Health Equity Tourism: Ravaging the Justice Landscape

Lett, Elle; Adekunle, Dalí; McMurray, Patrick; Asabor, Emmanuella Ngozi; Irie, Whitney C.; Simon, Melissa A.; Hardeman, Rachel R.; McLemore, Monica R.

doi:10.1007/s10916-022-01803-5

Cited by 177 publications

(122 citation statements)

References 34 publications

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“…In most instances, there is an emphasis on action, social justice, capacity building, and facilitating equitable partnerships [ 73 ]. As implementation scientists, partnering with community-engaged researchers can be critical in not rushing to “quick action”, and incorporating prior knowledge so as not to mischaracterize the inequities prevalent in the implementation context or the solutions to address them [ 74 ].…”

Section: Discussionmentioning

confidence: 99%

Grounding implementation science in health equity for cancer prevention and control

Adsul

Chambers

Brandt

et al. 2022

Implement Sci Commun

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Background The past decade of research has seen theoretical and methodological advances in both implementation science and health equity research, opening a window of opportunity for facilitating and accelerating cross-disciplinary exchanges across these fields that have largely operated in siloes. In 2019 and 2020, the National Cancer Institute’s Consortium for Cancer Implementation Science convened an action group focused on ‘health equity and context’ to identify opportunities to advance implementation science. In this paper, we present a narrative review and synthesis of the relevant literature at the intersection of health equity and implementation science, highlight identified opportunities (i.e., public goods) by the action group for advancing implementation science in cancer prevention and control, and integrate the two by providing key recommendations for future directions. Discussion In the review and synthesis of the literature, we highlight recent advances in implementation science, relevant to promoting health equity (e.g., theories/models/frameworks, adaptations, implementation strategies, study designs, implementation determinants, and outcomes). We acknowledge the contributions from the broader field of health equity research and discuss opportunities for integration and synergy with implementation science, which include (1) articulating an explicit focus on health equity for conducting and reviewing implementation science; (2) promoting an explicit focus on health equity in the theories, models, and frameworks guiding implementation science; and (3) identifying methods for understanding and documenting influences on the context of implementation that incorporate a focus on equity. Summary To advance the science of implementation with a focus on health equity, we reflect on the essential groundwork needed to promote bi-directional learning between the fields of implementation science and health equity research and recommend (1) building capacity among researchers and research institutions for health equity-focused and community-engaged implementation science; (2) incorporating health equity considerations across all key implementation focus areas (e.g., adaptations, implementation strategies, study design, determinants, and outcomes); and (3) continuing a focus on transdisciplinary opportunities in health equity research and implementation science. We believe that these recommendations can help advance implementation science by incorporating an explicit focus on health equity in the context of cancer prevention and control and beyond.

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Section: Discussionmentioning

confidence: 99%

Grounding implementation science in health equity for cancer prevention and control

Adsul

Chambers

Brandt

et al. 2022

Implement Sci Commun

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“…In designing NCHAT with our diverse team and extraordinary support from our advisory board, the Population Dynamics Branch at NICHD, and the larger research community, we sought to create a resource that crosses disciplinary boundaries including population health, family studies, gender and sexuality studies, sociology, epidemiology, and psychology, so scientists could study health equity and understand the full range of families that exist in the United States. We urge those who use NCHAT to embed their research in the current literature to acknowledge health disparity pioneers in which our future research is built upon (Lett et al 2022). We are grateful for the work of those who came before us, and we are eager for the next generation of scholars, including authors on this paper (Berrigan; VanBergen), who will help us shape future waves of NCHAT and show us novel ways of thinking and advancing justice for those who are marginalized and mistreated in the United States.…”

Section: Discussionmentioning

confidence: 99%

National Couples’ Health and Time Study: Sample, Design, and Weighting

Dush¹,

Manning²,

Berrigan³

et al. 2022

Preprint

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The National Couples’ Health and Time Study (NCHAT) is the first fully-powered, population-representative study of couples in America containing large samples of sexual, gender, and racial and ethnic diverse individuals. Drawn from the Gallup Panel and the Gallup Recontact Sample, when weighted, the data are population representative of individuals in the United States who 1) are married or cohabiting, 2) are between 20 and 60, 3) speak English or Spanish, and 4) have internet access. The data were collected between September 2020 and April 2021 in the midst of a global pandemic as well as racial and political upheaval. NCHAT includes surveys of 3,642 main respondents and 1,515 partners along with time diaries. We describe the sampling process, challenges weighting a diverse population-representative samples, and sociodemographic characteristics of the NCHAT. These data will provide opportunities for new research on the health and well-being of American families.

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“…Notwithstanding the increased attention to communitypartnered participatory research as an approach to centering community voices in public health research (30), dismantling the dominant narratives that dehumanize FilAms "requires that the people experiencing/embodying realities of oppression retain narrative control-not the credentialed" (7). That is, the margins of society serve as a site of possibility and resistance for inhabitants (31)-not a brief stopover for "health equity tourists" who seek to co-opt recent streams of resources intended to address racial injustice (32). Indeed, health equity scholar Lisa Bowleg has argued for critical epistemologies as necessary to dismantle harmful narratives and radically change the underlying conditions that structure exclusion (33,34).…”

Section: Knowledge Productionmentioning

confidence: 99%

Learning to love ourselves again: Organizing Filipinx/a/o scholar-activists as antiracist public health praxis

Manalo-Pedro

Mackey

Banawa

et al. 2022

Front. Public Health

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A critical component for health equity lies in the inclusion of structurally excluded voices, such as Filipina/x/o Americans (FilAms). Because filam invisibility is normalized, denaturalizing these conditions requires reimagining power relations regarding whose experiences are documented, whose perspectives are legitimized, and whose strategies are supported. in this community case study, we describe our efforts to organize a multidisciplinary, multigenerational, community-driven collaboration for FilAm community wellness. Catalyzed by the disproportionate burden of deaths among FilAm healthcare workers at the onset of the COVID-19 pandemic and the accompanying silence from mainstream public health leaders, we formed the Filipinx/a/o Community Health Association (FilCHA). FilCHA is a counterspace where students, faculty, clinicians, and community leaders across the nation could collectively organize to resist our erasure. By building a virtual, intellectual community that centers our voices, FilCHA shifts power through partnerships in which people who directly experience the conditions that cause inequities have leadership roles and avenues to share their perspectives. We used Pinayism to guide our study of FilCHA, not just for the current crisis State-side, but through a multigenerational, transnational understanding of what knowledges have been taken from us and our ancestors. By naming our collective pain, building a counterspace for love of the community, and generating reflections for our communities, we work toward shared liberation. Harnessing the collective power of researchers as truth seekers and organizers as community builders in affirming spaces for holistic community wellbeing is love in action. This moment demands that we explicitly name love as essential to antiracist public health praxis.

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Health Equity Tourism: Ravaging the Justice Landscape

Cited by 177 publications

References 34 publications

Grounding implementation science in health equity for cancer prevention and control

Grounding implementation science in health equity for cancer prevention and control

National Couples’ Health and Time Study: Sample, Design, and Weighting

Learning to love ourselves again: Organizing Filipinx/a/o scholar-activists as antiracist public health praxis

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