{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T05:40:38Z","timestamp":1788932438070,"version":"build-2803163510"},"reference-count":29,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T00:00:00Z","timestamp":1775692800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000002","name":"US National Institutes of Health","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"crossref"}]},{"id":[{"id":"https:\/\/ror.org\/01cwqze88","id-type":"ROR","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006545","name":"National Institute on Minority Health and Health Disparities","doi-asserted-by":"publisher","award":["U01MD017431"],"award-info":[{"award-number":["U01MD017431"]}],"id":[{"id":"10.13039\/100006545","id-type":"DOI","asserted-by":"publisher"}]},{"award":["U01MD017431"],"award-info":[{"award-number":["U01MD017431"]}],"id":[{"id":"https:\/\/ror.org\/0493hgw16","id-type":"ROR","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006108","name":"National Center for Advancing Translational Sciences","doi-asserted-by":"publisher","award":["UL1R001420"],"award-info":[{"award-number":["UL1R001420"]}],"id":[{"id":"10.13039\/100006108","id-type":"DOI","asserted-by":"publisher"}]},{"award":["UL1R001420"],"award-info":[{"award-number":["UL1R001420"]}],"id":[{"id":"https:\/\/ror.org\/04pw6fb54","id-type":"ROR","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Our community-based participatory research (CBPR) partnership convened an in-person, bilingual empowerment theory-based community forum to disseminate and translate findings from our trial of Nuestra Comunidad Saludable (Our Healthy Community), a multilevel intervention designed to improve uptake of COVID-19 testing and vaccination among Spanish-speaking Latine communities in North Carolina. The forum brought together community members, healthcare providers, organizational representatives, and academic researchers from across North Carolina. Drawing on findings from the intervention trial, participants engaged in facilitated, structured dialogue to identify community priorities and generate recommendations to advance health equity among Latine communities. Thirty-six participants identified eight priorities: (1) reducing health service gaps and inequities exposed by COVID-19; (2) expanding access to bilingual, culturally responsive mental health services; (3) improving understanding of HIV prevention and treatment; (4) strengthening services for children with disabilities; (5) protecting immigrant rights and ensuring safe access to services; (6) increasing political and social support for Latine health; (7) improving access to trusted, culturally responsive providers and community organizations; and (8) addressing social determinants of health, including employment, housing, and food security. The empowerment-based forum identified community priorities, challenges, and recommendations that can inform practice, intervention, policy, and research, and advance health equity for Spanish-speaking Latine communities.<\/jats:p>","DOI":"10.3390\/ijerph23040472","type":"journal-article","created":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T07:48:07Z","timestamp":1775720887000},"page":"472","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Improving Health Equity for Spanish-Speaking Latine Communities: Community Priorities, Challenges, and Recommendations"],"prefix":"10.3390","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-2781-4753","authenticated-orcid":false,"given":"Sandy K.","family":"Aguilar-Palma","sequence":"first","affiliation":[{"name":"Department of Social Sciences and Health Policy, Wake Forest University School of Medicine, Winston-Salem, NC 27157-1063, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7088-4097","authenticated-orcid":false,"given":"Lilli","family":"Mann-Jackson","sequence":"additional","affiliation":[{"name":"Department of Social Sciences and Health Policy, Wake Forest University School of Medicine, Winston-Salem, NC 27157-1063, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jorge","family":"Alonzo","sequence":"additional","affiliation":[{"name":"Department of Social Sciences and Health Policy, Wake Forest University School of Medicine, Winston-Salem, NC 27157-1063, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4488-7160","authenticated-orcid":false,"given":"Amanda E.","family":"Tanner","sequence":"additional","affiliation":[{"name":"Department of Public Health Education, University of North Carolina Greensboro, Greensboro, NC 27402-6170, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas