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Established Practices that show evidence of effectiveness in improving public health outcomes when implemented in multiple real-life settings, as indicated by previous studies that are consistent with the objectives of the activities.
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Summary Report/Recommendations
Researchers conducted a series of interviews with administrators from 40 different nursing homes across the US between July 2020 and December 2021 to better understand their experiences amidst the COVID-19 pandemic. Interviewees described the adverse effects of the pandemic on the physical and mental health of the residents in their facilities as restrictions around visitation, socializing, and communal dining created isolating, inactive conditions. Administrators also expressed concerns for the longevity of the nursing home industry in the wake of the pandemic and resulting reductions in revenue and pervasive negative perceptions of nursing homes in the media.
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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Other
This episode from the podcast 99 Percent Invisible reflects on how the COVID-19 pandemic exposed the American public to a long-standing problem: the disjointed nature of the U.S. health system. Because state and local health departments largely operate independently and use their own data collection and analysis tools, health systems across the country lack standardized data definitions and systems. These inconsistencies made it nearly impossible to collect and analyze comprehensive, standardized data on COVID-19 cases, deaths, and vaccines administered amid the pandemic. Health experts featured on this episode believe that the pandemic made the need for an overhaul of America’s informatics system very apparent. When rebuilding this system, it’s important to focus on remedying existing inequalities in data collection and classification that in some cases render the health status of certain populations – think Native American communities and other communities of color – completely invisible in the data. By virtue of being small populations, it can be difficult for health departments to collect sufficient and/or statistically significant data on minority communities. Another issue discussed in this episode is the use of broad racial categories like “other,” “multiple races,” or even “Asian American,” which, if not disaggregated, obscures the health status of diverse populations who are grouped under the same category. Without comprehensive and inclusive health data, it’s difficult to identify disparities and implement policies and programming that promote social mobility and health equity.
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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Systematic Review/Meta-Analysis
This review of state data collection and reporting practices during the COVID-19 pandemic found inconsistencies and gaps in data collected by race and ethnicity. Improved standardization across the U.S.–which may come in the form of a federally-operated centralized database–would address some of the concerns in data representation of all Americans.
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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Peer Review Study
This study compares data from the NYC coronavirus data repository with 2018 American Community Survey 5-year census estimates to examine the distribution of testing sites across New York City by race in May 2020. During this time, the results found that testing sites for primarily Black and Latinx communities increased, but primarily White areas still had the highest number of testing sites. The study team created ZIP-code level maps showing testing site distribution using ArcGIS as a part of this study.
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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White Paper/Brief
This article covers the efforts of Salud America!, a national Latino-focused organization that uses digital content creation to create stories, tools, and videos to increase people’s self- and collective-efficacy to engage in advocacy for healthy changes. During the early stages of the COVID-19 pandemic, the organization applied its digital content curation model to address how the pandemic affected the U.S. Latino population. They released a series of website blog posts, peer-modeled stories, podcast episodes, tweet chats, action tools for school leaders, action campaigns for individuals, and localized data tools for advocates to educate the Latino community about COVID-19.
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 examines a cohort of patients testing for COVID-19 in a large healthcare setting spanning California, Oregon, and Washington between March 1 and December 31, 2020. to determine the sociodemographic and clinical characteristics of these patients. Results found that major healthcare disparities were evident, particularly among Hispanics. Hispanic individuals tested positive at a higher rate, required excess hospitalization and mechanical ventilation, and had higher odds of in-hospital mortality despite younger ages. Targeted, culturally responsive interventions and equitable vaccine development and distribution are needed to address the increased risk of poorer COVID-19 outcomes among 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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Peer Review Study
This article presents a systematic review and meta-analysis aimed to estimate the influence of the COVID-19 pandemic on the prevalence of postpartum depression and to summarize risk factors for postpartum depression during the COVID-19 pandemic. A total of eight studies during the COVID-19 pandemic were included, and most studies were conducted in developed countries. The research findings indicated that the COVID-19 pandemic could detrimentally impact maternal mental well-being among women after childbirth. Investigating the prevalence and risk factors of postpartum depression among women could shed some light on their mental and emotional states; so that support measures and tailored interventions from health professionals and policymakers could be offered to improve maternal and infant outcomes, especially during the COVID-19 pandemic.
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 article summarizes the findings from a systematic review of the safety, immunogenicity, and effectiveness of COVID-19 vaccines in pregnancy and lactation. In total, 23 studies were identified. The systematic review found that COVID-19 vaccines are safe, immunogenic, and effective during pregnancy and lactation.
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 article discusses the findings from a systematic review and meta-analysis of observational studies on pregnant women with confirmed COVID-19 infections. More than 31,000 pregnant women from 62 studies were included.
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 examined the sociodemographic characteristics of the residents of Cameron County, Texas, one of the most Hispanic-populated counties in the United States with over 90% of residents identifying as Hispanic. The study analyzed data from March to December 2020, and studied both social determinants of health and COVID-19 mitigation policies, such as the “shelter in place” mandate. The results show that single parents, those living below the poverty level, and those who do not fluently speak English are at a more increased risk of contracting COVID-19. The shelter in place mandate was able to reduce community transmission within three weeks of implementation, but the results of its impact vary greatly by age, sex, and race.