COVID-19 and Southeast Asian Americans

COVID-19 和东南亚裔美国人

• 批准号: 10447516
• 负责人: Patchareeya Pumpuang Kwan
• 金额: $ 54.01万
• 依托单位: CALIFORNIA STATE UNIVERSITY NORTHRIDGE
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-01-01 至 2023-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10447516
• 关键词: Address; American; Anxiety; Area; Asian; Asian Americans; Attitude; Behavior; Behavioral; Belief; COVID-19; COVID-19 impact; COVID-19 testing; COVID-19 vaccination; California; Cambodian; Collaborations; Common Data Element; Communication; Communities; Community Networks; Comprehension; Data; Discrimination; Education; Ethics; Ethnic Origin; Family; Female; Filipino; Financial Hardship; Focus Groups; Fright; Funding; Future; Goals; Government Agencies; Hate; Health; Health Disparities Research; Health Policy; Health education; Healthcare Systems; Immigrant; Immigration; Individual; Infrastructure; Institution; Intervention; Interview; Language; Life Style; Longevity; Longitudinal prospective study; Los Angeles; Masks; Measures; Mental Health; Methods; Minority Health Research; Occupations; Outcome; Pacific Islander; Pattern; Perception; PhenX Toolkit; Policies; Population Heterogeneity; Practice Guidelines; RADx Underserved Populations; Race; Reporting; Research; Research Personnel; Resources; Rhode Island; Science; Self Efficacy; Social Work; Social isolation; Structural Racism; Support Groups; Surveys; Testing; Time; Trauma; Underserved Population; Vaccination; Voice; Wages; Work; base; college; ethnic minority population; evidence base; experience; health care delivery; health disparity; health equity; health literacy; improved; informant; insight; intervention program; member; pandemic disease; preventive intervention; programs; psychosocial; research and development; resilience; service delivery; social; social capital; social health determinants; social stigma; southeast Asian; therapy development

PROJECT SUMMARY Unlike other ethnic minority groups, data on the impacts of COVID-19 on Southeast Asian Americans (SEAAs) are limited, oftentimes aggregated with other Asian American groups, thus limiting targeted assistance efforts. Without adequate data to inform best practices around testing and vaccination, many SEAAs become invisible Americans who have difficulties navigating a health care system that inadvertently excludes them. SEAAs have large disparities gap due to a combination of historical trauma, discrimination, harsh immigrant policies, and language barriers. Many are undocumented, hold low wage jobs, and less likely to attend college. Social isolation, anxiety, and financial hardships resulting from COVID-19 have intensified existing health and mental health issues. Lack of disaggregated data and under-reporting of race/ethnicity data, potentially masks the true impacts of COVID-19 on SEAAs and thus exemplifies systemic barriers and structural racism that keep them invisible and hinder targeted assistance. The goal of this project, “Social, Ethical, Behavioral Implications of COVID-19 among Southeast Asian Americans” is to understand and address multi-level social, ethical, and behavioral implications of COVID-19 testing, vaccination, and its sequelae among Cambodians, Filipinos, Thais, and Vietnamese Americans in Greater Los Angeles through a community-based approach. Our central hypothesis is that provision of data-informed and community-informed best practices/guidelines will improve evidence-based COVID-19 testing, vaccination, and its sequelae among their communities. We aim to: 1. Conduct multi-level formative research using a mixed methods approach to validate, refine, and tailor existing SEBI measures and potentially develop new, more culturally-relevant, measures for SEAAs. 2. Collect individual-level data about social, ethical, and behavioral implications (SEBI) of COVID-19 testing, vaccination, and its sequelae among SEAAs (N=1000) in the Greater Los Angeles area through a prospective longitudinal study. 3. Conduct interviews with community leaders and stakeholders (N=60) within the SEAA communities to understand their perceptions, attitudes, beliefs, and intentions towards COVID-19 testing and vaccination. We intend to gather information which can be used to identify critical points of intervention, gaps in existing health service delivery or policies, and provide voice to a community that has long been silent.

项目概要 与其他少数族裔群体不同，有关 COVID-19 对东南亚裔美国人 (SEAA) 影响的数据 数量有限，常常与其他亚裔美国人群体聚集在一起，从而限制了有针对性的援助工作。 如果没有足够的数据来为检测和疫苗接种方面的最佳实践提供信息，许多 SEAA 就会变得不可见 美国人很难适应无意中将他们排除在外的医疗保健系统。 由于历史创伤、歧视、严厉的移民政策和 许多人没有证件，从事低薪工作，上大学的障碍也较少。 COVID-19 造成的孤立、焦虑和经济困难加剧了现有的健康和心理问题 缺乏分类数据和种族/民族数据报告不足可能掩盖了真实情况。 COVID-19 对 SEAA 的影响，从而体现了阻碍它们的系统性障碍和结构性种族主义 该项目的目标是“社会、道德、行为影响”。 “亚裔美国人中的东南亚 COVID-19”旨在理解和解决多层次的社会、道德和 COVID-19 检测、疫苗接种及其后遗症对柬埔寨人、菲律宾人、 大洛杉矶地区的泰国人和越南裔美国人通过基于社区的方法。 假设提供基于数据和社区的最佳实践/指南将会改善 在社区中开展基于证据的 COVID-19 检测、疫苗接种及其后遗症我们的目标是： 1. 使用混合方法进行多层次的形成性研究，以进行验证、完善和定制 现有的 SEBI 措施，并可能为 SEAA 制定新的、更具文化相关性的措施。 2. 收集有关 COVID-19 测试的社会、道德和行为影响 (SEBI) 的个人数据， 通过前瞻性研究，了解大洛杉矶地区 SEAA（N=1000）的疫苗接种及其后遗症 纵向研究。 3. 与 SEAA 社区内的社区领袖和利益相关者 (N=60) 进行访谈，以 了解他们对 COVID-19 检测和疫苗接种的看法、态度、信念和意图。 我们打算收集可用于确定干预关键点、现有差距的信息 提供卫生服务或政策，并为长期沉默的社区提供声音。