249 Addressing Structural Racism Using Community Based System Dynamics

249 利用社区系统动力学解决结构性种族主义问题

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作者：Tang,Dongmei,Wang,Kunkun,Ye,Zhengqiang,Gu,Dantong,Ye,Lei,Sun,Shan,Li,Huawei,Sun,Yingkai,Zhang,Juan,Hong,Jie,Zhang,Zhongyun,Lu,Peng,Gao,Aibo,Ni,Mengshan,Zhang,Zhiyin,Yang,Huanjie,Shen,Juan,Lu,Jieli,Xue,Wenzhi,Lv,Qianqian,Bi,Yufang,Zeng,Yi Arial,Gu,Weiqiong,Ning,Guang,Wang,Weiqing,Liu,Ruixin,Wang,Jiqiu,Ngaage,Ledibabari M,Ketheeswaran,Suvethavarshini,Shores,Jaimie T,Garg,Stuti P,Chwa,Emily S,Reddy,Narain,Weissman,Joshua P,Gosain,Arun K,Soliman,Luke,Francalancia,Stephanie,Marquez-Garcia,Josue,Sobti,Nikhil,Rao,Vinay,Woo,Albert S,Cassidy,Michael F,Onuh,Ogechukwu C,Tran,David L,Brydges,Hilliard T,Celestin,Arthur R,Sharma,Sheel,Anzai,Lavinia,Park,Jenn,Daar,David,Levine,Jamie P,Koh,Daniel J,Gong,Jung Ho,Sobti,Nikhil,Solimon,Luke,King,Victor,Woo,Albert S,Mehta,Meeti,Davit,Alexander J III,Choe,Joshua,Bregman,Dana,Miller,Meghan,Bradley,James P,Brown,Stav,Dayan,Joseph,Coriddi,Michelle,Barrio,Andrea,Mehrara,Babak J,Brown,Stav,Dayan,Joseph,Coriddi,Michelle,Boe,Lillian,Barrio,Andrea,Mehrara,Babak J,Zitkovsky,Helen S,Kuhn,Natalie L,Guo,Lifei,Lyon,Sarah,Israel,Jacqueline,Gutierrez-Meza,Diana,Alagoz,Esra,Edalatpour,Armin,Bentz,Michael,Afifi,Ahmed,Surucu,Yusuf,Yang,Katherine S,Chinnapaka,Somaiah,Altman,Alexey,Epperly,Michael W,Greenberger,Joel S,Rubin,Peter,Ejaz,Asim,Hemal,Kshipra,Otero,Sofia Perez,Kabir,Raeesa,Boyd,Carter J,Choi,Mihye,Karp,Nolan,Toyoda,Yoshiko,Fowler,Cody C,Othman,Sammy,Mazzaferro,Daniel,McGraw,Reed,Azoury,Said C,Itkin,Maxim,Kovach,Stephen J,Shaffrey,Ellen C,Moura,Steven,Attaluri,Pradeep K,Wirth,Peter J,Edalatpour,Armin,Schappe,Alyssa,Rao,Venkat K,Parmeshwar,Nisha,Barnes,Laura,Patterson,Anne,Miller,Amanda,Hansen,Scott,Piper,Merisa,Dong,Xue,Butler,Timothy,Corpuz,George,O’Connell,Gillian,Salazar,Hector,Limem,Skander,Spector,Jason,Hua,Jack,De la Fuente Hagopian,Alexa,Farhat,Souha,Vazquez,Sebastian Guadarrama-Sistos,Echo,Anthony,Rashid,Waleed R,Gombaut,Cindy,Kahn,David,Goldman,Jennifer,Henn,Dominic,Lakatta,Alexis,Teotia,Sumeet S,Haddock,Nicholas T,Choi,Joowon,Tranmer,Andrew,Applebaum,Matthew,Cripe,Brian,Joy,Matthew,Capito,Anthony,Moyer,Kurtis,Thompson,James II,Kalmar,Christopher L,Nemani,Sriya,Park,Benjamin,Das,Rishub,Perdikis,Galen,Assi,Patrick,Kassis,Salam,Al-Malak,Mazen,Lammers,Jacob,Figueroa,Brian,Pandey,Sonia,Ku,Ying,Mulvihill,Lianne,Chen,Wei