Evidence map›Paper›PMID 42174547›Full record

ArticleBMC women's health2026

Belonging to self: Flint women meeting needs, securing safety and finding voice.

Maji Hailemariam, Tatiana E Bustos, Bethel Ataro, Cindy Nguyen, Bernadel L Jefferson, Sharon Saddler, Bryan Spencer, Raven Miller, Fallon Richie, Garrett Brown and 2 more

Abstract read
In one paragraph

Article in BMC women's health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Maji HailemariamCharles Stewart Mott Department of Public Health, Michigan State University, Flint, MI, USA. debenama@msu.edu.
Tatiana E BustosRTI International, Seattle, WA, USA.
Bethel AtaroSchool of Public Health, Washington University in St. Louis, St. Louis, MO, USA.
Cindy NguyenCollege of Osteopathic Medicine, Michigan State University, East Lansing, MI, USA.
Bernadel L JeffersonCommunity resident, Flint, MI, USA.
Sharon SaddlerCommunity resident, Flint, MI, USA.
Bryan SpencerCommunity resident, Flint, MI, USA.
Raven MillerCharles Stewart Mott Department of Public Health, Michigan State University, Flint, MI, USA.
Fallon RichieBattle Creek VA Medical Center, Battle Creek, MI, USA.
Garrett BrownAuburn University, Alabama, USA.
Jonne McCoy WhiteCharles Stewart Mott Department of Public Health, Michigan State University, Flint, MI, USA.
Jennifer E JohnsonCharles Stewart Mott Department of Public Health, Michigan State University, Flint, MI, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBelonging is a fundamental human need that influences health and well-being. Women's ability to belong to themselves is affected by structural disinvestment, environmental injustice, poverty and chronic precarity. Guided by the belongingness framework, this study explores solutions of women in the Flint area to increase "belonging to self," which encompasses basic needs, services, safety and autonomy.

methodsUsing a community-based participatory research approach, we interviewed 100 women and community representatives. In-depth interviews (Fall 2017-Spring 2018) explored strengths, needs, aspirations, and solutions. A team of community-academic pairs analyzed the data.

resultsFour interrelated themes emerged: Basic Needs, Services, Safety, and Autonomy. (1) Basic Needs included gaps in food, water, and housing, disproportionately affecting women with mental health or substance use challenges, domestic violence survivors, and pregnant women. (2) Services revealed deficits in childcare, maternal support, education, employment, healthcare, and transportation, often compounded by distrust and bureaucratic barriers. (3) Safety encompassed physical and emotional vulnerabilities limiting daily life. (4) Autonomy reflected the interplay of personal agency, relational dynamics, and structural constraints. Across themes, participants proposed community-rooted, trauma-informed solutions-including 24-hour childcare, mentorship, community gardens, skill-building, and peer support-to enhance well-being, equity, and women's ability to belong to themselves.

conclusionComplex and interconnected factors shape women's experiences of belonging to oneself. Themes of basic needs, access to services, safety, and autonomy can frame pathways to health and wellbeing for women in challenging contexts. Despite limited access to opportunity, women shared collective strategies for survival, support, and reimagining their futures.

Indexed as

Health Services Needs and DemandPersonal AutonomySafetyAdultCommunity-Based Participatory ResearchFemaleHumansMiddle AgedPovertyPsychological SafetyQualitative ResearchWomen's HealthAutonomyBelongingFlintSafetyWellbeingWomenWomen's health

Identifiers

PMID42174547
PMCPMC13371180

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.