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{
    "pk": 55183,
    "title": "How the COVID-19 Pandemic Reshaped Community Health Needs in San Francisco’s Chinatown: Examining The Historical, Social and Global Upstream Influencers",
    "subtitle": null,
    "abstract": "A comparison of the San Francisco Chinese Hospital’s Community Health NeedsAssessment (CHNA) from the year 2019 to 2022 reveals striking transformations in top-reportedcommunity health concerns in San Francisco Chinatown during the COVID-19 Pandemic.Thesurvey reports skyrocketing mentions of mental health, community safety, and linguisticallyappropriate health information. These concerns emerged as pressing unmet needs during thepandemic. The spread of the COVID-19 virus alone is not enough to explain these shifts, rather,the sudden change in community health needs highlights the interrelationship between the healthof the individual and their environment. Major changes in social stigma, politics, andcommunication had a direct impact on health during the pandemic. This literature reviewsynthesizes recent literature to uncover how the influence of historical, social, and global factorsduring COVID-19 catalyzed these shifts in health priorities among a vulnerable population. Iargue that historical scapegoating, exclusionary policies, anti-Asian ethnic violence, and novelhealth communication framed and contributed to the greater concerns in safety, mental health,and in-language education, reiterating the embeddedness of health in the social sphere.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution-NonCommercial-NoDerivatives  4.0",
        "short_name": "CC BY-NC-ND 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by-nc-nd/4.0"
    },
    "keywords": [],
    "section": "Articles",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/2sf1f7s3",
    "frozenauthors": [
        {
            "first_name": "Vivian",
            "middle_name": "",
            "last_name": "Lee",
            "name_suffix": "",
            "institution": "",
            "department": ""
        }
    ],
    "date_submitted": "2024-06-24T08:27:05Z",
    "date_accepted": "2024-06-24T08:27:05Z",
    "date_published": "2024-06-24T07:00:00Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/aarj/article/55183/galley/41554/download/"
        }
    ]
}