The Promises and Perils of Digital Strategies in Achieving Health Equity Workshop Summary (2016) / Chapter Skim
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4 Examples of Engaging Racial/Ethnic Minority Communities in Digital Health Strategies
4 Examples of Engaging Racial/Ethnic Minority Communities in Digital Health Strategies
Pages 27-34
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From page 27... ...
Two presentations at the workshop looked in more detail at specific examples of successful efforts to engage racial and ethnic minority communities in digital health strategies. One considered the use of technologies in a Latina immigrant community in New Mexico; the other focused on men who have sex with men (MSM)
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From page 28... ...
Known as the international district in recognition of its diversity, it is the most ethnically diverse area in the state, in part because of its central location and relatively affordable housing. Up to 80 percent of the properties are rentals, "which makes building social capital difficult," said Ginossar, "because people do not own their homes, and they move in and out of the area." Despite increases in online access, the digital divide persists, she con tinued.
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From page 29... ...
To reduce stigma and build knowledge, Ginossar and her colleagues created a collaboration with mental health experts that had two objectives: first, to examine low-income Latina community members' information needs and information sources regarding early childhood behavior and development; second, to develop educational outreach to community members and key stakeholders. Drawing on the results of focus groups conducted both in English and in Spanish, the collaboration created educational materials, including an illustrated story, or historieta, that combined education and entertainment.
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From page 30... ...
• Create multidisciplinary collaborations with health care providers and additional stakeholders. • Identify funding sources.
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From page 31... ...
The barriers to accessing HIV services include cost, transportation to services, age-related barriers, beliefs and risk perceptions, the perceived credibility and competence of providers, medical mistrust, the difficulty of navigating services, and discrimination. To overcome these barriers, Get Connected brought together a variety of groups, including the SexLab at the University of Michigan, the Center for Health and Communications Research at the University of Michigan, a community advisory board made up of service providers, and a youth advisory board, which helped tailor the messages used in the program.
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From page 32... ...
"We thought it would be unethical to not give young men a chance to find out where to get tested," Bauermeister said regarding the inclusion of a testing directory as the comparison group, adding "Even though it makes it harder for us scientifically to find the difference between the arms, from a public health and practice perspective, it is the right thing to do." Both the tailored site and the test locator conditions had very high satisfaction and acceptability by young men. In addition, 30 days after they had received the intervention, more than 30 percent of the men who received the tailored content had been tested for HIV and/or STIs, "which is huge," according to Bauermeister.1 The testing identified one previously unknown HIV case and two previously unknown STI cases that were treated.
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From page 33... ...
Specific areas of HIV education can be targeted in outreach and testing efforts with providers and clients. And YMSM can be empowered to understand and navigate their testing and counseling sessions.
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