Project HEALINGS Article #6: Strength in Vaccines: How Vaccination Helps Parents Protect their Children

Many of Minnesota’s African immigrants and refugees moved to the United States to give their children better futures, but COVID-19 has put that opportunity at risk. Parents raising young children during the pandemic have faced the crisis in two ways. First, there are the economic hardships of unemployment and the constant worry of how to provide for your family. Second, there are the difficulties of supporting children through the many changes COVID made to everyday life.

The transition to at-home learning left a lot of children feeling isolated and anxious about losing family members. Community health expert Fred Ndip explains, “It was terrifying. We lost a lot of community members both here in the US and back home, so it created a lot of anxiety.”

In addition to fearing for their family, students worried about falling behind in school. Children in the immigrant community faced additional barriers to at-home learning. When parents are not fluent in English or familiar with the US school system, it is harder for them to help children navigate virtual lessons. Limited internet access and library closures also made it harder for students to access support.

But immigrant communities are used to change, and the African commitment to community has fostered resilience. Melissa Nambangi, the Executive Director of the Minnesota African Women’s Association (MAWA) recognizes, “There are many differences between communities from various African countries. But we have something beautiful in common: we all value community. There is always room in our homes for more people. We will always take people in, provide a home-cooked meal, and support each other.”

Community is an important support system when it comes to parenting. As the saying goes, it takes a village to raise a child. Ndip says, “The pandemic took that communal aspect away from us, but vaccines can help us get it back.” Controlling the COVID pandemic with vaccines can help make it safer to reconnect with community and continue to support each other to create a better future for the next generation.

Staying safe and strong for family

It is no secret that mothers will do almost anything to keep their children safe and healthy. Nambangi shares that this instinct runs strong in African mothers like herself: “We cannot let our children be sick. We want them to have the least amount of pain possible. But as women, we were brought up to put ourselves last.

Caring for children requires strength. To stay strong, it is important for parents to take care of themselves, too. The COVID disease can have serious and long-term health consequences for parents and children. COVID was the fifth most common cause of death between 2020 and 2022 for children ages 1 to 4[1]. But vaccines help reduce the risk of getting seriously ill. Vaccinated people are 10 times less likely than unvaccinated people to die from COVID.[2]

Vaccines also help protect the whole family, not just individuals. When parents get vaccinated, they are less likely to spread the dangerous disease to their kids. When it comes to COVID, protecting your kids means protecting yourself.

This is true during pregnancy as well. Studies show that COVID vaccines are safe for pregnant women and for babies. Vaccines are a common way for mothers to protect their children from many types of diseases. Nambangi recalls, “Any African woman who has become a mom in my time is used to the fact that while you’re pregnant, you receive certain vaccines. For the first couple of years of the child’s life, we must give them these vaccines…against measles, polio, and TB. We seek out vaccines because we know we are protecting the child.”

Just like other vaccines, the COVID vaccines protect reproductive health by preventing long-term health issues caused by COVID. Vaccines are just as helpful for fathers and boys as they are for mothers and girls. Getting vaccinated helps parents stay as strong as possible so that they can be there for their children and make sure that they do not suffer from COVID. As Nambangi shares, “I am vaccinated and it has helped me stay healthy. It makes a difference.”

Navigating health care together

Getting vaccinated is not just about the decision to protect oneself and one’s family from COVID. There are practical considerations as well. Navigating a new country is difficult enough, but learning to navigate a complex and expensive health care system is a big challenge for immigrant communities. It is important to know that COVID vaccines are free even without insurance, and the community is coming together to make care simple and safe.

Organizations like MAWA and Project HEALINGS were created to support immigrant communities to get the care they need. These organizations are independent of the government. Local community members, like Ndip and Nambangi, run these organizations and  understand community needs such as translating health information into African languages and dialects.

MAWA and Project HEALINGS run their own COVID clinics where you can ask questions, find trusted health care resources, and get vaccinated if you choose. Ndip assures, “We know parents are already doing everything they can to keep their families safe. We’re here to help discuss questions and explain what resources are available, so everyone can make informed decisions for themselves.”

[1] Dr. Katherine E. Fleming-Dutra. (2022, June 17). COVID-19 epidemiology in children ages 6 months– 4 years. https://www.cdc.gov/vaccines/acip/meetings/downloads/slides-2022-06-17-18/02-COVID-Fleming-Dutra-508.pdf

[2] Chatterjee, R. (2022, June 18). CDC clears the way for vaccinations for children 6 months to 5 years old. NPR. https://www.npr.org/sections/health-shots/2022/06/18/1105929247/vaccinations-for-children-6-months-to-5-years-old-can-begin-after-cdc-clears-the

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How to ask good questions to increase your cultural intelligence

Image Courtesy: Paola Pascual

Is everything fully known? So many times, we are thinking about what type of questions to ask. Asking the right questions can help us clarify our confusion and better understand our understanding. Questioning is a surprisingly powerful tool that enables us to learn and exchange information and ideas. It also fuels performance and innovation improvement. Asking questions appropriately and considering the individual’s ethnic/racial background is paramount. Different cultures have distinct viewpoints, and the tone and how the questions are asked make a difference. Therefore, researching before interacting with people from different cultural backgrounds can help to ask good questions and increase people’s cultural intelligence.

Information is like a river; in the river of ideas, relationships, and news constantly changing, people need to adapt accordingly. As stated by Peavey (1997), “Dipping into the river one day brings up different perspectives than the next day because the river has moved on with one more day of experience and thinking” (Peavey, 1997). As a result, individuals who would like to know and learn new things must ask questions to stay up to date with their knowledge.

