Community health workers’ perspectives on challenges faced by diverse, low-income suburban residents in Long Island, New York, United States

Background: Serving as a bridge between community members and the healthcare system, community health workers (CHWs) play a vital role in addressing health inequities within their communities. Research on CHWs, particularly in suburban contexts, remains limited. This study aims to identify the challenges faced by diverse, low-income suburban residents in Long Island, New York, United States, through the perspectives of the CHWs who serve these communities. 

Methods: Data were collected through demographic surveys and semi-structured interviews with 10 CHWs working in Long Island, New York, from April 2024 to September 2024. Interview transcripts were coded and analyzed for themes and sub-themes using Atlas.ti software. 

Results: Three main themes emerged from the interview analysis: structural barriers and access, psychosocial and emotional well-being, and navigating systems. CHWs identified several challenges faced by diverse, low-income residents, including transportation, housing, food insecurity, emotional support, mental health resource navigation, immigration, and cultural barriers. CHWs addressed these challenges in various ways, primarily by connecting clients to resources, building relationships with them, and participating in the development of necessary programs and services. 

Conclusion: Diverse, low-income suburban residents face numerous challenges that put them at risk for poor health outcomes and reduced quality of life. Community Health Workers (CHWs) have played a crucial role in assisting residents in navigating these challenges, although they have also faced difficulties in the process. Organizations serving these residents should develop improved CHWs resources to effectively meet community needs.