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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 article presents strategies of how Durham County Department of Public Health operationalized equity into multiple phases of its COVID-19 response through infrastructure changes and how to apply these methods to future public health emergencies to better serve vulnerable populations. This response relied upon robust data collection of demographic data to identify inequities. Infrastructure changes included standing up multiple COVID-19 Task Forces (Homeless, Community, Food Security, African American) and Strike Teams (Long-Term Care Facility, Clusters) targeting vulnerable populations; placing testing sites in targeted locations; collaborating with multisector and community partners for feedback; and providing Health Ambassadors for in-person dissemination of COVID-19 information. The paper reviews results from these interventions and lessons learned.
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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Case Study
This case study describes how the Virginia Equity Leadership Task Force (ELT) uses data to drive allocation of resources. ELT used a data-driven approach to learn where they should allocate resources to make a maximum impact, with a specific focus on marginalized and underserved populations who are at greatest risk of severe disease from COVID-19. They profiled neighborhoods by equity factors including income, race and ethnicity, comorbidities, crowded housing, and preferred language, and then distributed personal protective equipment with priority given to more vulnerable populations. They used similar analyses of social determinants of health; up-to-date COVID-19 vaccination status; and data on cases, hospitalizations, and deaths to determine where to place vaccine centers and hold mass vaccination events.
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 National Equity Atlas is a first-of-its-kind web resource for data to track, measure, and make the case for inclusive growth. The Atlas provides deeply disaggregated, longitudinal data on demographic change, racial and economic inclusion, and the economic benefits of equity for the largest 100 cities, largest 150 regions, all 50 states, and the United States. The data can be used for data collection and analysis.
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.
RELEASE DATE:
Peer Review Study
This is a cross-sectional study on household food insecurity during COVID-19 using data from a nationally representative sample of United States households through the 2020 Household Pulse Survey.
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.
RELEASE DATE:
Peer Review Study
This study looks at county-level socioeconomic health factors with demographic data to examine COVID-19 incidence and mortality from January to July 2020. The results showed that a wide number of social determinants, including household composition, minority status, and environmental factors, significantly impact health disparities for minority populations.
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
This case study describes the Colorado Department of Public Health and Environment’s (CDPHE) work to change the narrative and framing of population health data to emphasize the importance of structural inequities and social determinants of health. CDPHE is also working to incorporate equity metrics into program evaluations and performance monitoring and use boilerplate language regarding equity in CDPHE publications.
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 Neighborhood Atlas website was created in order to freely share measures of neighborhood disadvantage with the public, including educational institutions, health systems, not-for-profit organizations, and government agencies, in order to make these metrics available for use in research, program planning, and policy development. The Area Deprivation Index allows for rankings of neighborhoods by socioeconomic disadvantage in a region of interest (e.g., at the state or national level). It includes factors for the theoretical domains of income, education, employment, and housing quality.
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
This article provides a brief overview of a framework to incorporate data and community engagement into a targeted approach to promote equitable testing and treatment of COVID-19, and to address underlying social determinant of health risks that disproportionately burden racial minority communities.
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.
RELEASE DATE:
Peer Review Study
This study examined internet usage of older adults through the California Health Interview Survey to determine how social determinants of health and socioeconomic levels can impact access to health information. The results showed that minorities with lower levels of socioeconomic status were most impacted by a digital divide and access to health information via the internet.
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.
RELEASE DATE:
Peer Review Study
This study assessed community factors associated with COVID-19 infection levels and testing rates at the US Census tract level in Seattle, King County, Washington. Through multivariate models, the study demonstrated disparities for communities of color within the county, for risk of exposure, transmission, and in testing rates. The results show a need for increased education, training, and disease control resources for communities with low socioeconomic status and vulnerable populations.