What is Strategic Questioning? 

Strategic questioning is the answer that can make a difference because it is a powerful tool for social and personal development and change. Strategic questioning helps individuals to discover their ideas and strategies for change. It involves a particular type of questioning and listening, and this type of questioning individuals can use to help co-workers, friends, their neighbors, and people in the surrounding. Strategic questioning looks for solutions to any problem because it opens another point of view, invokes exceptional creativity, considers new information and possibilities, and forges new strategies for resolving challenges.

Questioning empowers ownership of the new information that will stay with the individual. As Peavey (1997) noted, “Learning how to ask strategic questions is a path of transforming this passive and fearful inquiry into the world into a dynamic exploration of the information around us and the solutions we need. We can “make up” answers to almost any problem” (Peavey, 1997). For example, asking a simple question like what country you are from helps generate basic ideas and information about the individual.

Image Courtesy: Paola Pascual

Good questions have a purpose, sincere intent, genuine interest in learning new things, and creating curiosity. Following are some examples of questions that can help increase cultural intelligence.

  • What are your thoughts about this method?”
  • “When have you…? And how did it turn out?”
  • “In your culture, how do people do this?”
  • “What is it like to…? (Pascual, 2022).

Creating the right mindset and being open, sincere, and genuinely interested in what the other person is saying is essential. It is important to include words such as “normally,” “typically,” and “usually” when asking about different cultures. For example, “What’s your general approach to handling conflict?” “How do you usually like to collaborate?”Moreover, listen actively. Summarize or restate what the other person said and bake some of their words into the questions. Also, embrace the silence, giving them additional personal time to think and craft their answers (Pascual, 2022). Many people are willing to share more information if you wait for them to finish talking.

References

Peavey, F. (1997). Strategic questioning. In V. Hutchinson (Eds.), An approach to creating personal and social change.

Pascual, P. (2022, August 2). Asking better questions: Cross-cultural communication. Talaera. https://blog.talaera.com/asking-better-questions

Mental health is not a state but a process of  building resilience

Mental health is essential at every single stage of our life, from childhood and adolescence through adulthood. It incorporates psychological, emotional, and social well-being. Also, our mental health plays a vital role in our life because it helps us determine how to manage stress, make choices, and connect with others. Mental health impacts how we feel, act, and think. Throughout our life, we experience mood, behavior, and considering changes, which could be affected by family history of mental problems, life experiences, and biological factors. Resilience means the outcome and the process of successfully overcoming and adapting to strenuous and challenging life experiences. It protects us from several mental conditions like anxiety and depression. Furthermore, Resilience can help to offset factors that increase the risk of mental health conditions. Therefore, building Resilience helps us to adapt and confront stressful situations in our lives. 

“Our mental health is something that impacts our eating and sleeping habits and has a lot to do with our physical health as well. It is important to address our mental health needs, or oftentimes we will feel the impact of it in other areas of our health as well”(Bisma, 2021).

(Bisma, 2021)

Mental is a massive issue for Asian Americans in the United States. As the Centers for Disease Control and Prevention (CDC) noted, around one in five adults experience at least one type of mental health condition every year. For example, the U.S. Department of Health and Human Services Office of Minority Health estimated that 60 percent of Asian individuals were less likely to have received mental health treatment than non-Hispanic whites in 2018. Therefore, making mental health awareness is a priority. 

As noted by Mayo clinic staff “Resilience means being able to adapt to life’s misfortunes and setbacks. Test your resilience level and get tips to build your own resilience” (Mayo Clinic, 2022).

(Mayo clinic, 2022)

Regrettably, there is a significant stigma related to mental health; however, it is vital to recognize and acknowledge that without good mental health, people can not overcome barriers and function productively. To perform well in our daily routine, mental health is the key that helps us to make decisions accurately. Having a state of well-being helps individuals realize their abilities, and it can help them cope with everyday stress, work productively and fruitfully, and contribute to the community.

Building resilience enables people to understand and underpins our individual and collective abilities. It allows us to build relationships and shape our world, which is essential to socio-economic, personal, and community development. Moreover, building resilience varies from person to person, and factors that help us to strengthen our resilience include our emotional, social, and individual skills. Positive social interactions, decent work, community cohesion, safe neighborhood, and quality of education are significant to build strong resilience and good mental health.

References

Bisma, A. ( 2021). The importance of mental health. Talkspace.

https://www.talkspace.com/blog/why-is-mental-health-important/

U.S. Department of Health and Human Services Office of Minority Health. (2021). Mental and behavioral health- Asian Americans. https://minorityhealth.hhs.gov/omh/browse.aspx?lvl=4&lvlid=54

Mayo Clinic. (2022). Resilience: Build skills to endure hardship.

https://www.mayoclinic.org/tests-procedures/resilience-training/in-depth/resilience/art-20046311

Values of Bicultural Healthy Living 

What is biculturalism? 

Biculturalism was derived from the acculturation literature. Also, it primarily has focused on cultural behaviors, such as media preferences, choice of friends, language use, and the like. Individuals who speak the language of their receiving cultural context and the language of their heritage culture are considered to be bicultural. Also, these individuals read magazines and watch television programs from both cultural backgrounds and have friends from both the heritage and receiving country. For example, a Chinese American may speak ‘Chinglish,’ and they might eat hamburgers with traditional Chinese vegetables. Also, they might mingle in social groups that have American and Chinese friends (Schwartz & Unger, 2010). Biculturalism goes beyond cultural behaviors and includes identifications, values, and cultural practices. It also means that the individual connects to other diverse cultures surrounding them and maintains the connection with their root culture.

