Prevention Research Center: Parenting Among Women Who Are Opioid Users

预防研究中心：阿片类药物使用者的女性育儿

• 批准号: 10472797
• 负责人: Philip A Fisher
• 金额: $ 77.79万
• 依托单位: UNIVERSITY OF OREGON
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-09-30 至 2024-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10472797
• 关键词: 2019-nCoV; Address; Adoption; Affect; American; Area; CLIA certified; COVID-19; COVID-19 diagnostic; COVID-19 disparity; COVID-19 health disparity; COVID-19 pandemic; COVID-19 testing; Centers for Disease Control and Prevention (U.S.); Charge; Child Rearing; Communication; Communities; Community Outreach; County; Data Collection; Data Science; Development; Diagnostic tests; Equipment and Supplies; Evaluation; Event; Family; Feedback; Foundations; Friends; Future; Genomics; Goals; Health; Health Promotion; Health behavior; Hospitals; Individual; Infection; Infrastructure; Intervention; Laboratories; Laboratory Personnel; Latinx; Latinx population; Leadership; Location; Logistics; Methods; Modeling; Molecular; Molecular Biology; Morbidity - disease rate; Motivation; Oregon; Pamphlets; Penetration; Phase; Population; Prevention; Prevention Research; Protocols documentation; Public Health; RADx Underserved Populations; Ramp; Research; Research Personnel; Research Project Grants; Resources; SARS-CoV-2 infection; Science; Scientist; Site; Structure; System; Testing; Time; Underserved Population; United States; Vaccination; Virus; Visit; Woman; Work; base; behavior test; burden of illness; community based participatory research; community engagement; design; efficacious intervention; experience; health disparity; health literacy; implementation science; improved; laboratory experience; laboratory facility; mortality; operation; opioid user; outreach; outreach services; pandemic disease; programs; psychoeducation; randomized trial; recruit; research study; respiratory; response; scale up; social determinants; substance use; testing uptake; tool; transmission process; uptake; vulnerable community

PROJECT SUMMARY The global SARS-CoV-2 pandemic that causes the severe respiratory illness COVID-19 is the worst health crisis the United States has faced in a century. Although this highly contagious virus has infected millions of Americans already, the disease burdens are disproportionately born by historically underserved populations such as Latinx communities. Nationally, Latinx people with COVID-19 are hospitalized at four times the rate of Whites and have much higher rates of morbidity and mortality. This disparity is notable in Oregon, where the 13% of our population that is Latinx represents approximately 44% of COVID-19 cases. An urgent need exists to reach Oregon’s Latinx community with public health and prevention messages to increase testing. This project will implement a culturally-tailored community outreach and testing program to increase the reach, access, and uptake of testing in Latinx communities in Oregon. The project will bring together a world-class team of prevention scientists, public health experts, Latinx researchers, community partners, and biologists who have been working together to conduct SARS-CoV-2 diagnostic testing since March, soon after the pandemic first arrived in the U.S. This team has established a CLIA-certified laboratory and honed molecular testing protocols, hired and trained laboratory personnel and a field research team, procured diagnostic testing equipment and supplies, and partnered with county public health offices and hospitals throughout the state to conduct testing. The team also conducted a comprehensive community assessment using community-based participatory methods to gather Latinx community feedback on modes of communication, health messages, and testing protocols, and staffed multiple county-led testing sites serving Latinx communities. Using these resources and expertise as a foundation, a Sequential Multiple Armed Randomized Trial (SMART) will enable the evaluation of strategies for increasing testing rates and promoting health behaviors in Latinx communities. Specifically, culturally informed, community-oriented interventions will determine tools and best practices to increase testing rates and health behaviors. The efficacy of different types of approaches for increasing access to and utilization of testing will be evaluated. Lastly, the work will examine a set of county-level variables thought to affect communities’ abilities to sustain testing capacity. With support from a Latinx Community and Scientific Advisory Board, the project will ramp up to ultimately support 36 community testing sites across six counties in Oregon to serve Latinx communities. Over time, this project will help communities institutionalize optimal local testing frameworks supported by UO laboratory facilities for testing capacity, technical support for testing logistics, and collection of data on health behaviors, testing rates, and sustainability. The resulting structures and systems will be poised for future scale-up to other vulnerable communities and/or for other public health purposes (e.g., vaccination campaigns). If successful, this project will lead to a major reduction in COVID-19 health disparities in underserved populations.

项目摘要 导致严重呼吸系统疾病的全球SARS-COV-2大流行19 covid-19是最糟糕的健康状况 美国面临一个世纪以来面临的危机。尽管这种高度传染性的病毒已感染了数百万 美国人已经疾病伯恩斯（Burnens）的人口不成比例地出生 例如拉丁人社区。在全国范围内，共同19岁的拉丁人的住院 白人，发病率和死亡率更高。在俄勒冈州，这种差异是显着的 我们的13％的拉丁裔人口约占COVID-19案例的44％。迫切需要 通过公共卫生和预防信息到达俄勒冈州的拉丁裔社区，以增加测试。这 项目将实施一项经过文化定制的社区宣传和测试计划，以增加覆盖范围， 在俄勒冈州的拉丁裔社区中访问和吸收测试。该项目将汇集一个世界一流的 预防科学家，公共卫生专家，拉丁裔研究人员，社区合作伙伴和生物学家团队 自3月以来，他们一直在共同进行SARS-COV-2诊断测试 大流行最早到达美国，该团队建立了一个经过CLIA认证的实验室和尊敬的分子 测试协议，雇用和培训的实验室人员和现场研究团队，采购了诊断测试 设备和用品，并与全州县公共卫生办公室和医院合作 进行测试。该团队还使用基于社区的社区评估进行了全面的社区评估 参与方法收集拉丁裔社区的反馈，有关沟通方式，健康消息， 和测试协议，并配备了由县领导的多个为拉丁社区提供服务的测试地点。使用这些 资源和专业知识作为基础，连续的多武装随机试验（SMART）将启用 评估提高测试率和促进拉丁裔社区健康行为的策略。 具体而言，具有文化知情的，面向社区的干预措施将确定工具和最佳实践 提高测试率和健康行为。不同类型的方法提高访问的效率 将评估测试和利用。最后，工作将检查一组县级变量 被认为会影响社区维持测试能力的能力。在拉丁裔社区的支持下 科学咨询委员会，该项目将逐步增长，最终支持6个社区测试网站 俄勒冈州的县服务于拉丁裔社区。随着时间的流逝，该项目将帮助社区制度化 UO实验室设施支持测试能力的最佳本地测试框架，技术支持 测试物流，并收集有关健康行为，测试率和可持续性的数据。结果 结构和系统将被毒化，以将来对其他脆弱社区和/或其他 公共卫生目的（例如疫苗活动）。如果成功，该项目将大大减少 在服务不足的人群中，COVID-19的健康差异。