Community-Centered Interventions for Improved Vaccine Uptake for COVID (CIVIC)

以社区为中心的干预措施，以提高新冠病毒疫苗的接种率 (CIVIC)

• 批准号: 10341279
• 负责人: Erica E Marsh
• 金额: $ 70.3万
• 依托单位: UNIVERSITY OF MICHIGAN AT ANN ARBOR
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-04-26 至 2026-01-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10341279
• 关键词: Address; African American; COVID-19; COVID-19 mortality; COVID-19 vaccine; Cessation of life; Church; Cities; Code; Color; Communities; Community Health Aides; Country; County; Data; Decision Making; Equilibrium; Ethnic group; Evaluation; Fright; Goals; Grant; Hispanics; Individual; Internet; Intervention; Interview; Knowledge; Latinx; Learning; Letters; Low income; Michigan; Misinformation; Ownership; Population; Positioning Attribute; Process; Public Health; Racial Equity; Randomized; Research; Resources; Social Marketing; Testing; Time; Training; Universities; base; community based participatory research; community center; community engagement; community involvement; comparison intervention; coronavirus disease; design; effectiveness evaluation; experience; health disparity; health equity; health equity promotion; health inequalities; improved; interest; member; novel; racial and ethnic; response; shared decision making; success; therapy design; trend; uptake; vaccine acceptance; vaccine hesitancy; web site

Like many states across the country, COVID-19 cases and deaths have impacted communities of color in Michigan at disproportionately higher rates than whites. A staggering reality is that while African Americans (AA) represent only 13.6% of Michigan’s population, they represent 40% of the deaths from COVID-19. Half of the cases and deaths in Michigan occurred in Wayne County. Other Counties in the lower half of Michigan have similar disparities including Genesee, Washtenaw, and Kent. In Genesee County, where African Americans represent 20.3% of the population, they represent 35% of COVID-19 cases and 45% of deaths. In Washtenaw County, nearly half of the cases to date are located in two majority low-income zip codes in the city of Ypsilanti. African American residents, who make up 12% of the Washtenaw population, disproportionately constitute more than a quarter of the cases. And in Kent County, while 10.8% of the population is Latinx (LX), this ethnic group makes up 32.4% of COVID-19 cases. It is unquestionable that this crisis has exacerbated existing racial/ethnic inequity and health disparities in Michigan. Preliminary data from the state reveal that these disparities will likely worsen due to significant hesitancy, fear, mistrust and misinformation regarding the COVID-19 vaccine if nothing is done to change current trends. This proposal, entitled Community-Centered Interventions for Improved Vaccine Uptake for COVID (CIVIC), is designed to directly address and decrease COVID-19 vaccine hesitancy and increase vaccine uptake among populations that experience COVID-19 related disparities. We will focus on the four counties within Michigan where a disproportionate burden of COVID-19 is within AA and LX communities, i.e., Wayne, Genesee, Kent and Washtenaw Counties. Using a community-based participatory research (CBPR) approach, CIVIC will leverage: its long term relationships with the communities involved, an established CBPR Steering Committee developed and the knowledge gained as a Community Engagement Alliance (CEAL) grant recipient, the resources and networks of the University of Michigan CTSA (MICHR), and the expertise of our academic partners to identify and understand factors that contribute to COVID-19 vaccine hesitancy in AA and LX communities in Michigan. We will develop and test interventions based on community-centered approaches to achieve a primary goal of increased vaccine uptake. We will achieve this goal with the following aims: 1: Increase understanding of the barriers and drivers of vaccine uptake and hesitancy; 2: Increase vaccine uptake and decrease vaccine hesitancy through the implementation and evaluation of a multilevel intervention; 3: Increase vaccine uptake and decrease vaccine hesitancy through the implementation and evaluation of an individual level tailored intervention; and 4: Maintain, enhance, and evaluate the effectiveness of the CIVIC partnership to equitably engage all partners.

像全国许多州一样，Covid-19案件和死亡都影响了色彩社区 密歇根州的比率高于白人。一个惊人的现实是，非洲裔美国人 （AA）仅占密歇根州人口的13.6％，占Covid-19的死亡人数的40％。一半 密歇根州的案件和死亡发生在韦恩县。密歇根州下半年的其他县 具有类似的差异，包括Genesee，Washtenaw和Kent。在非洲的Genesee县 美国人占人口的20.3％，占19.9例19例的35％和45％的死亡。在 迄今为止，Washtenaw县几乎一半位于城市的两个低收入邮政编码中 Ypsilanti。占Washtenaw人口12％的非裔美国人居民不成比例 构成超过四分之一的案件。在肯特县，虽然10.8％的人口是拉丁裔（LX），但 这个族裔占COVID-19案件的32.4％。毫无疑问，这场危机加剧了 密歇根州的现有种族/种族不平等和健康差异。来自州的初步数据表明 这些分布可能会导致有关犹豫，恐惧，错误和错误信息引起的 COVID-19疫苗如果没有采取任何行动来改变当前趋势。该提案，标题为以社区为中心 改进的疫苗摄取的干预措施（CIVIC）旨在直接解决和减少 COVID-19疫苗犹豫不决并增加了经历COVID-19的人群的疫苗摄取 相关差异。我们将专注于密歇根州的四个县，那里的燃烧不成比例 Covid-19在AA和LX社区内，即Wayne，Genesee，Kent和Washtenaw县。使用 基于社区的参与研究（CBPR）方法，CIVIC将利用：其长期关系 在涉及的社区中，建立的CBPR指导委员会成立了 获得社区参与联盟（CEAL）赠款的获得者，资源和网络 密歇根大学CTSA（MICHR）以及我们的学术合作伙伴的专业知识来识别和理解 在密歇根州AA和LX社区中导致Covid-19-19的疫苗犹豫的因素。我们将发展 并基于以社区为中心的方法进行测试干预措施，以实现增加的主要目标 疫苗的吸收。我们将以以下目的实现这一目标：1：提高对障碍的理解 以及疫苗摄取和犹豫的驱动因素； 2：增加疫苗摄取并减少疫苗犹豫 通过实施和评估多层干预； 3：增加疫苗摄取和 通过实施和评估量身定制的个人水平来减少疫苗犹豫不决 干涉; 4：维护，增强和评估公民伙伴关系的有效性 吸引所有合作伙伴。