BACKGROUND Equitable access to services that promote health and wellbeing is an important component of social justice. A community-engaged participatory qualitative study was conducted in Flint, Michigan, USA, to understand the needs of special populations (young women, perinatal women and new mothers, older women, women with disabilities, and LGBTQIA women) and elicit their ideas about solutions. METHODS In-depth interviews (n = 100) were conducted. Participants were either women living in the Flint area, human service providers in the area, or both. A team of community and academic coders analyzed the data using an a priori framework. RESULTS Participants identified needs of different groups of women and suggested ways to address them. Access to healthy food, reducing healthcare costs, and improving transportation, job opportunities and affordable quality housing were crosscutting themes across all groups of women. Mentoring support was said to protect vulnerable young women from the risk of human trafficking. Older women were said to gain a sense of purpose, build their social support and reduce their loneliness by engaging in mentoring younger women. Women with disabilities were reported to benefit from infrastructure accessibility and authentic inclusion in all areas of life. Providing help that considers their dignity, pride and self-worth were suggested. LGBTQIA women were reported to have housing needs due to discrimination; mostly turned down as renters and can be rejected from faith-based homeless shelters. LGBTQIA women would also benefit from increased sensitivity among healthcare providers. For all groups of women, streamlining access to social services and other resources, building social support networks and increasing awareness about existing resources were recommended. CONCLUSION Efforts directed towards improving women's health and wellbeing should include perspectives and suggestions of diverse groups of women from the community. Acting on suggestions that emanate from the community's lived experiences may reduce inequalities in health and wellbeing.

中文翻译：

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交叉性、特殊人群、需求和建议：弗林特妇女研究。


背景技术 公平地获得促进健康和福祉的服务是社会正义的重要组成部分。在美国密歇根州弗林特进行了一项社区参与的定性研究，旨在了解特殊人群（年轻女性、围产期女性和新妈妈、老年女性、残疾女性和 LGBTQIA 女性）的需求，并征求他们对解决方案的想法。方法 进行深度访谈（n = 100）。参与者要么是居住在弗林特地区的女性，要么是该地区的人类服务提供者，或者两者兼而有之。由社区和学术编码员组成的团队使用先验框架分析了数据。结果 参与者确定了不同妇女群体的需求并提出了解决这些需求的方法。获得健康食品、降低医疗成本、改善交通、就业机会和负担得起的优质住房是所有妇女群体的共同主题。据说指导支持可以保护弱势年轻女性免受人口贩运的风险。据说，老年女性通过指导年轻女性可以获得使命感、建立社会支持并减少孤独感。据报告，残疾妇女受益于基础设施的便利性和生活各个领域的真正融入。建议提供考虑到他们的尊严、自豪感和自我价值的帮助。据报道，LGBTQIA 女性因歧视而有住房需求；大多数人都被拒绝作为租房者，并且可能会被基于信仰的无家可归者收容所拒绝。 LGBTQIA 女性也将受益于医疗保健提供者提高的敏感性。 对于所有妇女群体，建议简化获得社会服务和其他资源的途径，建立社会支持网络并提高对现有资源的认识。结论 旨在改善妇女健康和福祉的努力应包括社区不同妇女群体的观点和建议。根据社区生活经历提出的建议采取行动可能会减少健康和福祉方面的不平等。