P.","family":"McCoy","sequence":"additional","affiliation":[{"name":"Capstone College of Nursing, The University of Alabama, Tuscaloosa, AL 35487, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7503-6273","authenticated-orcid":false,"given":"Alain G.","family":"Bertoni","sequence":"additional","affiliation":[{"name":"Division of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, NC 27157-1063, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Omar","family":"Valera","sequence":"additional","affiliation":[{"name":"Public Health, Mecklenburg County Government, Charlotte, NC 28202, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Scott D.","family":"Rhodes","sequence":"additional","affiliation":[{"name":"Department of Social Sciences and Health Policy, Wake Forest University School of Medicine, Winston-Salem, NC 27157-1063, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,4,9]]},"reference":[{"key":"ref_1","unstructured":"United States Census Bureau (2025, March 19). Census.gov|U.S. Census Bureau Homepage, Available online: https:\/\/www.census.gov\/en.html."},{"key":"ref_2","unstructured":"US Department of Health and Human Services (2025, January 30). Hispanic\/Latino Health|Office of Minority Health, Available online: https:\/\/minorityhealth.hhs.gov\/hispaniclatino-health."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1177\/1077558705275416","article-title":"The impact of medical interpreter services on the quality of health care: A systematic review","volume":"62","author":"Flores","year":"2005","journal-title":"Med. Care Res. Rev. MCRR"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1016\/S1526-9523(02)00218-0","article-title":"The impact of language barriers on the health care of Latinos in the United States: A review of the literature and guidelines for practice","volume":"47","author":"Timmins","year":"2002","journal-title":"J. Midwifery Women\u2019s Health"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1086\/708616","article-title":"Addressing Barriers to Primary Care Access for Latinos in the U.S.: An Agent-Based Model","volume":"11","author":"Oh","year":"2020","journal-title":"J. Soc. Soc. Work Res."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"1034","DOI":"10.2105\/AJPH.2022.306809","article-title":"COVID-19 Outcomes Among the Hispanic Population of 27 Large US Cities, 2020\u20132021","volume":"112","author":"Lazo","year":"2022","journal-title":"Am. J. Public Health"},{"key":"ref_7","doi-asserted-by":"crossref","unstructured":"Smith, D.G., Duarte-Velez, Y., Chen, E.S., Bueno, M., Elwy, A.R., and Sarkar, I.N. (2025). Barriers and facilitators to COVID-19 testing and vaccination: A qualitative focus group study among Rhode Island\u2019s Latine\/Hispanic community. Front. Health Serv., 5.","DOI":"10.3389\/frhs.2025.1473375"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"100326","DOI":"10.1016\/j.focus.2025.100326","article-title":"Social Determinants of Health Associated With SARS-CoV-2 Testing and Vaccine Attitudes in a Cross-Sectional Study of Latinx Individuals in Oregon","volume":"4","author":"Budd","year":"2025","journal-title":"AJPM Focus"},{"key":"ref_9","unstructured":"(2025, April 17). Executive Summary, 2023 National Healthcare Quality and Disparities Report, Available online: https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK600463\/."},{"key":"ref_10","doi-asserted-by":"crossref","unstructured":"Tanner, A.E., Hall, M.A., Aguilar-Palma, S.K., Mann-Jackson, L., Alonzo, J., Bertoni, A.G., McCoy, T.P., Garcia, M., Sucaldito, A.D., and Turner, M.J. (2024). Understanding uptake of COVID-19 testing, vaccination, and boosters among Spanish-speaking Latines in the United States: Qualitative insights from Spanish speakers and key informants. PLoS ONE, 19.","DOI":"10.1371\/journal.pone.0296812"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"329","DOI":"10.2105\/AJPH.2014.302218","article-title":"The Impact of Local Immigration Enforcement Policies on the Health of Immigrant Hispanics\/Latinos in the United States","volume":"105","author":"Rhodes","year":"2015","journal-title":"Am. J. Public Health"},{"key":"ref_12","unstructured":"(2026, March 09). Potential \u201cChilling Effects\u201d of Public Charge and Other Immigration Policies on Medicaid and CHIP Enrollment|KFF. Available online: https:\/\/www.kff.org\/medicaid\/potential-chilling-effects-of-public-charge-and-other-immigration-policies-on-medicaid-and-chip-enrollment\/?utm_source=chatgpt.com."