Enhancing Civic Engagement in Communities With Health Disparities

Cooper, Lisa A.; Vincent, Christina; Crayton, Kareem U.

doi:10.1001/jamahealthforum.2022.5009

Cited by 2 publications

(4 citation statements)

References 5 publications

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“…Particularly for marginalized individuals, health care workers can collaborate with other social justice professionals (e.g., educators and social workers) to solve community problems more holistically 143,144 . At the population level, clinician partnerships with community‐based groups and urban planners aim to create healthy spaces and mitigate structural health inequities caused by redlining and gentrification 145 .…”

Section: Health Primary Care and Civic Engagement: A Narrative Reviewmentioning

confidence: 99%

“…143p2 Particularly for marginalized individuals, health care workers can collaborate with other social justice professionals (e.g., educators and social workers) to solve community problems more holistically. 143,144 At the population level, clinician partnerships with community-based groups and urban planners aim to create healthy spaces and mitigate structural health inequities caused by redlining and gentrification. 145 At the individual level, the National Center for Medical-Legal Partnership and Medical-Legal Partnership Boston assist low-income patients experiencing food, housing, and employment insecurity by integrating legal guidance with health care.…”

Section: The Role Of Primary Care In Advancing Health Equity and Civi...mentioning

confidence: 99%

“…At the individual level, the National Center for Medical‐Legal Partnership and Medical‐Legal Partnership Boston assist low‐income patients experiencing food, housing, and employment insecurity by integrating legal guidance with health care 146,147 . “Through their knowledge of how laws and policies work and their advocacy for the rights of historically marginalized communities,” according to Cooper and colleagues (2022), “these professionals have the skills to help people identify ways they can exercise their autonomy.” 143 p2…”

Section: Health Primary Care and Civic Engagement: A Narrative Reviewmentioning

confidence: 99%

“…Cooper and colleagues (2022) state the following:

“…health professionals can incorporate the value of civic participation in [relationships with patients, research participants, coworkers, and other community residents] by expressing concern about what is happening in the community. They can also advise those with whom they interact about the personal and social value of participating in interest groups, civic groups, and advocacy groups, and even running for political office.” 143 p2 …”

Section: Health Primary Care and Civic Engagement: A Narrative Reviewmentioning

confidence: 99%

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The Role of Primary Care in Advancing Civic Engagement and Health Equity: A Conceptual Framework

et al. 2023

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Policy Points Health and civic engagement are reciprocally and longitudinally linked: Poor health is associated with less civic engagement. Well‐established social drivers of health and health inequality such as inadequate access to health care, poverty, racism, housing instability, and food insecurity are also drivers of lower civic engagement. A robust primary care system can play a key role in advancing civic engagement (e.g., voting, volunteerism, community service, and political involvement) at the population level but has received little attention. Policy and practice solutions at the individual and structural levels should support and leverage potential synergies among health equity, civic engagement, and primary care. ContextHealth and civic engagement are linked. Healthier people may be able to participate more fully in civic life, although those with poorer health may be motivated to address the roots of their health challenges using collective action. In turn, civically active people may experience better health, and societies with more equitable health and health care may experience healthier civic life. Importantly, a robust primary care system is linked to greater health equity. However, the role of primary care in advancing civic engagement has received little study.MethodsWe synthesize current literature on the links among health, civic engagement, and primary care. We propose a conceptual framework to advance research and policy on the role of primary care in supporting civic engagement as a means for individuals to actualize their health and civic futures.FindingsCurrent literature supports relationships between health equity and civic engagement. However, this literature is primarily cross‐sectional and confined to voting. Our integrative conceptual framework highlights the interconnectedness of primary care structures, health equity, and civic engagement and supports the crucial role of primary care in advancing both civic and health outcomes. Primary care is a potentially fruitful setting for cultivating community and individual health and power by supporting social connectedness, self‐efficacy, and collective action.ConclusionsHealth and civic engagement are mutually reinforcing. Commonalities between social determinants of health and civic engagement constitute an important convergence for policy, practice, and research. Responsibility for promoting both health and civic engagement is shared by providers, community organizations, educators, and policymakers, as well as democratic and health systems, yet these entities rarely work in concert. Future work can inform policy and practice to bolster primary care as a means for promoting health and civic engagement.

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Section: Health Primary Care and Civic Engagement: A Narrative Reviewmentioning

confidence: 99%

Section: The Role Of Primary Care In Advancing Health Equity and Civi...mentioning

confidence: 99%

Section: Health Primary Care and Civic Engagement: A Narrative Reviewmentioning

confidence: 99%

“…Cooper and colleagues (2022) state the following:

Section: Health Primary Care and Civic Engagement: A Narrative Reviewmentioning

confidence: 99%

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The Role of Primary Care in Advancing Civic Engagement and Health Equity: A Conceptual Framework

et al. 2023

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A Winding Road to Health Care Equity in Sickle Cell Disease

Walia,

Fertrin,

Sabath

2024

Clinics in Laboratory Medicine

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Enhancing Civic Engagement in Communities With Health Disparities

Abstract: This JAMA Forum discusses enhancing civic engagement in the US and provides examples of how health equity leaders can help promote civic engagement in communities with health disparities.

Cited by 2 publications

References 5 publications

The Role of Primary Care in Advancing Civic Engagement and Health Equity: A Conceptual Framework

The Role of Primary Care in Advancing Civic Engagement and Health Equity: A Conceptual Framework

A Winding Road to Health Care Equity in Sickle Cell Disease

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