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Tackling Ethnic Health Disparities Through Community Health Worker Programs: A Scoping Review on Their Utilization During the COVID-19 Outbreak
Stockholm Cty Council, Transcultural Ctr, Stockholm, Sweden.;Stockholm Cty Council, Transcultural Ctr, Solnavagen 4, S-11365 Stockholm, Sweden..ORCID iD: 0000-0002-5829-7682
Sahlgrens Univ Hosp, Dept Affect Disorders, Gothenburg, Sweden..
Sapienza Univ Rome, Dept Human Neurosci, Rome, Italy..
Islamic Azad Univ, Dept Psychol, Roudehen Branch, Tehran, Iran..
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2022 (English)In: Population health management, ISSN 1942-7891, E-ISSN 1942-7905, Vol. 25, no 4, p. 517-526Article, review/survey (Refereed) Published
Abstract [en]

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.

Place, publisher, year, edition, pages
Mary Ann Liebert, 2022. Vol. 25, no 4, p. 517-526
Keywords [en]
community health workers, ethnic disparities, COVID-19 pandemic, community empowerment, advocacy
National Category
Public Health, Global Health and Social Medicine Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
URN: urn:nbn:se:uu:diva-495122DOI: 10.1089/pop.2021.0364ISI: 000789260300001PubMedID: 35417223OAI: oai:DiVA.org:uu-495122DiVA, id: diva2:1730438
Available from: 2023-01-24 Created: 2023-01-24 Last updated: 2025-02-20Bibliographically approved

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Ghorbani, Abdolbaset

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