2023-09-28 14:46:10 +00:00
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abstract: 'The Community Health Worker model is recognized nationally as a means to
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address glaring inequities in the burden of adverse health conditions
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that exist among specific population groups in the United States. This
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study explored Arizona CHW involvement in advocacy beyond the individual
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patient level into the realm of advocating for community level change as
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a mechanism to reduce the structural underpinnings of health
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disparities. A survey of CHWs in Arizona found that CHWs advocate at
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local, state and federal political levels as well as within health and
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social service agencies and business. Characteristics significantly
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associated with advocacy include employment in a not for profit
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organization, previous leadership training, and a work environment that
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allows flexible work hours and the autonomy to start new projects at
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work. Intrinsic characteristics of CHWs associated with advocacy include
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their belief that they can influence community decisions, self
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perception that they are leaders in the community, and knowledge of who
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to talk to in their community to make change. Community-level advocacy
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has been identified as a core CHW function and has the potential to
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address structural issues such as poverty, employment, housing, and
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discrimination. Agencies utilizing the CHW model could encourage
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community advocacy by providing a flexible working environment, ongoing
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leadership training, and opportunities to collaborate with both veteran
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CHWs and local community leaders. Further research is needed to
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understand the nature and impact of CHW community advocacy activities on
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both systems change and health outcomes.'
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affiliation: 'Ingram, M (Corresponding Author), Univ Arizona, Mel \& Enid Zuckerman
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Coll Publ Hlth, POB 245209, Tucson, AZ 85724 USA.
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Ingram, Maia; Sabo, Samantha; Rothers, Janet; Wennerstrom, Ashley; de Zapien, Jill
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Guernsey, Univ Arizona, Mel \& Enid Zuckerman Coll Publ Hlth, Tucson, AZ 85724 USA.'
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author: Ingram, Maia and Sabo, Samantha and Rothers, Janet and Wennerstrom, Ashley
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and de Zapien, Jill Guernsey
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author-email: maiai@u.arizona.edu
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author_list:
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- family: Ingram
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given: Maia
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- family: Sabo
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given: Samantha
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- family: Rothers
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given: Janet
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- family: Wennerstrom
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given: Ashley
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- family: de Zapien
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given: Jill Guernsey
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da: '2023-09-28'
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doi: 10.1007/s10900-008-9111-y
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eissn: 1573-3610
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files: []
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issn: 0094-5145
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journal: JOURNAL OF COMMUNITY HEALTH
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keywords: 'Community Health Worker; Policy; Advocacy; Leadership; Health
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disparities'
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keywords-plus: WOMEN; DISEASE; IMPACT
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language: English
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month: DEC
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number: '6'
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number-of-cited-references: '25'
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orcid-numbers: Wennerstrom, Ashley/0000-0003-1888-0432
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pages: 417-424
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papis_id: 0ffd8434a338a92784a84070b8fa4803
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ref: Ingram2008communityhealth
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times-cited: '62'
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title: 'Community Health Workers and Community Advocacy: Addressing Health Disparities'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000259911100007
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usage-count-last-180-days: '0'
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usage-count-since-2013: '19'
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volume: '33'
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web-of-science-categories: Health Policy \& Services; Public, Environmental \& Occupational
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Health
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year: '2008'
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