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ERIC Number: EJ1428685
Record Type: Journal
Publication Date: 2024-Aug
Pages: 12
Abstractor: As Provided
ISBN: N/A
ISSN: ISSN-1090-1981
EISSN: EISSN-1552-6127
A Qualitative Study of Health Equity's Role in Community Coalition Development
Sadie Chen; Galya Walt; Alison Aldrich; Ann Scheck McAlearney; Benjamin Linas; Brenda Amuchi; Darcy A. Freedman; Dawn Goddard-Eckrich; Erin Gibson; Jeanie Hartman; Julie Bosak; Karsten Lunze; Latasha Jones; Mia Christopher; Pamela Salsberry; Rebecca Jackson; Sandi Back; Mari-Lynn Drainoni; Daniel M. Walker
Health Education & Behavior, v51 n4 p613-624 2024
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.
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://bibliotheek.ehb.be:2993
Publication Type: Journal Articles; Reports - Research
Education Level: N/A
Audience: N/A
Language: English
Sponsor: Substance Abuse and Mental Health Services Administration (DHHS/PHS); National Institutes of Health (NIH) (DHHS)
Authoring Institution: N/A
Grant or Contract Numbers: UM1DA049394; UM1DA049406; UM1DA049412; UM1DA049415; UM1DA049417