Promoting Latinx health equity through community-engaged policy and practice reforms in North Carolina.

INTRODUCTION: The Latinx Advocacy Team & Interdisciplinary Network for COVID-19 (LATIN-19) is a unique multi-sector coalition formed early in the COVID-19 pandemic to address the multi-level health inequities faced by Latinx communities in North Carolina. METHODS: We utilized the National Institute on Minority Health and Health Disparities (NIMHD) Research Framework to conduct a directed content analysis of 58 LATIN-19 meeting minutes from April 2020 through October 2021. Application of the NIMHD Research Framework facilitated a comprehensive assessment of complex and multidimensional barriers and interventions contributing to Latinx health while centering on community voices and perspectives. RESULTS: Community interventions focused on reducing language barriers and increasing community-level access to social supports while policy interventions focused on increasing services to slow the spread of COVID-19. DISCUSSION: Our study adds to the literature by identifying community-based strategies to ensure the power of communities is accounted for in policy reforms that affect Latinx health outcomes across the U.S. Multisector coalitions, such as LATIN-19, can enable the improved understanding of underlying barriers and embed community priorities into policy solutions to address health inequities.

Duke Scholars

Author Rosa Gonzalez-Guarda School of Nursing

Author Rushina Cholera Pediatrics, General Pediatrics and Adolescent Health

Author Viviana Sandra Martinez-Bianchi Family Medicine and Community Health, Family Medicine

Author Andrea Thoumi