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 Rushina Cholera Pediatrics, General Pediatrics and Adolescent Health

Author Rosa Gonzalez-Guarda School of Nursing

Author Andrea Thoumi  

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