Community-Engaged Survey Approach to Pandemic Impacts on Marginalized Communities, Massachusetts, 2020-2021.

Objectives. To describe how an innovative, community-engaged survey illuminated previously unmeasured pandemic inequities and informed health equity investments. Methods. The methodological approach of Massachusetts' COVID-19 Community Impact Survey, a cross-sectional online survey, was driven by key health equity principles: prioritizing community engagement, gathering granular and intersectional data, capturing root causes, elevating community voices, expediting analysis for timeliness, and creating data-to-action pathways. Data collection was deployed statewide in 11 languages from 2020 to 2021. Results. The embedded equity principles resulted in a rich data set and enabled analyses of populations previously undescribed. The final sample included 33 800 respondents including unprecedented numbers of populations underrepresented in traditional data sources. Analyses indicated that pandemic impacts related to basic needs, discrimination, health care access, workplace protections, employment, and mental health disproportionately affected these priority populations, which included Asian American/Pacific Islanders and parents. Conclusions. Equity-centered data approaches allow for analyses of populations previously invisible in surveillance data, enable more equitable public health action, and are both possible and necessary to deploy in state health departments. (Am J Public Health. Published online ahead of print August 28, 2024:e1-e11. https://doi.org/10.2105/AJPH.2024.307800).

Characteristics, incidence, and trends of intimate partner homicides in Massachusetts: Patterns by birthplace, race, and ethnicity.

This study compared the incidence rates of intimate partner homicide (IPH) in Massachusetts by place of birth and race/ethnicity. The analysis involved 340 IPH victim cases between 1994 and 2014. Victims were just under 40 years of age, on average, and most were female (85%), White (67%), and killed by stabbing (34.4%) or firearms (33%). The incidence of IPH victims ranged from 1.3 to 5.6 cases per million people per year between 1994 and 2014 (M = 2.4 per million). Foreign-born individuals had 1.9-fold higher IPH incidence rates of victims relative to U.S.-born individuals. The incidence of IPH-suicide victims was also significantly higher among foreign-born (M = 1.2 per million) relative to U.S.-born individuals (M = 0.4 per million). Furthermore, minority racial/ethnic groups had significantly high incidence rates of victims, with highest incidence of IPH among Blacks. In the full sample there was a 1.9% decline in the incidence of IPH victims per year, which was not statistically significant. The findings highlight the need for culturally specific prevention and intervention strategies to address risks of IPHs and IPH-suicides among diverse groups, particularly among groups most at-risk in Massachusetts such as foreign-born born individuals and racial and ethnic minorities.