Addressing Low-Income Housing Resident Mistrust in COVID-19 Guidance

解决低收入住房居民对 COVID-19 指南的不信任

基本信息

批准号：
10291145
负责人：
Andrew Duane Plunk
金额：
$ 57.6万
依托单位：
EASTERN VIRGINIA MEDICAL SCHOOL
依托单位国家：
美国
项目类别：
财政年份：
2020
资助国家：
美国
起止时间：
2020-08-07 至 2025-04-30
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10291145
关键词：
Address Affect Air Area Attitude Biological Markers COVID-19 Communities Disease Effectiveness Ensure Environment Exhalation Exhibits Focus Groups Fright Goals Group Interviews Health Housing Individual Institution Intervention Interview Justice Laws Left Legitimacy Low income Measures Mediating Methods Modeling Monitor Nicotine Outcome Passive Smoking Perception Policies Process Property Proxy Public Housing Punishment Recommendation Reporting Rights Risk Sampling Smoke Smoke-free home Smoker Smoking Surveys Testing Tobacco Trust U.S. Department of Housing and Urban Development Walking Work authority base community based participatory research environmental tobacco smoke environmental tobacco smoke exposure experience fine particles health disparity populations implementation framework implementation strategy improved member metropolitan prevent response soda tax theories willingness

项目摘要

Project Summary Ongoing engagement of low-income housing residents suggests that widespread mistrust of information about COVID-19, particularly when received from public housing authorities, has contributed to low compliance with public health guidance in these communities. In particular, recommendations for COVID-19 testing are met with skepticism and suspicion. We have received similar feedback about potential vaccination when/if a COVID-19 vaccine is developed—in addition to mistrust in COVID-19 messaging, persistent concerns about exploitation in research seem to be negatively affecting attitudes toward participation in certain types of related activities, especially when a blood draw or injection is involved. Principles and approaches from community-based participatory research guide this study. In Aim 1 we investigate why low-income housing residents report poor compliance with public health guidance, including COVID-19 testing. We will determine whether residents do not understand COVID-19 guidance (particularly whether they are able to generalize guidance from one setting to another) or if they understand, but instead choose not to comply. In Aim 2 we will assess telehealth as a potential tool for addressing low-income housing resident mistrust in COVID-19 guidance. In our preliminary work, physicians with whom residents have established relationships were considered the most trustworthy source of COVID-19 information. Unfortunately, residents commonly report that COVID-19 has disrupted how they receive medical care. In Aim 3 we develop community-informed strategies to address resident concerns about COVID-19 testing and to make testing more relevant to their needs. We will begin by exploring strategies to overcome the impact of privacy concerns of residents on the provision of services or other benefits offered or coordinated by PHAs. Other barriers will be addressed as they emerge.

项目概要低收入住房居民的持续参与表明，人们对信息普遍不信任关于 COVID-19 的信息，特别是从公共住房当局收到的信息，导致了低遵守这些社区的公共卫生指南，特别是针对以下方面的建议。 COVID-19 检测遭到了质疑和怀疑。我们也收到了类似的反馈。除了对 COVID-19 的不信任之外，当/如果开发出 COVID-19 疫苗时也可能接种疫苗消息传递，对研究中剥削的持续担忧似乎正在影响消极态度参与某些类型的相关活动，尤其是抽血或注射时涉及。基于社区的参与性研究的原则和方法指导了本研究的目标 1。调查为什么低收入住房居民报告不遵守公共卫生指南，我们将确定居民是否不理解 COVID-19 指南。（特别是他们是否能够将指导从一种环境推广到另一种环境）或者如果他们理解，但选择不遵守在目标 2 中，我们将评估远程医疗作为潜在工具。解决低收入住房居民对 COVID-19 指南的不信任问题。与居民建立关系的医生被认为是最值得信赖的不幸的是，居民普遍报告说，COVID-19 已经扰乱了人们的生活。在目标 3 中，我们制定社区知情策略来解决居民问题。我们将首先考虑对 COVID-19 检测的担忧，并使检测更符合他们的需求。探索克服居民隐私问题对服务提供影响的策略或由 PHA 提供或协调的其他福利其他障碍将在出现时予以解决。