Image courtesy: BALL

Furthermore, biculturalism refers to proficiency and comfort with the culture of the region or country where an individual settled and the person’s heritage culture. For example, this concept applies not only to immigrants who come from other countries but also to children of immigrants who are born and raised in the receiving society. This concept is likely to apply to immigrants children because they are deeply embedded in the heritage culture at home with their families. Moreover, this concept might apply to people living in ethnic enclaves where the heritage culture is maintained over generations and to individuals from visible minority groups. These minority groups may be identified as distinct from the majority of ethnic groups even though their families have been in the receiving society for multiple generations (Schwartz & Unger, 2010). Being a bicultural person has several healthy living benefits.

Biculturalism gives a person various values of healthy living. For instance, the person can enjoy both cultures, which means that the person behaves consistently with two cultural contexts and holds values from receiving cultural streams and identifying with two cultures. For example, as Hmong Americans, rather than just ‘Hmong’ or just ‘American,’ they may also intermix with their traditional Asian values. According to Schwartz & Unger, “The person might also feel an allegiance both to the United States and to China, as well as to the local Chinese community. She might feel Chinese compared to her American peers and feel American compared to her Chinese peers, but she can function effectively in both cultural contexts” (Schwartz & Unger, 2010). The bicultural healthy living concept evolved from biculturalism. This concept supports living healthier within two cultures in which people have adapted to live their lives. 

Image courtesy: BALL

The followings are the several benefits offered by bicultural healthy living:

  • Through bicultural healthy living, an individual gets an attitude that supports a broader understanding of multiple levels of cultural identity. Also, there is potential to transcend religious, ethnic, and individual cultural differences that enrich diverse life experiences.
  • It promotes a more profound knowledge of universal values like respect, dignity, equality, justice, freedom, protection, pluralism, and kindness.
  • It encourages cognitive skills to think creatively, critically, and systematically. These include adopting a multicultural perspective that acknowledges distinct perspectives and an open mind to see and analyze issues from various angles.
  • It allows people to understand and support from an array of perspectives because an asset-based approach helps identify the skills and cultural implications of diverse life experiences.
  • It emphasizes a group of non-cognitive skills, such as social skills. Social skills include communication skills, networking aptitudes, and interacting with people from different backgrounds, cultures, perspectives, and origins. Moreover, it stresses the importance of resiliency, conflict resolution, and communication skills.
  • It highlights a group of behavioral capacities that allow individuals to act collaboratively and responsibly. This permits us to find cross-cultural solutions and strive for the collective good.

References

Schwartz, S. J., & Unger, J. B. (2010). Biculturalism and context: What is biculturalism, and when is it adaptive?: Commentary on Mistry and Wu. Human development, 53(1), 26. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2840244/

Barriers to Asian Americans Accessing Mental Health Services

Why are Asian Americans less likely to seek and utilize mental health services? Also, have you ever wondered why some people have more difficulties accessing particular services, such as mental health, despite knowing that mental health is paramount for one’s well-being?

Poor mental health is a big problem. Based on the Center for Disease Control and Prevention (CDC) data, approximately 37 percent of Asian American adults, around 7.7 million people, reported poor mental health status in 2017 (Maxwell & Kwon, 2018). The National Alliance for Mental Health illness (NAMI) found that an estimated 77 percent of Asian Americans with mood disorders struggled to talk about their mental condition compared to their white counterparts, who were around 69 percent (Galleti, 2022). Mental health is a problem that needs to be solved.

Why is there a such racial disparity in accessing health care?

Several barriers prevent Asian Americans from seeking such a service. Most often, there is a misconception that Asian Americans do not need mental health services. Moreover, the rising healthcare cost prevents so many people from accessing the care they need. Besides this, discrimination, stigma, language barriers, and insufficient cultural competency and diversity within the mental health field make the problem more complex (Maxwell & Kwon, 2018). These factors contribute to people not accessing healthcare services.

Photo by Hung_Chung_Chih/iStock  (Galleti, 2022)

Stigma is one of the principal barriers that prevent Asian Americans from seeking mental health services. According to a professor from UC Berkeley’s School of Social Welfare, there is some Asian cultures believe that mental issues are the outcome of a person’s past life wrongdoings. Therefore, this belief leads people to accept mental health disease as a hardship they must endure instead of seeking professional help and treatment (Galleti, 2022). Stigma is such a most significant barrier because it creates shame about not only mental issue but also promote a lack of awareness around resources that are available. Furthermore, racial stereotypes make it harder for people to seek professional help. 

Additionally, the “model minority myth” is another hurdle that blocks Asian Americans from seeking help for mental well-being because it creates the illusion that the community does not have any problems. This also pressures people to hide their mental problems and not reach out for help (Galleti, 2022). Moreover, there are many people who feel that they must succeed and push themselves to fulfill the needs of their family members back home.

As stated by Maxwell and Kwon in the article, “The model minority myth can prevent disabled APAs [Asian Pacific Americans] from asking for help, accessing appropriate services and accommodations, and self-identifying as a person with a disability. It is critical that the disability rights movement is aware of the model minority myth and addresses it in its programs and practices.” (Maxwell & Kwon, 2018). 

