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Illuminating and mitigating the evolving impacts of COVID-19 on ethnocultural communities: a participatory action mixed-methods study.
Campbell-Scherer, Denise; Chiu, Yvonne; Ofosu, Nicole Naadu; Luig, Thea; Hunter, Karen Heather; Jabbour, Badi; Farooq, Sauleha; Mahdi, Ali; Gayawira, Aline; Awasis, Fransiska; Olokude, Funke; Goa, Hannah; Syed, Hina; Sillito, Judy; Yip, Lydia; Belle, Lyn; Akot, Mawien; Nutter, Monique; Farhat, Nadia; Wang, Yan; Jalal, Niga; Khalif, Saida; Chapagain, Shiva; Fernandez, Stephanie; Azarcon, Susan; Hama, Zhewar.
  • Campbell-Scherer D; Office of Lifelong Learning & the Physician Learning Program, Faculty of Medicine and Dentistry (Campbell-Scherer, Hunter, Luig), University of Alberta; Department of Family Medicine, Faculty of Medicine and Dentistry (Campbell-Scherer, Ofosu, Jabbour), University of Alberta; Multicultural Healt
  • Chiu Y; Office of Lifelong Learning & the Physician Learning Program, Faculty of Medicine and Dentistry (Campbell-Scherer, Hunter, Luig), University of Alberta; Department of Family Medicine, Faculty of Medicine and Dentistry (Campbell-Scherer, Ofosu, Jabbour), University of Alberta; Multicultural Healt
  • Ofosu NN; Office of Lifelong Learning & the Physician Learning Program, Faculty of Medicine and Dentistry (Campbell-Scherer, Hunter, Luig), University of Alberta; Department of Family Medicine, Faculty of Medicine and Dentistry (Campbell-Scherer, Ofosu, Jabbour), University of Alberta; Multicultural Healt
  • Luig T; Office of Lifelong Learning & the Physician Learning Program, Faculty of Medicine and Dentistry (Campbell-Scherer, Hunter, Luig), University of Alberta; Department of Family Medicine, Faculty of Medicine and Dentistry (Campbell-Scherer, Ofosu, Jabbour), University of Alberta; Multicultural Healt
  • Hunter KH; Office of Lifelong Learning & the Physician Learning Program, Faculty of Medicine and Dentistry (Campbell-Scherer, Hunter, Luig), University of Alberta; Department of Family Medicine, Faculty of Medicine and Dentistry (Campbell-Scherer, Ofosu, Jabbour), University of Alberta; Multicultural Healt
  • Jabbour B; Office of Lifelong Learning & the Physician Learning Program, Faculty of Medicine and Dentistry (Campbell-Scherer, Hunter, Luig), University of Alberta; Department of Family Medicine, Faculty of Medicine and Dentistry (Campbell-Scherer, Ofosu, Jabbour), University of Alberta; Multicultural Healt
  • Farooq S; Office of Lifelong Learning & the Physician Learning Program, Faculty of Medicine and Dentistry (Campbell-Scherer, Hunter, Luig), University of Alberta; Department of Family Medicine, Faculty of Medicine and Dentistry (Campbell-Scherer, Ofosu, Jabbour), University of Alberta; Multicultural Healt
  • Mahdi A; Office of Lifelong Learning & the Physician Learning Program, Faculty of Medicine and Dentistry (Campbell-Scherer, Hunter, Luig), University of Alberta; Department of Family Medicine, Faculty of Medicine and Dentistry (Campbell-Scherer, Ofosu, Jabbour), University of Alberta; Multicultural Healt
  • Gayawira A; Office of Lifelong Learning & the Physician Learning Program, Faculty of Medicine and Dentistry (Campbell-Scherer, Hunter, Luig), University of Alberta; Department of Family Medicine, Faculty of Medicine and Dentistry (Campbell-Scherer, Ofosu, Jabbour), University of Alberta; Multicultural Healt
  • Awasis F; Office of Lifelong Learning & the Physician Learning Program, Faculty of Medicine and Dentistry (Campbell-Scherer, Hunter, Luig), University of Alberta; Department of Family Medicine, Faculty of Medicine and Dentistry (Campbell-Scherer, Ofosu, Jabbour), University of Alberta; Multicultural Healt
  • Olokude F; Office of Lifelong Learning & the Physician Learning Program, Faculty of Medicine and Dentistry (Campbell-Scherer, Hunter, Luig), University of Alberta; Department of Family Medicine, Faculty of Medicine and Dentistry (Campbell-Scherer, Ofosu, Jabbour), University of Alberta; Multicultural Healt
  • Goa H; Office of Lifelong Learning & the Physician Learning Program, Faculty of Medicine and Dentistry (Campbell-Scherer, Hunter, Luig), University of Alberta; Department of Family Medicine, Faculty of Medicine and Dentistry (Campbell-Scherer, Ofosu, Jabbour), University of Alberta; Multicultural Healt