F,Polovneff,Alexandra,Seitz,Vienne,Panoch,Janet,Hoben,Gwendolyn,Kukreja-Pandey,Sonia,Al-Malak,Mazen,Ku,Ying,Duarte-Bateman,Daniela,Chen,Wei F,Shauly,Orr,Stone,Gregory L,Shin,Rebecca,Marxen,Troy,Stevens,W Grant,Gould,Daniel J,Saadoun,Rakan,Asaad,Malke,Khan,Nayel,Kubik,Mark,Sridharan,Shaum,Solari,Mario G,Coombs,Demetrius M,Hua,Vivian,Patel,Viren,Guyuron,Bahman,Lin,Li,Chai,Gang,Xu,Haisong,Zhang,Yan,Meyers,Abigail,Kopparthy,Varun,Sadeghi,Payam,Papay,Francis,Rampazzo,Antonio,Gharb,Bahar Bassiri,Oleru,Olachi,Akhavan,Arya,Seyidova,Nargiz,Ibelli,Taylor,Taub,Peter,Henderson,Peter,Dunworth,Kristina,Del Risco,Amanda,Fimbres,Denisse Porras,Allori,Alexander,Horchler,Summer Nicole,Collins,Jessica,Waldron,Olivia,Sharma,Sonakshi,Roberts,John,Sun,Mingjie,Koduru,Srinivas,Ravnic,Dino,Mehta,Meeti,Moroni,Elizabeth,Fishman,Jordan,De La Cruz,Carolyn,Brown,Stav,Dayan,Joseph,Coriddi,Michelle,McGrath,Leslie,Kuonqui,Kevin,Shin,Jinyeon,Sarker,Anata,Kataru,Raghu,Mehrara,Babak,Soliman,Luke,Sawicki,Nicholas,Gong,Jung Ho,Koh,Daniel J,Sobti,Nikhil,Woo,Albert S,Moroni,Elizabeth A,Glenney,Anne,Mocharnuk,Joseph,Egro,Francesco,Goldstein,Jesse,Losee,Joseph,Nguyen,Vu,Wells,Michael W,Chang,Irene A,Deleonibus,Anthony,Patel,Viren,Guyuron,Bahman,Patel,Viren,Wu,Shannon,Schafer,Rachel,Shukla,Priya,Deleonibus,Anthony,Bishop,Sarah,Gurunian,Raffi,Bernard,Stephen,Djohan,Risal,Schwarz,Graham,Bhoopalam,Myan,Qiu,Chenhu,Harris,Tom GW,Tuffaha,Sami,Mao,Hai-Quan,Reddy,Sashank K,Harmon,Kelly A,Rezania,Nikki,La-Anyane,Okensama,Seu,Michelle,Urie,Braedon,Zhang,Yanyu,Kokosis,George,Brown,Stav,Brown,Tal,Coriddi,Michelle,Mehrara,Babak,Dayan,Joseph H,Roohani,Idean,Moshal,Tayla,Lo,Jessica,Daar,David,Carey,Joseph N,Timberlake,Andrew T,Quiat,Daniel,Cunningham,Michael L,Persing,John,Luquetti,Daniela,Heike,Carrie L,Seidman,Jonathan,Seidman,Christine,Chen,Amy,Garvey,Shannon R,Tobias,Adam M,Cauley,Ryan P,Lee,Bernard,Leathers,Kaylee O,Bradshaw,Evan,Ramtin,Sina,Choudhary,Nikita,Holan,Cole,Harshbarger,Raymond,DeVito,Robert G,Park,Rachel H,Campbell,Chris A,Stranix,John T,Lu Wang,Marcos,Huang,Hao,Qin,Nancy,De Freitas,Daniella,Ellison,Angela,Otterburn,David M,Saadoun,Rakan,Asaad,Malke,Khan,Nayel,Sridharan,Shaum,Kubik,Mark,Solari,Mario G,Hung,Ya-Ching,Park,Benjamin C,Assi,Patrick E,Perdikis,Galen,Drolet,Brian C,Kassis,Salam A,Foster,Lacey,Slavin,Sumner,Yang,Alan,Ebersole,Trina,Bustos