There are various ways that can contribute to improving access to mental health services in Asian American communities.

Provide affordable access to mental health services: Using national survey data from the CDC, the Center for American Progress stated that one in three Asian Americans diagnosed with depression could not use doctor services due to its cost. Therefore, improving access to healthcare can help our community to seek health services.

Remove language and stigmatic barriers to mental health services: An estimate of 35 percent of Asian Americans have limited English proficiency, and about 77 percent speak in their native language (non-English speaking) at home. Therefore, those foreign-born Asian Americans would benefit from services that provide better language accessibility in mental health services.

Promote cultural competency and diversity among mental health staff: The bias and cultural incompetency across healthcare professionals pose more barriers for Asian Americans while seeking mental health services. Asian Americans noted that they experience discrimination while visiting health clinics or doctors. Based on the study, the experience for Asian American immigrants is even worse because one in six reported discrimination (Maxwell & Kwon, 2018).As a result, providing a culturally diverse health staff might satisfy the needs of our community.

Taking care of our mental health is important because it will help us function well and perform our responsibility. 

References

Maxwell, C., & Kwon, L. (2018, October 10). Four ways to access to mental health services in Asian American communities. https://www.americanprogress.org/article/4-ways-improve-access-mental-health-services-asian-american-communities/#:~:text=Asian%20Americans%20are%20more%20likely,further%20exacerbate%20this%20critical%20issue

Galleti, G. (2022, February 2). How the mental health system fails Asian Americans — and how to help. California Health Report. Solutions for health equity. https://www.calhealthreport.org/2022/02/02/heres-why-many-asian-americans-dont-get-mental-health-care-and-how-to-help/

Anti-Asian Hate Crimes Continuously Rising Nation-Wide

Have you ever wondered why there are Anti-Asian hate crimes continuously rising nationwide?

The answer to this question is not easy to respond. The incident of racial abuse has strongly impacted the Asian community in the United States. Anti-Asian hate is sharply increasing; we can hear in the news, social media platforms, and other online media that people of Asian origin get impacted due to racist behavior toward them. The unpleasant anti-Asian rhetoric was pointed at Japan in 1980; nowadays, China is blamed for the COVID pandemic, societal ills, and global economic turmoil. On the other hand, Asian Americans have been insulted, hated, harmed, and killed because of the wave of hate nationwide. Most often, girls, women, and the elderly have been targeted. We can hear that these types of racial attacks occur on the streets, on public transportation, at work, in shops and parks, and in the worst-case scenario, Asians and Asian Americans are stalked in their apartment buildings and homes (Helen, 2022). Incidents such as the death of Vincent Chin in 1982, the Atlanta spa shootings in 2020 where innocent Asian Americans were killed, and many other cases throughout the country depict the continuous attacks against Asians and Asian Americans.

Based on the national report, anti-Asian hate incidents have been increasing, and there were 42.5% of incidents occurred in 2020, whereas in 2021, they increased by 57.5%. Also, the report stated that the majority of incidents took place in public parks (8.0%), public transit (8.4%), businesses (26.9%), and public streets (31.2%). All ethnic groups, approximately 42.8 percent of Chinese Americans, are the ones who report the most hate incidents, followed by 16.1% Korean, 8.9% P/Filipinx, 8.2% Japanese, and 8.0% Vietnamese Americans. Around 69.8% of Asian American and Pacific Islander (AAPI) women report more harassment than AAPI men (63.0%). In addition, according to Stop AAPI Hate, verbal harassment accounted for 63%, making up the highest percentage of reported incidents (Yellow Horse et al., 2022). The following are data on the 20 states with largest number of hate incident, national trends of types of discrimination, reasons for discrimination, and sites of discrimination.

The presented date is from Stop AAPI hate report ( (Yellow Horse et al., 2022)
The presented date is from Stop AAPI hate report ( (Yellow Horse et al., 2022)
The presented date is from Stop AAPI hate report ( (Yellow Horse et al., 2022)
The presented date is from Stop AAPI hate report ( (Yellow Horse et al., 2022)

Minoru Yamasaki stated that “If Asian people in America don’t learn to stand up for themselves, these injustices will never cease.”

(Helen, 2022).

Vincent Chin’s death is one example of intense anti-Asian hate. He was killed in Detroit, Michigan, in a racially motivated assault by two white men. Vincent Chin arrived in the United States as a child, and C.W. Hing Chin and Lily adopted him. Vincent, a young man full of dreams working two jobs to fulfill his dream, unexpectedly, a week before his wedding, while enjoying a night out with his friends for his bachelor party, encountered the horrific incident of racism that took his life. As Vincent’s killers were released without punishment, it ignited a new civil rights movement. Asian Americans united with a multicultural and multiracial coalition for equal human dignity and justice. The American Citizens for Justice (ACJ) was created to advocate for Asian Americans’ rights. ACJ wants to make Asian Americans visible in political and social policy contexts and domestic and international economics (Helen, 2022).

“Asian Americans, the supposed “good minority,” are not believed to experience racism-even in the face of anti-Asian hate”

(Helen, 2022).
Image Courtesy: the photo collections of Helen Zia and the Vincent And Lily Chin Estate (Helen, 2022).

