preference ethnic community media. Trust higher formal than platforms personal networks. Increased trust noted social among non-English speakers Koreans, while decreased seen workplace Koreans. research underscores necessity multifaceted, linguistically, strategies. It advocates proactive measures establish networks distributing vital during future communication.

Язык: Английский

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A Systematic Review of Behaviour Change Techniques within Interventions to Increase Vaccine Uptake among Ethnic Minority Populations

Vaccines, Год журнала: 2023, Номер 11(7), С. 1259 - 1259

Опубликована: Июль 19, 2023

COVID-19 caused significant morbidity and mortality amongst ethnic minority groups, but vaccine uptake remained lower than non-minoritised groups. Interventions to increase among communities are crucial. This systematic review synthesises evaluates behaviour change techniques (BCTs) in interventions vaccination populations. We searched five databases grey literature sources. From 7637 records identified, 23 studies were included the review. categorised using Behaviour Change Wheel (BCW) Taxonomy v1. Vaccines influenza, pertussis, tetanus, diphtheria, meningitis hepatitis. primarily delivered health centres/clinics community settings. Six BCW intervention functions policy categories 26 BCTs identified. The main used education, persuasion enablement. Overall, effective had multi-components tailored specific No strong evidence was observed recommend interventions, raising awareness involvement of organisations associated with positive effects. Several strategies communities; however, these do not address all issues related low acceptance. There is a need for an increased understanding addressing hesitancy

Язык: Английский

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Obesity care for youth during the COVID‐19 pandemic: Challenges youth healthcare nurses experienced in providing obesity care in the Netherlands

Nursing and Health Sciences, Год журнала: 2024, Номер 26(1)

Опубликована: Янв. 11, 2024

Abstract The COVID‐19 pandemic deeply affected the lives of children and young people; studies report adverse effects on mental, physical, social well‐being. However, impact obesity care for received little attention. aim this study was to gain insight into challenges youth healthcare nurses experienced describe implications future policy. We conducted interviews, participant observations, a group session with during in Amsterdam, Netherlands. Youth reported deterioration problems people who were already highest classification pediatric obesity, such as increased weight gain, mental health problems, socio‐economic problems. immense while trying provide care, decrease face‐to‐face contact their families, well loss continuity care. It is important reconnect these invest trusted relationship receiving prioritize available accessible those need it most.

Язык: Английский

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Communication and engagement of community members from ethnic minorities during COVID-19: a scoping review

BMJ Open, Год журнала: 2023, Номер 13(6), С. e069552 - e069552

Опубликована: Июнь 1, 2023

Objectives This review examined the factors influencing communication and engagement with ethnic racial minority groups in Australia during COVID-19 pandemic. It aimed to answer two main questions: (1) what problems people from these communities typically faced pandemic? (2) strategies recommendations were suggested enhance for minorities current pandemic any similar events future? Design Scoping review. Data sources PubMed, EMBASE, Cochrane Library, PsychINFO CINAHL. Grey literature was searched within organisations’ websites a Google search of key terms. Eligibility criteria selecting studies We included original research, case studies, reports (including government charity reports), systematic scoping articles reviews English, published January 2020 August 2022. extraction synthesis Two researchers independently assessed eligibility extracted data literature. The selected papers analysed summarised into themes relevant research questions. final 38 combining academic grey Results Key relating issues lack trust authority, access information ineffective channels timely culturally responsive materials. To reduce issues, spoke about role community organisations provide local support leaders as trusted spokespersons. Lastly, inequity strengthen future responses focused on need collaborations consultations, increasing number bilingual workers supporting community-led efforts. Conclusions insights gained activities experiences documented this should be incorporated decision-making interventions strategies.

Язык: Английский

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Health and social care experience and research perception of different ethnic minority populations in the East Midlands, United Kingdom (REPRESENT study)

Health Expectations, Год журнала: 2023, Номер 27(1)

Опубликована: Дек. 21, 2023

Ethnic minority populations experience significant health and social care disparities; despite experiencing a greater burden of diseases, these groups are underrepresented in research. Consequently, related research can be less applicable to population groups. The REPRESENT study aims explore the experiences ethnic minorities other minoritised populations, their interests appropriate practices.

Язык: Английский

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