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Community Resilience to COVID-19 among Under-Resourced Black, Indigenous and Latinx Populations: A Mixed-Methods Study

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Title: Community Resilience to COVID-19 among Under-Resourced Black, Indigenous and Latinx Populations: A Mixed-Methods Study
Language: English
Authors: Lisa Cacari Stone (ORCID 0000-0003-0357-3413), Heidi Rishel Brakey (ORCID 0000-0002-9892-9592), Shannon Sanchez-Youngman, Blake Boursaw (ORCID 0000-0001-9432-8987), Nancy Pandhi (ORCID 0000-0002-0059-801X), Logan Hearp, Nathania Tsosie (ORCID 0009-0008-9832-552X), Cathryn McGill, Susie Villalobos, Anabel Canchola, Vincent Werito (ORCID 0000-0001-6310-3152), Elroy Keetso, Tassy Parker
Source: Health Education & Behavior. 2025 52(1):53-65.
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: 13
Publication Date: 2025
Sponsoring Agency: National Institute on Minority Health and Health Disparities (NIMHD) (DHHS/NIH)
National Heart, Lung, and Blood Institute (NHLBI) (DHHS/NIH)
Contract Number: 5U54MD00481110
OT2HL158287
Document Type: Journal Articles
Reports - Research
Descriptors: COVID-19, Pandemics, African Americans, Hispanic Americans, Indigenous Populations, American Indians, At Risk Persons, Access to Health Care, Immunization Programs, Racial Differences, Ethnicity, Community, Resilience (Psychology), Community Involvement, Allied Health Personnel, Attitudes, Trust (Psychology), Story Telling, Trauma, Grief, Community Influence, Cultural Influences, Socioeconomic Status
DOI: 10.1177/10901981251347155
ISSN: 1090-1981
1552-6127
Abstract: The COVID-19 pandemic uncovered important patterns of structural inequities and their impact on health outcomes for racial and ethnic minorities in the United States. Native Americans, Latinxs, and African Americans are more likely to contract COVID-19 and be hospitalized and die, but are less likely to be tested and vaccinated. Environmental and social vulnerabilities partially explain these disparate impacts while an underfunded and fragmented public health infrastructure accounts for the lag in the distribution of needed resources, including vaccines, at the national, tribal, state and local levels. To further understand the disparities of COVID-19 vaccine uptakes across diverse racial, ethnic and geographic populations, we draw from a socio-ecological model of community resilience and use a mixed-method community engagement approach that includes: digital community stories (N = 34), interviews with health providers (N = 14) and a multimodal quantitative survey (N = 1,194). Our results show that trust in one's own community being resilient, community stories of cultural resilience and health provider use of resilience techniques increase vaccine uptake and supported self- and community care amid complex grief, traumatic events and personal and professional losses. Looking ahead, cultural, personal, and community resiliencies are key strategies for alleviating the stressors and losses experienced by racial and ethnic populations during pandemics.
Abstractor: As Provided
Entry Date: 2025
Accession Number: EJ1478048
Database: ERIC
FullText Text:
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PubType: Academic Journal
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  Data: Community Resilience to COVID-19 among Under-Resourced Black, Indigenous and Latinx Populations: A Mixed-Methods Study
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  Data: English
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  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Lisa+Cacari+Stone%22">Lisa Cacari Stone</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0003-0357-3413">0000-0003-0357-3413</externalLink>)<br /><searchLink fieldCode="AR" term="%22Heidi+Rishel+Brakey%22">Heidi Rishel Brakey</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0002-9892-9592">0000-0002-9892-9592</externalLink>)<br /><searchLink fieldCode="AR" term="%22Shannon+Sanchez-Youngman%22">Shannon Sanchez-Youngman</searchLink><br /><searchLink fieldCode="AR" term="%22Blake+Boursaw%22">Blake Boursaw</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0001-9432-8987">0000-0001-9432-8987</externalLink>)<br /><searchLink fieldCode="AR" term="%22Nancy+Pandhi%22">Nancy Pandhi</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0002-0059-801X">0000-0002-0059-801X</externalLink>)<br /><searchLink fieldCode="AR" term="%22Logan+Hearp%22">Logan Hearp</searchLink><br /><searchLink fieldCode="AR" term="%22Nathania+Tsosie%22">Nathania Tsosie</searchLink> (ORCID <externalLink term="https://orcid.org/0009-0008-9832-552X">0009-0008-9832-552X</externalLink>)<br /><searchLink fieldCode="AR" term="%22Cathryn+McGill%22">Cathryn McGill</searchLink><br /><searchLink fieldCode="AR" term="%22Susie+Villalobos%22">Susie Villalobos</searchLink><br /><searchLink fieldCode="AR" term="%22Anabel+Canchola%22">Anabel Canchola</searchLink><br /><searchLink fieldCode="AR" term="%22Vincent+Werito%22">Vincent Werito</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0001-6310-3152">0000-0001-6310-3152</externalLink>)<br /><searchLink fieldCode="AR" term="%22Elroy+Keetso%22">Elroy Keetso</searchLink><br /><searchLink fieldCode="AR" term="%22Tassy+Parker%22">Tassy Parker</searchLink>
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  Data: <searchLink fieldCode="SO" term="%22Health+Education+%26+Behavior%22"><i>Health Education & Behavior</i></searchLink>. 2025 52(1):53-65.