Hemer,Valeria,Lin,Samuel,Singh,Dylan,Cai,Lawrence,Turlington,Ralph III,Watt,Dominique,Scoggins,Elise,Wald,Samuel,Nazerali,Rahim,Finkelstein,Emily R,Vidal Laureano,Natalia,Smartz,Taylor,Zheng,Caiwei,Perez-Quirante,Federico,Panthaki,Zubin,Oeltjen,John,Kassira,Wrood,Puyana,Salomon,Hajebian,H Harvak,Mejia,Natalia,Kumar,Taruni,Chaffin,Abigail,Babycos,Christopher,Friel,Michael,Johnstone,Thomas M,Najafali,Daniel,Cevallos,Priscila,Sheckter,Clifford,Nazerali,Rahim S,Lee,Gordon K,Kuo,Shih-Chiang Edward,Ngaage,Ledibabari Mildred,Shores,Jaimie T,Johnstone,Thomas M,Najafali,Daniel,Liu,Farrah,Fox,Paige,Cheng,Lucille,Irgebay,Zhazira,Glenney,Anne E,Goldstein,Jesse A,Rozen,Shai,Thachil,Roshni,Sanchez,Cristina,Wen,Y Edward,Calva-Cerqueira,Daniel,Khouri,Roger K,Cortes,Raul,Soliman,Luke,Rhee,Ben,Lerner,Julia L,Sobti,Nikhil,Rao,Vinay,Woo,Albert S,Baglien,Brigit D,Takayesu,Jamie,Edwards,Donna,Matusko,Niki,Speers,Corey,Momoh,Adeyiza,Wen,Y Edward,Steppe,Cyrus,Shang,Zhiguo,Teotia,Sumeet S,Haddock,Nicholas T,Hassan,Bashar,Brown,Madyson,Guo,Lily,Ascha,Mona,Jedrzejewski,Breanna,Liang,Fan,Asaad,Malke,Hassan,Abbas,Morris,Natalie,Kumar,Saloni,Liu,Jun,Butler,Charles,Selber,Jesse C,Kalmar,Christopher L,Nemani,Sryia,Park,Benjamin,Das,Rishub,Perdikis,Galen,Assi,Patrick,Kassis,Salam,Campbell,Christopher A,DeGeorge,Brent R,Deal,Alexandra L,Hooper,Rachel C,Sanders,Hayley,Tong,Yanlin,Wang,Lu,Chung,Kevin C,Kelly,Jason D,Comstock,Bryan,Shauly,Orr,Smartt,James M Jr,Gould,Daniel J,Bhoopalam,Myan,Atayeva,Rena,Tiongco,Rafi,Heron,Matthew,Girard,Alisa,Aslami,Zohra,Seal,Stella,Broderick,Kristen,Brydges,Hilliard T,Cassidy,Michael F,Chaya,Bachar F,Tran,David L,Onuh,Ogechukwu C,Laspro,Matteo,Celestin,Arthur R,Sharma,Sheel,Saffari,Tiam Mana,Kavanagh,Kaitlin,Ormseth,Benjamin,Janis,Jeffrey E,Duet,Mary L,Tapp,Marion,Peoples,Abigail,Zeng,Eric,Dunson,Blake,Gallagher,Robert,Calder,Bennett,Robinson,J Micheal,Santanelli di Pompeo,Fabio,Kolasinski,Jerzy,Sorotos,Michail,Mitchell,Kerry-Ann S,Nguyen,Minh,Stecko,Hunter,Zaramo,Taborah,Palettas,Marilly,Grossbach,Andrew,Horne,Mason J,Kotamarti,Vasanth S,Patel,Ashit,Horn,Callie,Lantis,John C II,Woodyard,Kiersten C,Hogan,Elise,Dembinski,Douglas,Guyton,Lane,Pan,Brian S,Gobble,Ryan M,Chang,Irene A,Wells,Michael W,Wang,Gi-Ming,Tatsuoka,Curtis,Guyuron,Bahman,Marxen,Troy,Su,Shannon,Brown,Ciara,Faulkner,Heather,Losken,Albert,Vishwanath,Neel,Rhee,Ben,Sobti,Nikhil,Beqiri,Dardan,Xi,Kevin,Lerner,Julia