Developing an equitable intervention approach for communities of color: mental health and co-occurring physical health concerns in the context of the COVID-19 pandemic.

Autor:	Gutierrez Chavez M; Department of Psychology, University of Utah, Salt Lake City, UT 84112, USA., Kaur K; Department of Psychology, University of Utah, Salt Lake City, UT 84112, USA., Baucom KJW; Department of Psychology, University of Utah, Salt Lake City, UT 84112, USA., Sanchez-Birkhead A; College of Nursing, University of Utah, Salt Lake City, UT 84112, USA.; Community Faces of Utah, Salt Lake City, UT 84133, USA.; Hispanic Healthcare Task Force, Salt Lake City, UT 84108, USA., Sunada GR; Department of Family and Preventive Medicine, University of Utah, Salt Lake City, UT 84112, USA., Mukundente V; Community Faces of Utah, Salt Lake City, UT 84133, USA.; Best of Africa, Salt Lake City, UT 84133, USA., Tavake-Pasi F; Community Faces of Utah, Salt Lake City, UT 84133, USA.; National Tongan American Society, Murray, UT 84107, USA., Napia EE; Community Faces of Utah, Salt Lake City, UT 84133, USA.; Sacred Circle Healthcare, Salt Lake City, UT 84111, USA., Villalta J; Community Faces of Utah, Salt Lake City, UT 84133, USA.; Hispanic Healthcare Task Force, Salt Lake City, UT 84108, USA., Asnaani A; Department of Psychology, University of Utah, Salt Lake City, UT 84112, USA.
Jazyk:	angličtina
Zdroj:	Translational behavioral medicine [Transl Behav Med] 2022 Oct 07; Vol. 12 (9), pp. 919-926.
DOI:	10.1093/tbm/ibac033
Abstrakt:	The COVID-19 pandemic has exacerbated disparities in mental health treatment for people of color in the USA. Meeting the needs of those most burdened by this disparity will require swift and tactical action in partnership with these communities. The purpose of this paper is to describe how a community-based participatory research approach was employed to assess the priorities and needs of four communities of color (African immigrant, Hispanic/Latino, Black/African American, and Pacific Islander) in a major U.S. city. A brief quantitative survey devised jointly by community leaders and the research team was deployed to community members (N = 59) in the fall of 2020. The most endorsed mental health issues across the communities were excessive worry (51%) and stress regarding COVID-19, racism, and immigration policies (49%). The most endorsed physical health concerns included sleep difficulties (44%), headaches, and backaches (each 39%). Physical symptoms predicted the endorsement of a mental health issue above and beyond COVID-19-related hardships, multiplying the odds of reporting an issue by 1.73 per physical health concern endorsed. Based on these findings, the community-research team conceptualized and proposed an evidence-based, effectiveness-implementation hybrid type-2 intervention approach for chronic worry and daily stress. This paper highlights detail on how the community-research team arrived at the proposed multilevel intervention that addresses community-stated barriers to mental health treatment (e.g., preferring trusted health workers to deliver emotional health treatments) and considers the burden of the additional stressful context of COVID-19. (© Society of Behavioral Medicine 2022. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.)
Databáze:	MEDLINE
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