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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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  Label: Peer Reviewed
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  Data: Y
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  Data: 13
– Name: DatePubCY
  Label: Publication Date
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  Data: 2025
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  Group: SrcSuprt
  Data: National Institute on Minority Health and Health Disparities (NIMHD) (DHHS/NIH)<br />National Heart, Lung, and Blood Institute (NHLBI) (DHHS/NIH)
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  Data: 5U54MD00481110<br />OT2HL158287
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  Data: Journal Articles<br />Reports - Research
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  Data: <searchLink fieldCode="DE" term="%22COVID-19%22">COVID-19</searchLink><br /><searchLink fieldCode="DE" term="%22Pandemics%22">Pandemics</searchLink><br /><searchLink fieldCode="DE" term="%22African+Americans%22">African Americans</searchLink><br /><searchLink fieldCode="DE" term="%22Hispanic+Americans%22">Hispanic Americans</searchLink><br /><searchLink fieldCode="DE" term="%22Indigenous+Populations%22">Indigenous Populations</searchLink><br /><searchLink fieldCode="DE" term="%22American+Indians%22">American Indians</searchLink><br /><searchLink fieldCode="DE" term="%22At+Risk+Persons%22">At Risk Persons</searchLink><br /><searchLink fieldCode="DE" term="%22Access+to+Health+Care%22">Access to Health Care</searchLink><br /><searchLink fieldCode="DE" term="%22Immunization+Programs%22">Immunization Programs</searchLink><br /><searchLink fieldCode="DE" term="%22Racial+Differences%22">Racial Differences</searchLink><br /><searchLink fieldCode="DE" term="%22Ethnicity%22">Ethnicity</searchLink><br /><searchLink fieldCode="DE" term="%22Community%22">Community</searchLink><br /><searchLink fieldCode="DE" term="%22Resilience+%28Psychology%29%22">Resilience (Psychology)</searchLink><br /><searchLink fieldCode="DE" term="%22Community+Involvement%22">Community Involvement</searchLink><br /><searchLink fieldCode="DE" term="%22Allied+Health+Personnel%22">Allied Health Personnel</searchLink><br /><searchLink fieldCode="DE" term="%22Attitudes%22">Attitudes</searchLink><br /><searchLink fieldCode="DE" term="%22Trust+%28Psychology%29%22">Trust (Psychology)</searchLink><br /><searchLink fieldCode="DE" term="%22Story+Telling%22">Story Telling</searchLink><br /><searchLink fieldCode="DE" term="%22Trauma%22">Trauma</searchLink><br /><searchLink fieldCode="DE" term="%22Grief%22">Grief</searchLink><br /><searchLink fieldCode="DE" term="%22Community+Influence%22">Community Influence</searchLink><br /><searchLink fieldCode="DE" term="%22Cultural+Influences%22">Cultural Influences</searchLink><br /><searchLink fieldCode="DE" term="%22Socioeconomic+Status%22">Socioeconomic Status</searchLink>
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  Group: ID
  Data: 10.1177/10901981251347155
– Name: ISSN
  Label: ISSN
  Group: ISSN
  Data: 1090-1981<br />1552-6127
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: The COVID-19 pandemic uncovered important patterns of structural inequities and their impact on health outcomes for racial and ethnic minorities in the United States. Native Americans, Latinxs, and African Americans are more likely to contract COVID-19 and be hospitalized and die, but are less likely to be tested and vaccinated. Environmental and social vulnerabilities partially explain these disparate impacts while an underfunded and fragmented public health infrastructure accounts for the lag in the distribution of needed resources, including vaccines, at the national, tribal, state and local levels. To further understand the disparities of COVID-19 vaccine uptakes across diverse racial, ethnic and geographic populations, we draw from a socio-ecological model of community resilience and use a mixed-method community engagement approach that includes: digital community stories (N = 34), interviews with health providers (N = 14) and a multimodal quantitative survey (N = 1,194). Our results show that trust in one's own community being resilient, community stories of cultural resilience and health provider use of resilience techniques increase vaccine uptake and supported self- and community care amid complex grief, traumatic events and personal and professional losses. Looking ahead, cultural, personal, and community resiliencies are key strategies for alleviating the stressors and losses experienced by racial and ethnic populations during pandemics.
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  Data: 2025
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  Data: EJ1478048
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=eric&AN=EJ1478048
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        Value: 10.1177/10901981251347155
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      – Text: English
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      – SubjectFull: African Americans
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      – SubjectFull: Hispanic Americans
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      – SubjectFull: Indigenous Populations
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      – SubjectFull: American Indians
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      – SubjectFull: Immunization Programs
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      – SubjectFull: Racial Differences
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