Tackling Ethnic Health Disparities Through Community Health Worker Programs: A Scoping Review on Their Utilization During the COVID-19 Outbreak

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Valeriani, GiuseppeStockholm Cty Council, Transcultural Ctr, Stockholm, Sweden.;Stockholm Cty Council, Transcultural Ctr, Solnavagen 4, S-11365 Stockholm, Sweden. (author)

Tackling Ethnic Health Disparities Through Community Health Worker Programs : A Scoping Review on Their Utilization During the COVID-19 Outbreak

Article/chapterEnglish2022

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Mary Ann Liebert,2022
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LIBRIS-ID:oai:DiVA.org:uu-495122
https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-495122URI
https://doi.org/10.1089/pop.2021.0364DOI

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Language:English
Summary in:English

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The coronavirus disease (COVID-19) outbreak has magnified existing health inequities linked to social determinants of health, with racial and ethnic minorities being disproportionately affected by the pandemic. A proposed strategy to address these inequities is based on the implementation of community health worker (CHW) programs able to bridge the gaps between marginalized communities and the formal health care systems. A scoping review was conducted through searching 4 databases: PubMed, Scopus, Web of Science, and Science Direct. Inclusion criteria focused on studies defining any kind of adopted CHW intervention to address inequities related to racial/ethnic groups during the COVID-19 crisis, published from December 31, 2019, to October 31, 2021. Narrative synthesis was undertaken to summarize the findings. In total, 23 studies met the inclusion out of the 107 search results. Data converged on the relevant potential of CHWs on engaging with community leaders, addressing social determinants of health, and issues related to structural racism, promoting culturally tailored health information, and encouraging institutions to policy change in favor of people left behind. Although vulnerability of racial and ethnic minorities was already present before the COVID-19 outbreak, the pandemic has represented a wakeup call to address it more efficiently. In recent years, CHWs have increasingly been acknowledged as valuable members of the health care workforce. As health disparities may increase after our multicultural societies begin to recover from COVID-19, CHWs may play a crucial role in addressing system-level changes to have broad and lasting effects on health outcomes.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Public Health, Global Health, Social Medicine and Epidemiology hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Health Care Service and Management, Health Policy and Services and Health Economy hsv//eng
community health workers
ethnic disparities
COVID-19 pandemic
community empowerment
advocacy

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Vukovic, Iris SarajlicSahlgrens Univ Hosp, Dept Affect Disorders, Gothenburg, Sweden. (author)
Bersani, Francesco SaverioSapienza Univ Rome, Dept Human Neurosci, Rome, Italy. (author)
Diman, Anahita SadeghzadehIslamic Azad Univ, Dept Psychol, Roudehen Branch, Tehran, Iran. (author)
Ghorbani, AbdolbasetUppsala universitet,Institutionen för organismbiologi(Swepub:uu)abdgh657 (author)
Mollica, RichardHarvard Med Sch, Massachusetts Gen Hosp, Harvard Program Refugee Trauma, Cambridge, MA USA. (author)
Stockholm Cty Council, Transcultural Ctr, Stockholm, Sweden.;Stockholm Cty Council, Transcultural Ctr, Solnavagen 4, S-11365 Stockholm, Sweden.Sahlgrens Univ Hosp, Dept Affect Disorders, Gothenburg, Sweden. (creator_code:org_t)

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In:Population health management: Mary Ann Liebert25:4, s. 517-5261942-78911942-7905

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