  • Syed H; Office of Lifelong Learning & the Physician Learning Program, Faculty of Medicine and Dentistry (Campbell-Scherer, Hunter, Luig), University of Alberta; Department of Family Medicine, Faculty of Medicine and Dentistry (Campbell-Scherer, Ofosu, Jabbour), University of Alberta; Multicultural Healt
  • Sillito J; Office of Lifelong Learning & the Physician Learning Program, Faculty of Medicine and Dentistry (Campbell-Scherer, Hunter, Luig), University of Alberta; Department of Family Medicine, Faculty of Medicine and Dentistry (Campbell-Scherer, Ofosu, Jabbour), University of Alberta; Multicultural Healt
  • Yip L; Office of Lifelong Learning & the Physician Learning Program, Faculty of Medicine and Dentistry (Campbell-Scherer, Hunter, Luig), University of Alberta; Department of Family Medicine, Faculty of Medicine and Dentistry (Campbell-Scherer, Ofosu, Jabbour), University of Alberta; Multicultural Healt
  • Belle L; Office of Lifelong Learning & the Physician Learning Program, Faculty of Medicine and Dentistry (Campbell-Scherer, Hunter, Luig), University of Alberta; Department of Family Medicine, Faculty of Medicine and Dentistry (Campbell-Scherer, Ofosu, Jabbour), University of Alberta; Multicultural Healt
  • Akot M; Office of Lifelong Learning & the Physician Learning Program, Faculty of Medicine and Dentistry (Campbell-Scherer, Hunter, Luig), University of Alberta; Department of Family Medicine, Faculty of Medicine and Dentistry (Campbell-Scherer, Ofosu, Jabbour), University of Alberta; Multicultural Healt
  • Nutter M; Office of Lifelong Learning & the Physician Learning Program, Faculty of Medicine and Dentistry (Campbell-Scherer, Hunter, Luig), University of Alberta; Department of Family Medicine, Faculty of Medicine and Dentistry (Campbell-Scherer, Ofosu, Jabbour), University of Alberta; Multicultural Healt
  • Farhat N; Office of Lifelong Learning & the Physician Learning Program, Faculty of Medicine and Dentistry (Campbell-Scherer, Hunter, Luig), University of Alberta; Department of Family Medicine, Faculty of Medicine and Dentistry (Campbell-Scherer, Ofosu, Jabbour), University of Alberta; Multicultural Healt
  • Wang Y; Office of Lifelong Learning & the Physician Learning Program, Faculty of Medicine and Dentistry (Campbell-Scherer, Hunter, Luig), University of Alberta; Department of Family Medicine, Faculty of Medicine and Dentistry (Campbell-Scherer, Ofosu, Jabbour), University of Alberta; Multicultural Healt
  • Jalal N; Office of Lifelong Learning & the Physician Learning Program, Faculty of Medicine and Dentistry (Campbell-Scherer, Hunter, Luig), University of Alberta; Department of Family Medicine, Faculty of Medicine and Dentistry (Campbell-Scherer, Ofosu, Jabbour), University of Alberta; Multicultural Healt
  • Khalif S; Office of Lifelong Learning & the Physician Learning Program, Faculty of Medicine and Dentistry (Campbell-Scherer, Hunter, Luig), University of Alberta; Department of Family Medicine, Faculty of Medicine and Dentistry (Campbell-Scherer, Ofosu, Jabbour), University of Alberta; Multicultural Healt
  • Chapagain S; Office of Lifelong Learning & the Physician Learning Program, Faculty of Medicine and Dentistry (Campbell-Scherer, Hunter, Luig), University of Alberta; Department of Family Medicine, Faculty of Medicine and Dentistry (Campbell-Scherer, Ofosu, Jabbour), University of Alberta; Multicultural Healt
  • Fernandez S; Office of Lifelong Learning & the Physician Learning Program, Faculty of Medicine and Dentistry (Campbell-Scherer, Hunter, Luig), University of Alberta; Department of Family Medicine, Faculty of Medicine and Dentistry (Campbell-Scherer, Ofosu, Jabbour), University of Alberta; Multicultural Healt
  • Azarcon S; Office of Lifelong Learning & the Physician Learning Program, Faculty of Medicine and Dentistry (Campbell-Scherer, Hunter, Luig), University of Alberta; Department of Family Medicine, Faculty of Medicine and Dentistry (Campbell-Scherer, Ofosu, Jabbour), University of Alberta; Multicultural Healt
  • Hama Z; Office of Lifelong Learning & the Physician Learning Program, Faculty of Medicine and Dentistry (Campbell-Scherer, Hunter, Luig), University of Alberta; Department of Family Medicine, Faculty of Medicine and Dentistry (Campbell-Scherer, Ofosu, Jabbour), University of Alberta; Multicultural Healt
CMAJ ; 193(31): E1203-E1212, 2021 08 09.
Article in English | MEDLINE | ID: covidwho-1350176
ABSTRACT

