Supporting COVID-19 prevention and testing for marginalized and minoritized youth and young adults

支持边缘化和少数群体青年和年轻人的 COVID-19 预防和检测

基本信息

批准号：
10230745
负责人：
Gregory L. Phillips
金额：
$ 60.09万
依托单位：
NORTHWESTERN UNIVERSITY AT CHICAGO
依托单位国家：
美国
项目类别：
财政年份：
2016
资助国家：
美国
起止时间：
2016-03-01 至 2023-04-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10230745
关键词：
Address Adult Age Alcohols Asthma Attention Attitude Awareness Behavior Behavioral Businesses COVID-19 COVID-19 pandemic Caring Chicago Communities Contracts Coping Behavior Coronavirus Discrimination Disease Disease Outbreaks Economics Elderly Ensure Epidemiology Ethnic Origin Family Gender Identity Geography Government Grant Guidelines HIV HIV risk Health Health Insurance Health Promotion Health behavior Healthcare Heterosexuals High Prevalence Home environment Homo Incidence Individual Infection Intervention Interview Knowledge Lead Link Masks Measures Methods Minority Minority Groups Modeling Modification Morbidity - disease rate Motivation Native-Born Outcome Pattern Policies Population Positioning Attribute Prevalence Prevention Preventive Quarantine Race Recording of previous events Research Research Personnel Risk Role Schools Sex Orientation Sexual and Gender Minorities Smoking Social Distance Social Marketing Social Network Stress Structure Surveys Targeted Research Testing Text Messaging United States Universities Utah Vulnerable Populations Work Youth aged base behavior test cisgender community organizations ethnic minority population evidence base experience family support health disparity health equity improved infection rate infection risk member minority communities mortality mortality risk national surveillance pandemic disease peer prevent psychologic racial and ethnic racial and ethnic disparities racism recruit research and development response scale up sexual identity sexual minority skills social social stigma surveillance data therapy development transmission process transphobia uptake usability vaping young adult

项目摘要

PROJECT SUMMARY The coronavirus (COVID-19) pandemic has had widespread social, psychological, and economic repercussions in the United States, along with devastating morbidity and mortality. However, these effects have not impacted all populations equally. Surveillance data show that racial/ethnic minorities, including Black, Latinx, and Indigenous populations, have been disproportionately burdened by both the disease and its financial and social consequences. Similarly, sexual and gender minority (SGM) groups, while not captured in national surveillance data, experience high levels of vulnerability, suggesting that they too may be experiencing higher rates of infection and related ramifications of COVID-19. Crucially, as the pandemic has continued to develop in the US, a greater number of cases have been identified among youth and young adults (YYA) aged 14-24 years, a population previously thought to be at low risk. Given the high mobility and lower perceived risk of this population, this may result in larger outbreaks not only within YYA, but also overall and in additional vulnerable groups. Therefore, understanding and increasing testing and preventive behaviors among YYA, especially vulnerable SGM YYA (SGMY) and racial/ethnic minority YYA (REMY), is necessary to stop further COVID-19 spread. Unfortunately, COVID-19 impacts, testing, and preventive behaviors in this population have remained markedly understudied. Critically, disparities in testing and preventive behaviors are highly influenced by outside factors. For example, experiences of stigma, at the individual, interpersonal, and structural level, may impact care engagement and prevention among marginalized populations. Furthermore, policy-level factors, including availability of tests, healthcare, governmental messaging, and re-opening patterns, are also likely to influence rates of testing and rates of infection. As such, given the dearth of information surrounding COVID-19 among SGMY and REMY, and the rising rates of infection in these groups, this project will use a geographically diverse quantitative survey to assess patterns and disparities in COVID- 19 testing and preventive behaviors longitudinally across 6 months, as well as the impact of multilevel factors, including stigma and policy. Informed by the results of this survey, and guided by the Information, Motivation, and Behavioral Skills (IMB) Model, we will use a mixed-methods approach to iteratively develop a community engaged, health messaging intervention tailored towards SGMY and REMY to increase testing and preventive behaviors, provisionally titled Prev_Cvd. This text messaging intervention will be pilot testied by 100 REMY and SGMY to refine content and determine feasibility and acceptability. Given the lack of messaging guidelines for this population, this will be the first evidence-based messaging intervention for COVID-19 prevention among YYA. Developing and pilot testing such an intervention with active input from the community will allow for the intervention, if effective, to be rapidly scaled up and widely implemented to address disparities in COVID-19 among YYA and reduce overall transmission.