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A Qualitative Study of Health Equity's Role in Community Coalition Development

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Title: A Qualitative Study of Health Equity's Role in Community Coalition Development
Language: English
Authors: Sadie Chen (ORCID 0000-0003-0172-6623), Galya Walt (ORCID 0000-0003-4726-4567), Alison Aldrich, Ann Scheck McAlearney, Benjamin Linas, Brenda Amuchi, Darcy A. Freedman, Dawn Goddard-Eckrich, Erin Gibson (ORCID 0000-0002-0422-7400), Jeanie Hartman, Julie Bosak (ORCID 0000-0001-5567-8909), Karsten Lunze, Latasha Jones, Mia Christopher (ORCID 0000-0001-5179-0960), Pamela Salsberry, Rebecca Jackson, Sandi Back, Mari-Lynn Drainoni, Daniel M. Walker (ORCID 0000-0001-5434-3162)
Source: Health Education & Behavior. 2024 51(4):613-624.
Availability: SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: https://sagepub.com
Peer Reviewed: Y
Page Count: 12
Publication Date: 2024
Sponsoring Agency: Substance Abuse and Mental Health Services Administration (DHHS/PHS)
National Institutes of Health (NIH) (DHHS)
Contract Number: UM1DA049394
UM1DA049406
UM1DA049412
UM1DA049415
UM1DA049417
Document Type: Journal Articles
Reports - Research
Descriptors: Drug Abuse, Narcotics, Social Differences, Public Health, Death, Minority Groups, Prevention, Community Action, Role, Race, Ethnicity, Barriers, Diversity, Community Needs, Intervention
DOI: 10.1177/10901981231179755
ISSN: 1090-1981
1552-6127
Abstract: Opioid overdose deaths are dramatically increasing in the United States and disproportionately affecting minority communities, with the increasing presence of fentanyl exacerbating this crisis. Developing community coalitions is a long-standing strategy used to address public health issues. However, there is a limited understanding of how coalitions operate amid a serious public health crisis. To address this gap, we leveraged data from the HEALing Communities Study (HCS)--a multisite implementation study aiming to reduce opioid overdose deaths in 67 communities. Researchers analyzed transcripts of 321 qualitative interviews conducted with members of 56 coalitions in the four states participating in the HCS. There were no a priori interests in themes, and emergent themes were identified through inductive thematic analysis and then mapped to the constructs of the Community Coalition Action Theory (CCAT). Themes emerged related to coalition development and highlighted the role of health equity in the inner workings of coalitions addressing the opioid epidemic. Coalition members reported seeing the lack of racial and ethnic diversity within their coalitions as a barrier to their work. However, when coalitions focused on health equity, they noted that their effectiveness and ability to tailor their initiatives to their communities' needs were strengthened. Based on our findings, we suggest two additions to enhance the CCAT: (a) incorporating health equity as an overarching construct that affects all stages of development, and (b) ensuring that data about individuals served are included within the pooled resource construct to enable monitoring of health equity.
Abstractor: As Provided
Entry Date: 2024
Accession Number: EJ1428685
Database: ERIC
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  Data: A Qualitative Study of Health Equity's Role in Community Coalition Development
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  Data: <searchLink fieldCode="AR" term="%22Sadie+Chen%22">Sadie Chen</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0003-0172-6623">0000-0003-0172-6623</externalLink>)<br /><searchLink fieldCode="AR" term="%22Galya+Walt%22">Galya Walt</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0003-4726-4567">0000-0003-4726-4567</externalLink>)<br /><searchLink fieldCode="AR" term="%22Alison+Aldrich%22">Alison Aldrich</searchLink><br /><searchLink fieldCode="AR" term="%22Ann+Scheck+McAlearney%22">Ann Scheck McAlearney</searchLink><br /><searchLink fieldCode="AR" term="%22Benjamin+Linas%22">Benjamin Linas</searchLink><br /><searchLink fieldCode="AR" term="%22Brenda+Amuchi%22">Brenda Amuchi</searchLink><br /><searchLink fieldCode="AR" term="%22Darcy+A%2E+Freedman%22">Darcy A. Freedman</searchLink><br /><searchLink fieldCode="AR" term="%22Dawn+Goddard-Eckrich%22">Dawn Goddard-Eckrich</searchLink><br /><searchLink fieldCode="AR" term="%22Erin+Gibson%22">Erin Gibson</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0002-0422-7400">0000-0002-0422-7400</externalLink>)<br /><searchLink fieldCode="AR" term="%22Jeanie+Hartman%22">Jeanie Hartman</searchLink><br /><searchLink fieldCode="AR" term="%22Julie+Bosak%22">Julie Bosak</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0001-5567-8909">0000-0001-5567-8909</externalLink>)<br /><searchLink fieldCode="AR" term="%22Karsten+Lunze%22">Karsten Lunze</searchLink><br /><searchLink fieldCode="AR" term="%22Latasha+Jones%22">Latasha Jones</searchLink><br /><searchLink fieldCode="AR" term="%22Mia+Christopher%22">Mia Christopher</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0001-5179-0960">0000-0001-5179-0960</externalLink>)<br /><searchLink fieldCode="AR" term="%22Pamela+Salsberry%22">Pamela Salsberry</searchLink><br /><searchLink fieldCode="AR" term="%22Rebecca+Jackson%22">Rebecca Jackson</searchLink><br /><searchLink fieldCode="AR" term="%22Sandi+Back%22">Sandi Back</searchLink><br /><searchLink fieldCode="AR" term="%22Mari-Lynn+Drainoni%22">Mari-Lynn Drainoni</searchLink><br /><searchLink fieldCode="AR" term="%22Daniel+M%2E+Walker%22">Daniel M. Walker</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0001-5434-3162">0000-0001-5434-3162</externalLink>)
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  Data: <searchLink fieldCode="SO" term="%22Health+Education+%26+Behavior%22"><i>Health Education & Behavior</i></searchLink>. 2024 51(4):613-624.
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  Data: SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: https://sagepub.com
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  Data: 2024
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  Data: 10.1177/10901981231179755
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  Data: 1090-1981<br />1552-6127
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  Data: Opioid overdose deaths are dramatically increasing in the United States and disproportionately affecting minority communities, with the increasing presence of fentanyl exacerbating this crisis. Developing community coalitions is a long-standing strategy used to address public health issues. However, there is a limited understanding of how coalitions operate amid a serious public health crisis. To address this gap, we leveraged data from the HEALing Communities Study (HCS)--a multisite implementation study aiming to reduce opioid overdose deaths in 67 communities. Researchers analyzed transcripts of 321 qualitative interviews conducted with members of 56 coalitions in the four states participating in the HCS. There were no a priori interests in themes, and emergent themes were identified through inductive thematic analysis and then mapped to the constructs of the Community Coalition Action Theory (CCAT). Themes emerged related to coalition development and highlighted the role of health equity in the inner workings of coalitions addressing the opioid epidemic. Coalition members reported seeing the lack of racial and ethnic diversity within their coalitions as a barrier to their work. However, when coalitions focused on health equity, they noted that their effectiveness and ability to tailor their initiatives to their communities' needs were strengthened. Based on our findings, we suggest two additions to enhance the CCAT: (a) incorporating health equity as an overarching construct that affects all stages of development, and (b) ensuring that data about individuals served are included within the pooled resource construct to enable monitoring of health equity.
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  Data: 2024
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