BACKGROUND:

The COVID-19 pandemic has exacerbated disparities in poverty and illness for people in vulnerable circumstances in ethnocultural communities. We sought to understand the evolving impacts of COVID-19 on ethnocultural communities to inform intersectoral advocacy and community action.

METHODS:

The Illuminate Project used participatory action research, with cultural health brokers as peer researchers, from Sept. 21 to Dec. 31, 2020, in Edmonton, Alberta. Twenty-one peer researchers collected narratives from members of ethnocultural communities and self-interpreted them as they entered the narratives into the SenseMaker platform, a mixed-method data collection tool. The entire research team analyzed real-time, aggregate, quantitative and qualitative data to identify emerging thematic domains, then visualized these domains with social network analysis.

RESULTS:

Brokers serving diverse communities collected 773 narratives. Identified domains illuminate the evolving and entangled impacts of COVID-19 including the following COVID-19 prevention and management; care of acute, chronic and serious illnesses other than COVID-19; maternal care; mental health and triggers of past trauma; financial insecurity; impact on children and youth and seniors; and legal concerns. We identified that community social capital and cultural brokering are key assets that facilitate access to formal health and social system supports.

INTERPRETATION:

The Illuminate Project has illustrated the entangled, systemic issues that result in poor health among vulnerable members of ethnocultural communities, and the exacerbating effects of COVID-19, which also increased barriers to mitigation. Cultural brokering and community social capital are key supports for people during the COVID-19 pandemic. These findings can inform policy to reduce harm and support community resiliency.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Community Health Services / Vulnerable Populations / Pandemics / COVID-19 Type of study: Experimental Studies / Observational study / Qualitative research / Randomized controlled trials Limits: Female / Humans / Male Country/Region as subject: North America Language: English Journal: CMAJ Journal subject: Medicine Year: 2021 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Community Health Services / Vulnerable Populations / Pandemics / COVID-19 Type of study: Experimental Studies / Observational study / Qualitative research / Randomized controlled trials Limits: Female / Humans / Male Country/Region as subject: North America Language: English Journal: CMAJ Journal subject: Medicine Year: 2021 Document Type: Article