As stated in the national report, in order to stop AAPI hate, states need to invest in community-based efforts to support victims and survivors of hate. For example, offering mental health support, supporting programs for victim and survivor, providing culturally responsive health resources, and language translation access. Moreover, educating people can help to prevent racism. Additionally, this can decrease bullying and harassment in schools and promote solidarity and racial empathy. Stop AAPI Hate is working with educators, policymakers, and experts on the topic to create Asian American framework for states to adopt and follow (Yellow Horse et al., 2022).

Furthermore, creating a statewide framework can help to prevent street harassment. Harassment on the street affects people’s feelings of safety, freedom of movement, and mental health. It is vital to strengthen civil rights protections against hate at businesses.

Image Courtesy: the photo collections of Helen Zia and the Vincent And Lily Chin Estate (Helen, 2022).

It is essential to stand up against hate, and the following are the steps that can be helpful.

Support: It is vital to support each other.

Acknowledge: Recognizing that anti-Asian racism occurs; therefore, it is paramount to educate yourself and others.

Oppose and reject: It is essential to stand against hateful languages and policies.

Prepare family members and friends: Discuss buying, name-calling, and racial prejudice with family members and friends. Empowering family members and friends with language and actions to respond.

Accountability with consequences: Engaging local, state, and national officials.

Practice: It is essential to practice your own strong defenses and reaction.

Report: It is considered valuable to report racial incidents and alert media authorities. 

References

Yellow Horse, A.J., Jeung, R., & Matriano, R. (2022). Stop AAPI Hate National Report. Stop AAPI Hate. https://stopaapihate.org/wp-content/uploads/2022/03/22-SAH-NationalReport-3.1.22-v9.pdf

Helen, Z. (2022). The Vincent Chin Legacy Guide: Asian Americans building the movement. Vincent Chin & American Citizens Justice. https://www.vincentchin.org/legacy-guide/english

High Context vs. Low Context Communications Impacting COVID Vaccination Decision

The COVID pandemic has been disrupted, impacting our lives in various ways. There has been a tremendous effect of COVID in our communities. The type of communication, either high or low context, has played a vital role in people’s COVID vaccination decisions. The communication style can influence how people perceive information among cultures. Communities need to have access to information that is easy to understand because health literacy level of so many people varies. Also, it is paramount to consider the cultural aspects of many communities because all cultures have their own beliefs. Vaccination hesitancy has been one factor that caused high COVID cases.

The decision-making process for vaccination is context-specific and complex. There have been many drivers and barriers that affected people’s vaccination decisions. People’s vaccine decisions might be influenced by their feelings, moral values, belief, and thoughts. The communication method used, how, and who spread the information related to COVID plays a vital role for many communities of color. Communities of color comprehend information that is in their native language more easily. 

“A different language is a different vision of life”. – Federico Fellini

(Milincic, 2020)

High-context communication needs additional information to connect with the context, whereas low-context communication is simple and straightforward. High-context communication makes it more challenging for people to understand the information or messages that they intend to transmit. High-context type of communication method has been used to spread essential information, but it might not achieve the goal due to its content complexity. As we know, when this type of communication is used, it may increase the difficulty of accessing important information related to COVID. Therefore, this causes disparities across communities while grasping valuable information associated with COVID. On the other hand, low context communication works best for people’s understanding due to its simplicity.

Low-Context Communication Examples:

Presenting information in a very scientific and statical way: scientific evidence and statical data indeed support efficacy and safety, and this information makes direct connection with the content. Studies have stated that when information is presented in clear way help to build better understanding .

Using a language that is easy to understand: when information is expressed in a way that is simple, it does not leaves people with confusion and question in mind.

High-Context Communication Examples:

Telling stories: Using stories helps to engage and to convince information that eases individuals’ understanding because the overwhelming scientific evidence and statistical facts are not as compelling as the storytelling strategy. Also, when a story is used to transmit a message, it helps in effectively delivering a message.

Using credible communicators: Communities of color believe when leaders or health workers from their communities transmit information in their language and at the level of their understanding. When most trusted community leaders spread the knowledge, people of that community increasingly accept and trust the information.

Building trust: Studies have shown that trustworthiness acts better than expertise when addressing misinformation.

Connect with people’s values: As we know, vaccination decision is value-based. Connecting with the right people is very influential when we talk about values, and our values help us to make decisions.

The context of communication impacts people’s decisions regarding the COVID vaccine. The vaccine data on the Minnesota Department of Health website provides information about the percentage of race and ethnicity who have been vaccinated. Therefore, choosing the appropriate communication style depending on the audience is vital. As noted above, high context communication needs educational background knowledge to understand the information. However, low context communication is explicitly stated, which makes a better understanding. 

References

COVID-19 Vaccine Data. (n.d.). COVID-19 Updates and Information – State of Minnesota. Retrieved April 28, 2022.

Milincic A. (2020, November 20). Differences in high-context and low-context communication styles. https://www.linkedin.com/pulse/differences-high-context-low-context-communication-styles-milincic . Retrieved September 3, 2022

Singleton, K., & Krause, E. (2009). Understanding cultural and linguistic barriers to health literacy. The Online Journal of Issues in Nursing14(3). https://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol142009/No3Sept09/Cultural-and-Linguistic-Barriers-.aspx

UNICEF. (2020). Vaccine Messaging Guide.https://www.unicef.org/media/93661/file/Vaccinemessagingguide.pdf . Retrieved September 3, 2022

Project HEALINGS Article #5: Proud and Healthy How LGTBQIA+ Communities are Supported with COVID Care

Developed by Asian Media Access, Chinese American Chamber of Commerce – MN, and Spitfire

COVID has changed the lives of many communities. But the LGBTQIA+ community has been left out of many conversations about public health and COVID. Most states, including Minnesota, do not report on COVID statistics for the LGBTQIA+ community.[1] This makes it hard for public health experts to understand the community’s needs and for advocates to get resources. The data gap makes it even more important for public health and advocates to listen directly to the LGBTQIA+ community.  June was Pride Month, a season where the LGTBQIA+ community is celebrated with parades and brand-name ad campaigns. But the LGBTQIA+ community deserves to be seen and supported year-round, especially when it comes to health care and COVID.

