Eliminating COVID-19 disparities in partnership with underserved/vulnerable transnational communities of Arizona

与亚利桑那州服务不足/脆弱的跨国社区合作消除 COVID-19 差异

• 批准号: 10414714
• 负责人: Flavio Francisco Marsiglia
• 金额: $ 99.67万
• 依托单位: ARIZONA STATE UNIVERSITY-TEMPE CAMPUS
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-09-30 至 2024-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10414714
• 关键词: Address; Affect; American Indians; Arizona; Award; Behavior; Border Community; COVID-19; COVID-19 diagnostic; COVID-19 disparity; COVID-19 pandemic; COVID-19 testing; COVID-19 vaccination; COVID-19 vaccine; Caring; Cities; Collaborations; Communities; Community Health Aides; Consent; Consultations; Data; Diagnostic; Education; Effectiveness of Interventions; Emergency Situation; Ensure; Evolution; Fostering; Foundations; Funding; Goals; Government; Government Agencies; Grant; Health; Health Knowledge, Attitudes, Practice; Health education; Healthcare; Immunization Programs; Improve Access; Infrastructure; Intervention; Knowledge; Laboratories; Latinx; Lead; Longitudinal Studies; Medical; Mexican; Mexico; Migrant; Mission; Modeling; Monitor; Neighborhood Health Center; Participant; Patients; Personal Satisfaction; Phase; Polymerase Chain Reaction; Population; Protocols documentation; Provider; Public Health; RADx Underserved Populations; Research; SARS-CoV-2 variant; Saliva; Sample Size; Sampling; Schedule; Scholarship; Services; Site; Surveys; Test Result; Testing; Time; Underserved Population; United States National Institutes of Health; Vaccination; Vaccines; Validation; Variant; Vulnerable Populations; Work; authority; barrier to care; base; care delivery; community based participatory research; community living; community organizations; community partnership; comparison group; comparison intervention; disparity reduction; experience; farm worker; follow-up; health disparity; health equality; health equity; improved; infection rate; innovation; literacy; member; pandemic disease; prevent; programs; research clinical testing; salivary assay; social disadvantage; social health determinants; testing services; underserved community; uptake; vaccine acceptance; vaccine hesitancy

Project Summary/Abstract The COVID-19 pandemic significantly affects the entire State of Arizona but impacts communities along the border with Mexico disproportionally. Majority Latinx and American Indian communities along this border have higher infection rates and less access to testing and vaccination. This proposed supplement aims to increase access to testing and related services for these underserved transnational communities. The expansion of our current community-driven and culturally congruent project will advance knowledge about barriers to care and effective strategies to increase testing and vaccination in the border region. This application extends the work of ASU’s health disparities U54 center grant (RFA-MD-17-005; 5U54MD002316) and its RADx-UP supplement (3U54MD002316-14S1) by reducing disparities in COVID-19 diagnostics, vaccination, education, wraparound services and health care, with the goal of improving the health of vulnerable and underserved communities. The aims of this emergency competitive revision closely match and enhance the aims of the current U54 award and its RADx-UP supplement. The focus on populations along the AZ-Mexico border will add to existing knowledge about assets and vulnerabilities of diverse transnational communities disproportionally affected by the pandemic. The approach empowers local communities, is data driven, and creates the infrastructure capacity for community-driven delivery of care. Following a Community Based Participatory Research (CBPR) orientation, the revised supplement expands our existing R.A.P.I.D. program by improving access and decreasing hesitancy to COVID-19 testing and vaccination among underserved and vulnerable populations in the border region. Equality Health Foundation (EHF) will continue to serve as the lead community partner for the proposed revised supplement and the ASU Biodesign Clinical Testing Laboratory (ABCTL) will provide and analyze the saliva-based polymerase chain reaction (PCR) testing for SARS-CoV-2. Local partners coordinated by EHF under the One Community Initiative against COVID-19 will implement the vaccination program. Over two years, the revised supplement aims to reach 7,000 additional community members living and working along the AZ-Mexico border. CDCC surveys from border communities will be added to the ongoing longitudinal study we are conducting to assess the intervention’s impact and also by comparing randomly selected participants (N=200) with a matched comparison group (N=200) randomly selected from regular testing sites. We will also conduct ongoing COVID-19 variants sequence validation among those tested and inform appropriate health authorities if significant variants emerge. The transdisciplinary team has the infrastructure, capacity, and community partnerships in place to implement the project effectively and efficiently. ASU’s existing NIMHD-funded U54 center, guided by its Community and Scientific Advisory Board and in collaboration with government agencies, tribal governments, community organizations, and academic units within ASU, is well equipped to undertake the proposed revised supplement.

项目摘要/摘要 共同19-19大流行对整个亚利桑那州的整个状态产生了重大影响，但影响 与墨西哥的边界不成比例。该边界沿线的多数拉丁裔和美洲印第安人社区有 较高的感染率和较少的测试和疫苗接种。该提议的补充旨在增加 访问这些服务不足的跨国社区的测试和相关服务。我们的扩张 当前以社区为驱动和文化的项目将提高有关护理障碍和 增加边境地区测试和疫苗接种的有效策略。此应用程序扩展了工作 ASU的健康差异U54中心赠款（RFA-MD-17-005; 5U54MD002316）及其RADX-UP补充 （3U54MD002316-14S1）通过降低Covid-19诊断，疫苗接种，教育，环绕型的差异 服务和医疗保健，目的是改善脆弱和服务不足的社区的健康。 此紧急竞争性修订的目的与当前U54奖的目标紧密匹配并增强了目标 及其RADX-UP补充。沿AZ-MEXICO边境对人口的关注将增加现有 关于潜水跨国社区的资产和脆弱性的知识，受到不成比例的影响 大流行。该方法赋予当地社区，是数据驱动的，并创建基础架构 以社区为导向的护理能力。遵循社区的参与性研究（CBPR） 取向，修订后的补充剂扩展了我们现有的R.A.P.I.D.通过改善访问和 在服务不足和弱势群体中，对19.19的犹豫和疫苗接种的犹豫不决 边境地区。平等健康基金会（EHF）将继续担任首席社区合作伙伴 拟议的修订补品和ASU生物设计临床测试实验室（ABCTL）将提供和 分析SARS-COV-2的基于唾液的聚合酶链反应（PCR）测试。当地合作伙伴 由EHF协调的一个社区倡议针对Covid-19，将实施该疫苗 程序。两年来，修订的补充剂旨在吸引7,000名居住的社区成员 并沿AZ-MEXICO边境工作。边境社区的CDCC调查将添加到 我们正在进行的纵向研究我们正在进行评估干预的影响，并通过比较 随机选择的参与者（n = 200），从随机选择匹配的比较组（n = 200） 常规测试站点。我们还将在经过测试的人中进行持续的COVID-19变体序列验证 如果出现重大变体，并告知适当的卫生当局。跨学科团队有 建立了基础设施，能力和社区伙伴关系，以有效地实施该项目 ASU现有的NIMHD资助的U54中心，在其社区和科学顾问委员会的指导下 并与政府机构，部落政府，社区组织和学术合作 ASU内部的单位具有良好的功能，可以承担拟议的修订补品。