CRISOL: Building Community Resilience and Integrating Efforts to Understand and Address Syndemic Health Conditions Afflicting Young LatinoImmigrants

CRISOL：建立社区复原力并整合努力以了解和解决困扰年轻拉丁裔移民的流行病健康状况

• 批准号: 10217529
• 负责人: Ana P Martinez-Donate
• 金额: $ 36.41万
• 依托单位: DREXEL UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-03-01 至 2022-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10217529
• 关键词: AIDS/HIV problem; Address; Affect; Age; Agricultural Workers; Behavior; COVID-19; COVID-19 pandemic; Caring; Cessation of life; Characteristics; Collaborations; Communicable Diseases; Communities; Coordination and Collaboration; Crowding; Data; Diabetes Mellitus; Diffusion of Innovation; Discrimination; Disease Outbreaks; Economics; Education; Elements; Ethnic group; Evaluation; Exhibits; Exposure to; Face; Fright; Future; Generations; Goals; HIV/STD; Health; Health Services Accessibility; Health behavior; Healthcare; Hispanics; Hospitalization; Hospitals; Hypertension; Immigrant; Incidence; Industry; Intervention; Knowledge; Language; Latino; Legal; Link; Local Government; Low Income Population; Measures; Mental Health; Modeling; Not Hispanic or Latino; Obesity; Outcome; Philadelphia; Plant Roots; Play; Population; Poverty; Predisposition; Prevention; Preventive; Resources; Risk Reduction; Role; Services; Severities; Social Work; Structure; Substance abuse problem; Testing; Thinness; Time; Time trend; Training; Violence; Work; base; behavioral economics; community building; community partnership; disadvantaged population; disparity reduction; economic need; effectiveness testing; ethnic minority population; experience; health services network; improved; infection risk; meetings; member; mortality; pandemic disease; parent grant; peer; preference; primary outcome; programs; public health intervention; racial and ethnic; racial minority; resilience; response; safety net; service organization; social; social vulnerability; testing services; theories; treatment services; violence exposure

This goal of this competitive revision is to expand our original project to adapt, implement and evaluate a multi- level intervention to mitigate the multi-dimensional toll of COVID19 among Latino immigrant communities in Philadelphia. Evidence of effective strategies to curb the pandemic, reduce disparities and mitigate its impact is lacking and very urgent. In the US, Latino immigrants are one of the groups hardest hit by this pandemic, with recent steep increases in COVID-19 deaths among this group corroborating their continued increased risk of infection and increased susceptibility. Latino immigrants have long exhibited disparities in diabetes, obesity and hypertension, factors known to increase COVID-19 related severity, and also in Substance Abuse, Violence exposure, HIV/AIDS, and MEntal health (SAVAME) syndemic. These syndemic conditions have been worsened in the context of COVID-19. Latino immigrants represent a hard-to-reach and marginalized population, with extremely limited access to adequate health care and safety nets. This group faces many structural barriers, and social vulnerabilities, that hinder their capacity to access COVID-19 testing and treatment services and to adhere to public health interventions and measures to decrease the spread of COVID-19. Latinos often rely on a thin and fragmented network of health and social services organizations. Intervention to mitigate the impact of COVID-19 on this population will need to have a broad stakeholder engagement and address a wide range of health determinants. Peer-driven interventions have been effective for the prevention and control of infectious diseases such as HIV, STIs among Latino populations. Strengthening the links between community members and these organizations and promoting inter- organizational coordination to meet syndemic health, behavioral, economic, and legal needs of Latino communities are essential elements to mitigate the impact of COVID-19 on this low-resource population. In direct response to the NOT-MD-20-022/PAR PA-18-935, our ongoing community-academic partnership proposes to evaluate “CRISOL Contigo,” a multi-level intervention to address the needs created or magnified by the COVID-19 pandemic among Latino communities in Philadelphia. CRISOL Contigo includes a peer- driven program and mobilization of Latino-serving organizations. In aim 1, we will adapt an ongoing Popular Opinion Leader (POL) program to address the unique health, social, and economic needs related to COVID-19 and the SAVAME syndemic. In aim 2, we will assess the efficacy of CRISOL Contigo to improve COVID-19 related preventive health behaviors and use and access to COVID-19 related testing and care (co-primary outcomes). In aim 3, we will examine the impact of CRISOL Contigo on community assets, interagency collaborations and coordination among the Latino-serving organizations in Philadelphia. There are almost 20 million Latino immigrants in the US, and they play a central role in sustaining the vital parts of the US economy Tailored, multi-level interventions that consider the unique needs of Latinos are urgently needed to mitigate the impact of this and future outbreaks of COVID-19 on this disadvantaged population.