Seeing and supporting the LGBTQIA+ community

It is clear that LGBTQIA+ youth have struggled during COVID. LGBTQIA+ people have had higher rates of poverty, houselessness, unemployment, and mental health issues since COVID started.[2] In the LGBTQIA+ community, 74% say that worry and stress about COVID have been bad for their mental health, compared to 49% of people who do not identify as LGBTQIA+.

Tezzaree El-Amin Champion, the executive director of Encouraging Leaders, says COVID made feelings of isolation worse: “The pandemic came on top of the stresses that we deal with on a daily basis like family not being accepting of your sexuality.”

Health care offices should be a safe place where everyone is welcome. But some insurance companies and doctors do not respect LGTBQIA+ people or offer them care. Many LGTBQIA+ youth have had bad health care visits that stop them from continuing to seek health services.

On top of that, difficulties created by COVID – like losing income or housing – also make it harder to get health insurance and trusted, current information about COVID and vaccines.

Finding care in community

Everyone deserves access to quality medical care that respects their gender and sexual identity. And vaccines are an important part of health care. As public health programs work to fight COVID, it is also important to build systems that improve long-term access to health care.

Minnesota organizations like Encouraging Leaders are working toward this goal. They are creating networks of healthcare professionals who provide care for LGTBQIA+ individuals.

Champion explains, “A lot of people are just afraid to go to the hospital or go to a doctor. So, we try our best to create a safe place and connect people to doctors that we consider LGBTQIA+ friendly. We try to customize and personalize the type of services and resources for these individuals.”

Tezzaree, or “Tezzy” as he is known by the youths he mentors, knows that going to a healthcare center can be scary. That is why he is bringing conversations about health to young people. Tezzy and his staff meet young people where they are – in their homes or his office in Minneapolis where they hold information sessions and clinics.

Encouraging Leaders’ work goes beyond vaccines and medical care. They also offer help with mental health, financial literacy, and employment because these also improve wellness. And community is at the center of all of their work. COVID was isolating. To overcome the pandemic, communities need safety measures like masks and vaccines, but individuals also need to reconnect with support networks.  Tezzy and his staff have worked hard to create a “chosen family” by building relationships with young people and trusted doctors. Creating a safe space and consistent medical and social support helps young people make decisions about vaccines when they are ready. Organizations like Encouraging Leaders and Project HEALINGS are here to continue the conversation with the LGBTQIA+ community, during COVID and beyond.

CHANGING TO FIGHT THE VIRUS

All communities deserve clear and trustworthy information about COVID and how to stay safe.

The COVID vaccines are saving lives. They are especially good at preventing severe sickness for people with conditions like diabetes, HIV, asthma, and heart disease. These conditions make it harder to fight off COVID. Vaccines give the body the strength to fight the virus. Vaccines can also help people stay out of the hospital and prevent death.

Understanding safety facts like this can be hard. New information is released every week. It is even harder for unhoused populations and people with limited English to get new information. By the time updates are translated and shared, the information has already changed.

But new information is important. It shows that public health experts are being honest and their advice is effective. Champion shares, “I’m constantly talking with my friends about COVID and what kind of safety measures we are taking. Although guidelines change often, I try to stay up to date because that is the best way to protect myself.”

There have been many “variants” or forms of COVID (like Delta and Omicron) because viruses change over time. So far, each new form of COVID spreads more easily but may cause less serious sickness. This is why information about infections changes.

To keep up with COVID, people have to change too. You would not want to find your way around a new neighborhood with a 50-year-old map. The streets may stay the same, but the details have changed. There are new shops and restaurants to find.

Old information can still inform our decisions, but the newest information will help us find the fastest and safest way out of COVID. The good news is that you do not have to learn this information alone.

[1] Kramer, J. (2021, May 7). In Covid Vaccine Data, L.G.B.T.Q. People Fear Invisibility. The New York Times. https://www.nytimes.com/2021/05/07/health/coronavirus-lgbtq.html

[2] COVID-19 and the LGBTQ Community: Vaccinations and the Economic Toll of the Pandemic. (2021). Human Rights Campaign Foundation, PSB Insights. https://hrc-prod-requests.s3-us-west-2.amazonaws.com/files/documents/COVID-Vaccines-Brief-030821.pdf

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Project HEALINGS Article #4: Vaccination empowers learning about overall health and wellness

COVID-19 infection rates have increased and decreased over the past two years as Minnesota faced wave after wave of the virus, but one thing remains the same: Black communities have been hit hard by COVID. Since the pandemic began, Black Minnesotans have died from COVID at more than twice the rate of white Minnesotans.[1] But despite inequities barring the way, community members say there are still ways to rise.

Overlapping challenges

Black communities are facing multiple crises in addition to the pandemic. COVID has exacerbated preexisting issues by worsening working conditions, increasing unemployment, destabilizing finances, and limiting access to high-quality education.