},{"key":"ref_13","unstructured":"Capps, R., Fix, M., and Batalova, J. (2026, March 09). Anticipated \u201cChilling Effects\u201d of the Public-Charge Rule Are Real: Census Data Reflect Steep Decline in Benefits Use by Immigrant Families. migrationpolicy.org, Available online: https:\/\/www.migrationpolicy.org\/news\/anticipated-chilling-effects-public-charge-rule-are-real."},{"key":"ref_14","unstructured":"(2026, April 05). Our State Geography in a Snap: Three Regions Overview. Available online: https:\/\/www.ncpedia.org\/our-state-geography-snap-three."},{"key":"ref_15","unstructured":"(2026, March 09). Hispanic Population Is Fastest Growing Population in North Carolina|NC OSBM, Available online: https:\/\/www.osbm.nc.gov\/blog\/2023\/05\/01\/hispanic-population-fastest-growing-population-north-carolina."},{"key":"ref_16","unstructured":"U.S. Census Bureau (2026, March 09). QuickFacts: North Carolina, Available online: https:\/\/www.census.gov\/quickfacts\/fact\/table\/NC\/PST045225."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"e066585","DOI":"10.1136\/bmjopen-2022-066585","article-title":"Increasing COVID-19 testing and vaccination among Spanish speakers in the USA: Protocol for the development and evaluation of the Nuestra Comunidad Saludable intervention using a group-randomised trial design","volume":"12","author":"Rhodes","year":"2022","journal-title":"BMJ Open"},{"key":"ref_18","doi-asserted-by":"crossref","unstructured":"Aguilar-Palma, S.K., McCoy, T.P., Mann-Jackson, L., Alonzo, J., Jibriel, M.S.E., Johnson, D.M., Locklear, T., Tanner, A.E., Hall, M.A., and Bertoni, A.G. (2025). Characteristics influencing COVID-19 testing and vaccination among Spanish-speaking Latine persons in North Carolina. PLoS ONE, 20.","DOI":"10.1371\/journal.pone.0317794"},{"key":"ref_19","doi-asserted-by":"crossref","unstructured":"Aguilar-Palma, S.K., McCoy, T.P., Mann-Jackson, L., Alonzo, J., Tanner, A.E., Hall, M.A., Bertoni, A.G., Russell, L.P., and Rhodes, S.D. (2026). COVID-19 testing and vaccination uptake among Spanish-speaking Latine persons: Impact of a novel social network intervention. BMC Public Health, 26.","DOI":"10.1186\/s12889-026-26634-8"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"545","DOI":"10.1353\/cpr.2025.a979212","article-title":"The Empowerment Theory-based Community Forum as a CBPR Dissemination and Translation Method","volume":"19","author":"Alonzo","year":"2025","journal-title":"Prog. Community Health Partnersh. Res. Educ. Action"},{"key":"ref_21","unstructured":"Matiella, A. (1994). Empowerment education applied to youth. The Multicultural Challenge in Health Education, ETR Associates."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"140","DOI":"10.1177\/1557988310366298","article-title":"Boys must be men, and men must have sex with women: A qualitative CBPR study to explore sexual risk among African American, Latino, and White gay men and MSM","volume":"5","author":"Rhodes","year":"2011","journal-title":"Am. J. Mens. Health"},{"key":"ref_23","first-page":"240","article-title":"Reducing the Impact of Immigration Enforcement Policies to Ensure the Health of North Carolinians: Statewide Community-Level Recommendations","volume":"77","author":"Mann","year":"2016","journal-title":"N. C. Med. J."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"484","DOI":"10.1016\/j.pec.2015.01.001","article-title":"Identifying and intervening on barriers to healthcare access among members of a small Korean community in the southern USA","volume":"98","author":"Rhodes","year":"2015","journal-title":"Patient Educ. Couns."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"248","DOI":"10.1097\/OLQ.0000000000002106","article-title":"Increasing STI and HIV Preventive Behaviors and Addressing Community-Prioritized Social Determinants of Health Among Young GBQMSM and Transgender Women of Color: Piloting a Bilingual Multilevel Intervention","volume":"52","author":"Rhodes","year":"2025","journal-title":"Sex. Transm. Dis."},{"key":"ref_26","unstructured":"Miles, M.B., and Huberman, A.M. (1994). Qualitative Data Analysis: An Expanded Sourcebook, SAGE."},{"key":"ref_27","unstructured":"Charmaz, K. (2006). Constructing Grounded Theory: A Practical Guide Through Qualitative Analysis, SAGE."},{"key":"ref_28","doi-asserted-by":"crossref","unstructured":"Glaser, B., and Strauss, A. (2017). Discovery of Grounded Theory: Strategies for Qualitative Research, Routledge.","DOI":"10.4324\/9780203793206"},{"key":"ref_29","unstructured":"Freire, P. (1973). Education for Critical Consciousness, Continuum. 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