Moving Health Education and Behavior Upstream: Lessons From COVID-19 for Addressing Structural Drivers of Health Inequities

Health Educ Behav. 2020 Aug;47(4):519-524. doi: 10.1177/1090198120929985. Epub 2020 May 14.

Abstract

In this Perspective, we build on social justice and emancipatory traditions within the field of health education, and the field's long-standing commitment to building knowledge and shared power to promote health equity, to examine lessons and opportunities for health education emerging from the COVID-19 pandemic. Examining patterns that emerged as the pandemic unfolded in Metropolitan Detroit, with disproportionate impacts on African American and low-income communities, we consider conditions that contributed to excess exposure, mortality, and reduced access to critical health protective resources. Using a life course framework, we consider enduring impacts of the pandemic for health equity. Finally, we suggest several strategic actions in three focal areas-environment, occupation, and housing-that can be taken by health educators working in partnership with community members, researchers, and decision makers, using, for example, a community-based participatory research approach, to reduce adverse impacts of COVID-19 and promote long-term equity in health.

Keywords: community-based participatory research; environmental health; ethnicity; health behavior; race; social determinants of health.

MeSH terms

  • Betacoronavirus
  • COVID-19
  • Coronavirus Infections / ethnology*
  • Environment
  • Health Education / organization & administration*
  • Health Equity / organization & administration*
  • Housing / organization & administration
  • Humans
  • Michigan / epidemiology
  • Pandemics
  • Pneumonia, Viral / ethnology*
  • SARS-CoV-2
  • Social Determinants of Health / ethnology*
  • Socioeconomic Factors