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Best Practices that show evidence of effectiveness in improving public health outcomes when implemented in multiple real-life settings, as indicated by achievement of aims consistent with the objectives of the activities.
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Peer Review Study
This is an assessment of the association between hospitalization for illness from COVID-19 infection and chronic conditions among Medicare beneficiaries (MBs) with fee-for-service (FFS) claims by race and ethnicity for January 1–September 30, 2020. Racial/ethnic disparities in hospitalization rates persist among MBs with COVID-19, and associations of COVID-19 hospitalization with chronic conditions differ among racial/ethnic groups in the U.S.
Emerging Practices that show potential to achieve desirable public health outcomes in a specific real-life setting and produce early results that are consistent with the objectives of the activities and thus indicate effectiveness.
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Commentary
This story is part of a series, “Race Matters.” It highlights the problems with inconsistent data collection and reporting for Native Hawaiians and Pacific Islanders. Native Hawaiians and Pacific Islanders are often grouped with Asians or not tracked at all.
Promising Practices that show evidence of effectiveness in improving public health outcomes in a specific real-life setting, as indicated by achievement of aims consistent with the objectives of the activities, and are suitable for adaptation by other communities.
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Peer Review Study
Rapid data collection grounded in a community power-building approach produced data that directly informed state policy and an increased power base. This approach enables direct connection to immediate “downstream” needs in communities while simultaneously building collective systemic “upstream” analysis and capacity of community members and laying pathways to translation and implementation of research into policy.
Promising Practices that show evidence of effectiveness in improving public health outcomes in a specific real-life setting, as indicated by achievement of aims consistent with the objectives of the activities, and are suitable for adaptation by other communities.
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Peer Review Study
This study describes demographic characteristics and hospital bed capacities of the five New York City boroughs and evaluates whether differences in testing for COVID-19, hospitalizations, and deaths have emerged as a signal of racial, ethnic, and financial disparities. Results showed disparities among the boroughs. Bronx, with the highest proportion of racial/ethnic minorities, the most persons living in poverty, and the lowest levels of educational attainment, had higher rates of hospitalization and death from COVID-19 than the other boroughs.
Promising Practices that show evidence of effectiveness in improving public health outcomes in a specific real-life setting, as indicated by achievement of aims consistent with the objectives of the activities, and are suitable for adaptation by other communities.
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Peer Review Study
This study looked at variations in COVID-19 diagnoses by ZIP code, race, and ethnicity in Indiana. The study examines patient information from the Indiana University Health system and geolocates the patient’s ZIP codes to calculate the number of COVID-19 cases per 10,000 persons for each ZIP code. The results showed that ZIP codes with higher percentages of African Americans, Hispanics, foreign-born persons, and residents living in poverty are disproportionately affected by COVID-19.
Novel Practices that show potential to achieve desirable public health outcomes in a specific real-life setting and are in the process of generating evidence of effectiveness or may not yet be tested.
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Summary Report/Recommendations
This article discusses the current trends for collecting race/ethnicity data and other social determinants of health, which evolved from the 1978 Office of Management and Budget directive “Race and Ethnic Standards for Federal Statistics and Administrative Reporting.” The article comments on the inability of the current system to capture the nuance necessary to depict and address health inequities within the United States, and advocates for the immediate adoption of collecting primary/preferred language and country of birth/origin to capture more complete data on individuals.
Promising Practices that show evidence of effectiveness in improving public health outcomes in a specific real-life setting, as indicated by achievement of aims consistent with the objectives of the activities, and are suitable for adaptation by other communities.
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Peer Review Study
This study uses individual COVID-19 case and mortality data from Massachusetts combined with home address data to assess whether community-level risk factors can be identified and targeted. Results found higher COVID-19 case incidence rates for Black and Latinx residents, and stronger associations with COVID-19 mortality for those with essential worker status, older adults, and race/ethnicity status.
Promising Practices that show evidence of effectiveness in improving public health outcomes in a specific real-life setting, as indicated by achievement of aims consistent with the objectives of the activities, and are suitable for adaptation by other communities.
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Peer Review Study
The objectives of this study are to compare intention to receive COVID-19 vaccination by race/ethnicity, to identify perceptional factors that may mediate the association between race-ethnicity and intention to receive the vaccine, and to identify the demographic and perceptional factors most strongly predictive of intention to receive a vaccine. Participants were sent an electronic survey about COVID-19 vaccination with Research Electronic Data Capture Software (REDCap). In the TrackCOVID cohort, surveys were provided in Spanish and Chinese languages for respondents with limited English proficiency.
Promising Practices that show evidence of effectiveness in improving public health outcomes in a specific real-life setting, as indicated by achievement of aims consistent with the objectives of the activities, and are suitable for adaptation by other communities.
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Data Collection Tool
The Vulnerable Population Footprint is a mapping and reporting tool that identifies where high concentrations of populations living in poverty and populations living without a high school diploma overlap.
Promising Practices that show evidence of effectiveness in improving public health outcomes in a specific real-life setting, as indicated by achievement of aims consistent with the objectives of the activities, and are suitable for adaptation by other communities.
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Summary Report/Recommendations
Prepared by the Community-Based Workforce Alliance, this report provides steps for local health departments (LHDs) looking to integrate community health workers (CHWs) into their health equity efforts. Utilizing a framework based on the Community Health Worker Assessment and Improvement Matrix and adapted to the COVID-19 response within the U.S., this report presents a continuum of engagement across several key areas to design or improve CHW-based programs to deliver optimal results. The report also includes a series of strategic recommendations for making discrete improvements across all areas of engagement.