L,Woo,Albert S,Makarewicz,Nathan S,Perrault,David,Sharma,Ayushi,Shaheen,Mohammed,Kim,Jessica,Nazerali,Rahim,Edwards,Shelley R,Brown,Madyson I,Hoppe,Ian C,Humphries,Laura S,Khouri,Roger K,Calva-Cerqueira,Daniel,Cortes,Raul,Fernstrum,Colton,Hopper,Samuel,Phillips,John,Sink,Matthew,Goza,Shelby,Brown,Madyson,Brown,Kathryn,Humphries,Laura,Hoppe,Ian,Abu-Ghname,Amjed,Raj,Sarth,Gimenez,Alejandro R,Lazo,Daniel,Chade,Salomao,Fioravanti,Alex,Colicchio,Olimpio,Alvarez,Daniel,Junior,Ernani,Maricevich,Marcom,Parmeshwar,Nisha,Barnes,Laura,Nicholas,Catherine,Hansen,Scott,Piper,Merisa,Chaya,Bachar F,Laspro,Matteo,Verzella,Alexandra,Kantar,Rami,Rodriguez,Eduardo D,Flores,Roberto L,Kelly,Jason D,Comstock,Bryan,Shauly,Orr,Smartt,James M Jr,Gould,Daniel J,Yesantharao,Pooja S,Goli,Rachna,Sheckter,Clifford C,Lee,Gordon K,Nazerali,Rahim S,Enders,Felicity,Wurth,Rachel,Orellana,Minerva,Menser,Terri,Gullett,Heidi,Brown,Gregory,Collins,Delores,Mathews,Michael,Stange,Kurt,Hovmand,Peter
期刊：Internet Interventions-The Application of Information Technology in Mental and Behavioural Health影响因子：4.100
时间：2023起止号：2023 Apr;7(Suppl 1):76-7
doi：10.1016/j.invent.2023.100627

Abstract

OBJECTIVES/GOALS: 1. Describe method of Community Based System Dynamics. 2. Describe CBSD as used in addressing structural racism in a previously redlined community. 3. Review example causal loop diagrams and simulation models developed using CBSD focused on structural racism as a social determinant of health. METHODS/STUDY POPULATION: Community Based System Dynamics (group model building and computer simulation development). Cuyahoga County, Ohio, a previously redlined community of more than 1.2 million people. RESULTS/ANTICIPATED RESULTS: Actionable Community identified leverage points for action to mitigate structural racism. Computer simulation models built on causal loop diagrams built by Community members with loved experience. DISCUSSION/SIGNIFICANCE: Structural and social determinants of health, such as racism, have profound impacts on the health of individuals and populations, however they remain challenging to address in pragmatic ways. CBSD is a novel method to engage community members not proximal to the impact of structural racism in generating maps of the complex, dynamic system they live in. Precision Medicine/Health

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