这次竞争性修订的目标是扩展我们的原始项目，以适应、实施和评估多方面的 层面的干预措施，以减轻拉丁美洲移民社区中新冠病毒造成的多方面损失 费城。遏制这一流行病、减少差异并减轻其影响的有效战略的证据。 在美国，拉丁裔移民是受这一流行病打击最严重的群体之一， 最近该群体中的 COVID-19 死亡人数急剧增加，证实了他们的风险持续增加 感染率和易感性增加长期以来，拉丁裔移民在糖尿病和肥胖方面表现出差异。 和高血压，已知会增加 COVID-19 相关严重程度的因素，以及药物滥用， 暴力暴露、艾滋病毒/艾滋病和心理健康（SAVAME）综合症已成为这些综合症。 在 COVID-19 的背景下，拉丁裔移民的处境更加恶化。 人口，获得适当医疗保健和安全网的机会极其有限。 结构性和社会性脆弱性，阻碍了他们获得 COVID-19 检测和障碍的能力 治疗服务并坚持公共卫生干预措施和措施以减少疾病的传播 COVID-19。拉丁美洲人通常依赖薄弱且分散的卫生和社会服务组织网络。 减轻 COVID-19 对这一人群影响的干预措施需要有广泛的利益相关者 参与并解决广泛的健康决定因素。 预防和控制拉丁裔人群中艾滋病毒、性传播感染等传染病。 加强社区成员与这些组织之间的联系，促进相互交流 组织协调，以满足拉丁裔的大流行健康、行为、经济和法律需求 社区是减轻 COVID-19 对资源匮乏人群影响的重要因素。 直接回应 NOT-MD-20-022/PAR PA-18-935，我们正在进行的社区学术合作伙伴关系 建议评估“CRISOL Contigo”，这是一种多层次的干预措施，旨在解决所产生或放大的需求 费城拉丁裔社区中的 COVID-19 大流行造成了 CRISOL Contigo 的影响。 在目标 1 中，我们将调整一项正在进行的大众活动。 意见领袖 (POL) 计划旨在满足与 COVID-19 相关的独特健康、社会和经济需求 在目标 2 中，我们将评估 CRISOL Contigo 改善 COVID-19 的功效。 防止相关的健康行为以及使用和获得与 COVID-19 相关的检测和护理（共同主要 在目标 3 中，我们将研究 CRISOL Contigo 对社区资产、机构间的影响。 费城有近 20 个拉丁裔服务组织之间的合作和协调。 美国有数百万拉丁裔移民，他们在维持美国经济的重要组成部分中发挥着核心作用 迫切需要考虑拉丁裔独特需求的量身定制的多层次干预措施，以缓解 本次和未来爆发的 COVID-19 对弱势群体的影响。

项目成果

Provider Perspectives on Latino Immigrants' Access to Resources for Syndemic Health Issues.

提供者对拉丁裔移民获得流行病健康问题资源的看法。

• 发表时间: 2021-09
• 作者: Giordano, Kristin R;Dsouza, Nishita;McGhee;Martinez, Omar;Martinez
• 通讯作者: Martinez

Analysis of Network Characteristics to Assess Community Capacity of Latino-Serving Organizations in Philadelphia.

分析网络特征以评估费城拉丁裔服务组织的社区能力。

• 发表时间: 2021
• 作者: Dsouza, Nishita;McGhee;Giordano, Kristin;Friedman, Chris;Yamasaki, Yoshiaki;Perez, Cristina;Martinez, Omar;Carroll;Martinez
• 通讯作者: Martinez

Provider perceptions of availability, accessibility, and adequacy of health and behavioral services for Latino immigrants in Philadelphia: a qualitative study.

提供者对费城拉丁裔移民的健康和行为服务的可用性、可及性和充分性的看法：一项定性研究。

• 发表时间: 2022-08-30
• 影响因子: 4.5
• 作者: Martinez;Dsouza, Nishita;Cuellar, Sierra;Connor, Gabrielle;Zumaeta;Lazo;Yamasaki, Yoshiaki;Perez, Cristina;Carroll;Martinez, Omar;Hassrick, Elizabeth McGhee
• 通讯作者: Hassrick, Elizabeth McGhee