COVID-19対策と健康公平性での連携が奏功:報告書が発表(California partnership aided COVID-19 response and health equity, report finds)

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2025-10-03 カリフォルニア大学リバーサイド校 (UCR)

カリフォルニア州全域の研究者と地域団体が連携した「STOP COVID-19 CA」ネットワークが、パンデミック時の健康格差是正に大きく貢献したと報告された。11大学と75超の団体が参加し、低所得層や移民、黒人・先住民コミュニティに検査・ワクチン情報を提供。地域住民が研究設計やデータ収集にも関与する「コミュニティ主導型」手法を採用した。Ripple Effects Mapping法による評価では、感染対応力の向上だけでなく、研究者と地域の信頼関係・協働スキルを強化する波及効果が確認された。報告は『Health Expectations』誌に掲載。

<関連情報>

波及効果マッピング:州全体のコミュニティ・学術連携ネットワークが新型コロナウイルス感染症による健康格差に及ぼす多層的な視点と影響の評価 Ripple Effects Mapping: Evaluating Multilevel Perspectives and Impacts of a Statewide Community–Academic Partnership Network on Covid-19 Health Disparities

Evelyn Vázquez, Isabel Duong, Borsika A. Rabin, Nicole A. Stadnick, Paul L. Watson Jr., Kelli L. Cain, Maria Pozar, Ann Cheney
Health Expectations  Published: 29 September 2025
DOI:https://doi.org/10.1111/hex.70446

COVID-19対策と健康公平性での連携が奏功:報告書が発表(California partnership aided COVID-19 response and health equity, report finds)

ABSTRACT

Introduction

Community–academic partnerships played an important role in addressing Covid-19-related health disparities in historically marginalised groups such as racial ethnic minorities and low-income and rural communities in the pandemic. Part of the federal response involved establishing regional community academic networks that engaged highly impacted communities in health disparities research. The statewide Share, Trust, Organize, Partner COVID-19 California Alliance (STOP COVID-19 CA) network was part of the federal response.

Methods

In spring 2024, ripple effects mapping (REM), a participatory action research method, was used to conduct an evaluation of the impact of the STOP COVID-19 network on the capacity of community–academic partnerships to carry out Covid-19-related health disparities research. This method uses group interviews to capture direct and indirect outcomes, that is, ripples, of community-based programmes. Short-, medium- and long-term changes and conditions related to community–academic partnerships in the statewide network were mapped onto the spheres of influence of the social ecological model.

Results

A total of 24 participants took part in one of three REM sessions. Community and academic partners were represented in all sessions, and most had been involved in community-engaged research for 3 to 10+ years. Most identified as female, Hispanic/Latino, and between the ages of 40 and 49. Qualitative analysis of sessions indicated that most changes occurred at the individual and interpersonal levels and involved medium-term changes (e.g., increased capacity to partner in research and shared understanding). Neighbourhood- or community-level changes included identification of culturally and linguistically responsive intervention and dissemination efforts (e.g., promotora model). Policy and built environment conditions reveal the inequities in higher education and the need for structural-level changes to university infrastructure and grant administration.

Conclusion

Most outcomes were observed at the individual and interpersonal (group) levels and involved primarily medium-term changes. However, the network itself served as a platform to discuss the need for structural-level changes within university infrastructure to facilitate community-engaged scholarship. Such networks have the potential to facilitate capacity building for community–academic partnerships to collaborate in health disparities research that can generate evidence to move forward public health policy change.

Patient or Public Contribution

Community partners, including grassroots leaders and staff of community-based organisations, were involved in the development of the research questions, the design of the study, and data collection, analysis and interpretation of the findings. Community partners also contributed to manuscript development.

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