Donnell Bratton, the Senior Pastor of Overcomer’s Victory Church, shares that for Black Minnesotans, 2020 was not just defined by COVID shutdowns.

“We were also impacted by social unrest in the city of Minneapolis, especially around the death of George Floyd…. Everybody was active in this community, doing some work.”

COVID-19 is a serious threat to community wellbeing because it exacerbates existing inequities that communities are working so hard to address. Supporting health literacy and improving access to health care are important parts of the larger work to support Black lives.

Finding the power in healing

While the COVID virus does not discriminate, there is no hiding the fact that the healthcare system reinforces and perpetuates inequities. The US healthcare system has deep roots in racialized practices like the Tuskegee experiment and forced sterilization that weigh heavily on folks like Bratton’s mother.

“My mother grew up in the South in the era of Tuskegee. She didn’t have access to health care until emergencies like polio, when all of a sudden the government came around asking everyone to take vaccines. But most of the time, no one was there to support their health, so many from her generation turned to the church, to God, as a source of comfort and healing. Those beliefs hold strong today.”

Bratton is aware that his mother’s experiences live on in him. Intergenerational trauma has left many in the Black community wary of medical interventions. To cope with this disturbing and violent history, Pastor Bratton has a motto: “I’m not responsible for the trauma, but I have power over my healing.” He notes that while no one can reverse the past, every individual can choose how they prioritize their health and protect against threats to their health and well-being, like COVID, in the present.

Promoting equity and long-term safety

Vaccines are a tool that can help individuals take control of their health. Minnesota’s health department has acknowledged that trustworthy health care has not historically been available to Black communities. So it has worked to make vaccines free and accessible, integrate racial equity as a pillar of its public health policy and collaborate with communities to address concerns.[2]

Time after time, data shows that people who have been vaccinated against COVID are less likely to get seriously ill or die from the virus.[3] Because of this positive outcome, 69% of Black Minnesotans have chosen to get vaccinated as of May 18, 2022.[4]

Taking a day off of work to visit a vaccine clinic and deal with normal side effects can be a hassle, but the vaccine side effects wear off in a couple of days. The alternative — getting COVID — is an extreme health and financial burden that can have serious long-term effects.

Contracting COVID prevents you and those around you from going to work and school for at least five days. Some of the virus’s effects on your health — like shortness of breath and difficulty concentrating — can last months or longer. Everyone has the right to weigh the risks and benefits of preventive measures and choose the path that is right for them.

Overcoming the historical medical trauma experienced by Black communities will take more than scientific facts. Community leaders like Pastor Bratton can be a bridge, but communication has to go both ways. Public health institutions must share important vaccine information, but they must also listen to and learn from Black communities about their experiences and needs. Building a larger conversation about health literacy and healthcare access will make communities stronger and more resilient to future public health crises.

Tools of power and choice

Decisions regarding health and vaccination are personal, but it can be helpful to discuss with trusted friends and family members around the dinner table. Pastor Bratton often raises discussions about health in church because it is a center for community and healing.

“Pastors and spiritual leaders play a role in educating and guiding communities. Whatever your denomination or faith, we share the value of caring for our neighbors. But I also want you to know that caring for yourself and your health is equally important for the spirit. We believe in God even though we’ve never seen him. We can’t see COVID, but that doesn’t mean it’s not real. It has caused a lot of suffering in our community that could have been prevented with masks, social distancing, and other preventive measures.”

The pastor emphasizes that everyone was born with the gift of choice, and he encourages folks to use that power to make good decisions about their health. It is everyone’s right to question and learn about COVID and ways to avoid serious illness. Taking control of individual health can help folks get back to church, work, school, and advocacy in person. Community organizations like Project HEALINGS are here to continue the conversation with communities and are working to make sure that healthcare equity improves for COVID-19 and beyond.

[1] 0.35% compared to 0.16% respectively as of May 11th, 2022. Minnesota Department of Health. (2022). Data by Race/Ethnicity. COVID-19 Updates and Information – State of Minnesota. Retrieved May 18, 2022, from https://mn.gov/covid19/data/data-by-race-ethnicity/index.jsp

[2] Peters, J. (2021, May 21). Minnesota’s vaccine equity director, Dr. Nathan Chomilo, has a lot of inequity to fix. Sahan Journal. http://sahanjournal.com/health/minnesota-vaccine-race-equity-chomilo/

[3] Study shows COVID-19 vaccines offer lasting protections. (2022, January 12). UNC News. https://uncnews.unc.edu/2022/01/12/study-shows-covid-19-vaccines-offer-lasting-protection/

Katella, K. (n.d.). Comparing the COVID-19 Vaccines: How Are They Different? Yale Medicine. Retrieved May 18, 2022, from https://www.yalemedicine.org/news/covid-19-vaccine-comparison

[4] Minnesota Department of Health. (2022). COVID-19 Vaccine Data. COVID-19 Updates and Information – State of Minnesota. Retrieved May 18, 2022, from https://mn.gov/covid19/vaccine/data/index.jsp

Vaccination empowers learning about overall health and wellness PDF Format:

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Project HEALINGS Article #3: Vaccines protect pregnancy and privacy – find out how

Developed by Asian Media Access, Chinese American Chamber of Commerce – MN, and Spitfire

Minnesota’s Latine communities have been on the frontline of COVID-19 since the beginning. Many work in essential jobs, including agriculture, meatpacking, restaurants, healthcare, and construction. Latine-owned businesses that provide important services to the community have also been hit hard by lockdowns for over two years now.[1]

These essential jobs helped keep us all going throughout the pandemic but also put workers at high risk for COVID. Vaccines can help.

