Background: Public health pandemics, such as COVID-19, not only impact the physical health and wellbeing of communities but also often have far-reaching effects on their social, psychological, environmental, and economic welfare. The coronavirus pandemic has highlighted the significant inequities experienced among those who are Black, Indigenous, and People of Color (BIPOC), especially in the areas of housing instability, unemployment, and debt accrual. This study investigates the socioeconomic impacts of COVID-19 on residents of the Canal neighborhood ("The Canal"), a low-income Latinx community in Marin County, California. This study also uplifts mitigation strategies already underway to facilitate post-pandemic recovery efforts.
Methods: This study utilized a mixed-methods, community participatory approach in which community leaders from a local nonprofit, Canal Alliance, administered a survey assessing the impact of COVID-19 on Canal residents. Additionally, community stakeholders including nonprofits, small businesses, and public officials were interviewed, and their field notes were analyzed through exploratory open coding.
Results: On a macro level, the data showed that Canal residents were severely impacted by COVID-19 in the form of massive job loss (61.2% of respondents were unemployed or underemployed) as well as financial stress related to eviction, housing instability, and debt accrual (78.8% of respondents struggled to cover rent and often had to borrow money from friends and family).
Conclusions: In spite of the severe socioeconomic impacts of COVID-19 on The Canal, there is a significant opportunity for recovery and growth because of an overwhelming investment by residents, community-based organizations, and public officials to support those who have been financially impacted by the pandemic. Some key areas of policy focus include expansion of affordable housing, pandemic-resistant workforce development, and restructuring of social services to increase accessibility. This report will explore recommendations related to strategic funding of community-based programs as well as short-term and long-term solutions for economic recovery.
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http://dx.doi.org/10.1007/s40615-022-01310-w | DOI Listing |
J Am Board Fam Med
January 2025
From the Kaiser Permanente Bernard J. Tyson School of Medicine, Pasadena, CA (IRF, EEH, CAS); Kaiser Permanente Bernard J. Tyson School of Medicine, Office of Research and Scholarship, Pasadena, CA (RG, MCD); Kaiser Permanente Bernard J. Tyson School of Medicine, Department of Health Systems Science, Pasadena, CA (BBG, RSN, QNM); Kaiser Permanente Washington Health Research Institute, Seattle, WA (BBN); Center for Health Research, Kaiser Permanente Northwest, Portland, OR (GDC); Department of Research and Evaluation, Kaiser Permanente Southern California, Los Angeles, CA (EEH); Hawaii Permanente Medical Group, Honolulu, HI (SAH); The Southeast Permanente Medical Group, Atlanta, GA (KK); Kaiser Permanente Division of Research, Oakland, CA (TRL); Institute for Health Research, Kaiser Permanente Colorado, Aurora, CO (CAS).
Introduction: Colorectal cancer (CRC) is the second leading cause of cancer death in the United States. While patient-reported barriers have been previously described, few studies have analyzed how patients' social needs affect screening rates.
Methods: This cross-sectional study includes 3,443 Kaiser Permanente (KP) patients ages 50 to 75 years who completed the 2020 KP National Social Needs Survey.
Health Serv Res
December 2024
IDEAS Center, Veterans Affairs Salt Lake City Health Care System, Salt Lake City, Utah, USA.
Objective: To evaluate the effect of enrolling in Supportive Services for Veteran Families (SSVF) on short- and long-term housing outcomes among Veterans experiencing housing instability.
Study Setting And Design: We analyzed data from the Department of Veterans Affairs (VA) electronic health record (EHR) between October 2015 and December 2018 using the target trial emulation framework. Veterans were included in one or more trials if they were 18 years or older, had recent evidence of housing instability, had received care in VA for at least 1 year, and had never before enrolled in SSVF.
J Obstet Gynecol Neonatal Nurs
December 2024
Objective: To explore and describe perceptions of provider inquiry regarding housing status among pregnant women experiencing housing instability.
Design: Secondary qualitative analysis using analytic expansion.
Setting: In-person and online interviews in the Mid-Atlantic and Washington, DC, region.
BMC Health Serv Res
December 2024
Department of Population Health Sciences, Duke University School of Medicine, Durham, NC, USA.
Background: After release from incarceration, individuals are rarely connected to primary care or to social services despite bearing a disproportionate burden of poor health (e.g., chronic illness) and structural determinants of health (e.
View Article and Find Full Text PDFBMC Oral Health
December 2024
Texas A&M University College of Dentistry, 3302 Gaston Avenue, Dallas, TX, 75246, USA.
Background: Oral diseases remain a significant public health problem worldwide, with growing gaps in oral health status among various socioeconomic groups. The objective of the current study is to analyze the impact of different social determinants of health (SDOH) on oral health outcomes (frequency of dental visits, self-reported oral health status, embarrassment because of oral health status, and tooth loss) among a representative sample of United States (U.S.
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