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CMAJ ; 193(31): E1203-E1212, 2021 08 09.
Artigo em Inglês | MEDLINE | ID: mdl-34373268

RESUMO

BACKGROUND: The COVID-19 pandemic has exacerbated disparities in poverty and illness for people in vulnerable circumstances in ethnocultural communities. We sought to understand the evolving impacts of COVID-19 on ethnocultural communities to inform intersectoral advocacy and community action. METHODS: The Illuminate Project used participatory action research, with cultural health brokers as peer researchers, from Sept. 21 to Dec. 31, 2020, in Edmonton, Alberta. Twenty-one peer researchers collected narratives from members of ethnocultural communities and self-interpreted them as they entered the narratives into the SenseMaker platform, a mixed-method data collection tool. The entire research team analyzed real-time, aggregate, quantitative and qualitative data to identify emerging thematic domains, then visualized these domains with social network analysis. RESULTS: Brokers serving diverse communities collected 773 narratives. Identified domains illuminate the evolving and entangled impacts of COVID-19 including the following: COVID-19 prevention and management; care of acute, chronic and serious illnesses other than COVID-19; maternal care; mental health and triggers of past trauma; financial insecurity; impact on children and youth and seniors; and legal concerns. We identified that community social capital and cultural brokering are key assets that facilitate access to formal health and social system supports. INTERPRETATION: The Illuminate Project has illustrated the entangled, systemic issues that result in poor health among vulnerable members of ethnocultural communities, and the exacerbating effects of COVID-19, which also increased barriers to mitigation. Cultural brokering and community social capital are key supports for people during the COVID-19 pandemic. These findings can inform policy to reduce harm and support community resiliency.


Assuntos
COVID-19/etnologia , Serviços de Saúde Comunitária/organização & administração , Pandemias , Populações Vulneráveis/etnologia , Alberta/epidemiologia , COVID-19/prevenção & controle , COVID-19/terapia , Informação de Saúde ao Consumidor , Feminino , Estresse Financeiro , Pesquisa sobre Serviços de Saúde , Disparidades em Assistência à Saúde , Humanos , Masculino , Pobreza , SARS-CoV-2 , Capital Social , Análise de Rede Social , Apoio Social
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