The 2020 Census shows that 6.1% of Minnesota’s population identifies as Latine and has origins in many different places. Vaccines are not new to Latine communities. Many countries in Latin America have strong vaccination programs against tuberculosis (TB), polio, and other viruses.

As of April 27, 2022, 72.9% of Hispanic people in Minnesota had already taken the COVID vaccine, says the Minnesota Department of Health.[2] The high rate of vaccination has helped reduce major illness and death. In April 2021, Hispanic individuals were 1.3 times more likely to get infected, 3 times more likely to be hospitalized, and 2 times more likely to die from COVID than non-Hispanic white people.[3] Data from April 2022 shows that fewer people are now suffering thanks to vaccines.[4]

Protecting family and pregnancy

Families are the core of Latine communities. Families are a strong source of support, health advice, and care. Because COVID-19 spreads easily, individual health decisions have a big impact on the whole family. As families grow, it is important to think about ways to keep everyone safe.

This is especially true for pregnant women and babies. When pregnant, the baby’s health is often the top priority. It is natural to be worried about what you put in your body during pregnancy and have questions about the COVID vaccine.

The vaccine helps keep pregnant mothers and babies healthy. Research shows the vaccine is safe. Vaccines do not harm a woman’s ability to have children or cause problems during pregnancy. Pregnant women are at higher risk for hospitalization and death from COVID-19. The virus also increases the risk of stillbirth and premature birth. The vaccine can help prevent these dangers.

Rodolfo Gutierrez, a Minnesotan and the Executive Director of the HACER research group, adds, “Research shows that babies are even vaccinated themselves through their mothers during pregnancy.”    One study from the American Medical Association found that when pregnant women get vaccinated, they pass on some immunity to babies in their womb, protecting them from illness for a period of time after they are born.[5] Other data shows that getting fully vaccinated during pregnancy can help stop infants from being hospitalized with COVID.[6]

Vaccine safety and privacy

The technology used in the vaccine was researched for decades before COVID-19 even came around. Plus, the vaccines have already been used for over a year. Since vaccines were approved in late 2020, authorities have gathered more data and continued to monitor vaccine safety. This research confirms that vaccines are safe and effective.

Vaccines stop people from getting seriously ill and needing to go to the hospital about 90% of the time. The vaccine’s protection lasts many months. Vaccines also help people who have already gotten COVID to avoid getting very sick again.[7]

The state of Minnesota supports everyone’s right to get vaccinated and be protected from COVID-19. You do not need insurance or any documentation to get vaccines.

Gutierrez remembers, “Early on, there were some cases where pharmacists asked for IDs to register patients and search for insurance. This had a negative impact on our community because some people were rejected from getting the vaccine. But the state intervened to remind vaccine distributors that they cannot turn people away.”

Authorities have worked to make sure everyone can get vaccinated with or without documentation, and pharmacies have changed their practices so they do not ask for IDs.

The vaccination system also has security measures that protect your privacy. Vaccine information can only be used for general public health data. Immigration authorities cannot access vaccine information or go near vaccination or testing sites.

Care in your language and community

It can be difficult to find health information in Spanish and other indigenous languages of Latin America. So, Latine communities are organizing to help each other access the care they need. Organizations like Project HEALINGS, HACER, and local news programs are working to share COVID resources in Spanish. This is helpful to Spanish-speaking people living in Minnesota, including migrant workers who traveled here to help with worker shortages.

COVID-19 has made the last two years scary and overwhelming. But you can take control of your health and protect your community by learning more about the vaccine. Doctors and nurses are ready to answer your questions and ease your worries. So, keep asking questions and talking with family members and friends about their vaccine experience. That will help you decide whether vaccines are right for you and your family. For more information, visit projecthealings.info.

[1] Gutierrez, R., Hawkins, J., Higuera, J. P., Linscheid, N., Tuck, B., & Hernandez-Swanson, J. (2020). Impacto del COVID-19 en las empresas de propiedad de latinos en Minnesota. Hispanic Advocacy Community Empowerment through Research, University of Minnesota Extension.

[2] COVID-19 Vaccine Data. (n.d.). COVID-19 Updates and Information – State of Minnesota. Retrieved April 28, 2022.

[3] Gabilondo-Scholz, A. I. (2021, April 14). Racial inequities faced by MN Latino community during pandemic | Blue Cross MN. Blue Cross Blue Shield MN.

[4] Weekly COVID-19 Report 4/28/2022. (2022). Minnesota Department of Health.

[5] Shook, L. L., Atyeo, C. G., Yonker, L. M., Fasano, A., Gray, K. J., Alter, G., & Edlow, A. G. (2022). Durability of Anti-Spike Antibodies in Infants After Maternal COVID-19 Vaccination or Natural Infection. JAMA, 327(11), 1087–1089.

[6] Halasa NB, Olson SM, Staat MA, et al. Effectiveness of Maternal Vaccination with mRNA COVID-19 Vaccine During Pregnancy Against COVID-19–Associated Hospitalization in Infants Aged <6 Months — 17 States, July 2021–January 2022. MMWR Morb Mortal Wkly Rep 2022;71:264–270.

[7] Kimberlee, D. K. D.. (2022, March 31). COVID-19 vaccines reduce hospitalization, death in people with prior infection, study finds. News Center.

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