Project 2VIDA! SARS-CoV-2 Vaccine Intervention Delivery for Adults in Southern California

项目2VIDA！

• 批准号: 10733348
• 负责人: Argentina Elisa Noelle Servin
• 金额: $ 12.5万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN DIEGO
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-04-23 至 2023-08-01
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10733348
• 关键词: Address; Adult; Affect; African American; Attitude; Black Populations; Black race; COVID-19; COVID-19 severity; COVID-19 vaccination; COVID-19 vaccine; California; Caring; Chronic; Communities; Data Analyses; Diabetes Mellitus; Focus Groups; Future; Health; Heart Diseases; High Prevalence; Hypertension; Individual; Influenza vaccination; Institution; Intervention; Latinx; Latinx population; Link; Lung diseases; Measures; Mediating; Mediation; Medical; Mentorship; Methods; Not Hispanic or Latino; Outcome; Participant; Perception; Persons; Population; Public Health; Race; Recommendation; Research; Research Personnel; SARS-CoV-2 negative; Services; Surveys; Training; Trust; Vaccination; Vaccines; Work; disadvantaged background; distrust; diversity and inclusion; experience; health disparity; high risk; intervention delivery; maltreatment; marginalized community; marginalized population; pandemic disease; physical conditioning; racial population; racism; response; service delivery; trustworthiness; vaccination outcome; vaccine acceptance; vaccine delivery; vaccine hesitancy

PROJECT SUMMARY COVID-19 has disproportionately impacted marginalized people, particularly those from Black and Latinx communities. Prior to the pandemic, Black and Latinx populations already had higher rates of chronic conditions such as hypertension, lung disease, heart disease, and diabetes, which have placed them at much higher risk for negative COVID-19 outcomes compared to non-Hispanic white populations. While COVID-19 vaccination has been identified as an important public health measure for addressing the spread and severity of COVID-19, vaccine hesitancy remains a significant issue. Previous research has linked COVID-19 vaccine hesitancy among Black and Latinx communities to historical and contemporary experiences of medical racism; however, the high prevalence of chronic conditions among Black and Latinx communities complicates questions around trust and vaccine hesitancy. For instance, while some research has found that individuals with chronic conditions were less hesitant to accept COVID-19 vaccination than individuals without chronic conditions, other work has suggested that racialized individuals with chronic conditions remained vaccine hesitant. Previous research on flu vaccination has also found an association between vaccine hesitancy and previous experiences of medical mistreatment among individuals with chronic health conditions. There is some evidence to suggest that racialized individuals with chronic conditions are less likely to seek medical care due to experiences of medical racism which have increased distrust, which may be one factor contributing to vaccine hesitancy. While a large body of research has examined vaccine attitudes among racialized populations and people with chronic conditions, there has been less research examining actual COVID-19 vaccine outcomes for these populations. Additionally, there has been a substantial amount of research calling for methods that can increase marginalized communities’ trust in vaccination through community-based partnerships and delivery of vaccine information by trusted entities. Project 2VIDA! uses a community-engaged approach to vaccine promotion and provides a valuable opportunity to examine vaccine outcomes for racialized individuals with chronic conditions. The proposed project will seek to better understand the relationship between chronic physical health conditions, institutional trust, and vaccine outcomes among 2VIDA! participants using community-based, mixed-methods approaches. This analysis will provide additional context for vaccine uptake and attitudes among participants as well as expanding the CBPR approach to explore possibilities for applying findings from Project 2VIDA! to future community-led interventions. This project will also allow the training of a junior researcher who comes from a disadvantaged background and is committed to addressing health disparities as well as advancing diversity and inclusion in research through mentorship and academic service.

项目摘要 COVID-19的影响不成比例地影响边缘化的人，尤其是黑人的人 和拉丁社区。在大流行之前，黑人和拉丁人的种群已经更高 高血压，肺部疾病，心脏病和糖尿病等慢性病率， 与他们相比 非西班牙裔白人种群。虽然COVID-19疫苗接种已被确定为 针对Covid-19，疫苗的传播和严重性的重要公共卫生措施 犹豫仍然是一个重要的问题。以前的研究已将Covid-19疫苗联系起来 黑人和拉丁裔社区之间对历史和当代经历的犹豫 医疗种族主义；但是，黑人和拉丁裔慢性病的高患病率 社区使围绕信任和疫苗犹豫的问题复杂化。例如， 一些研究发现，患有慢性病的人不太犹豫接受 COVID-19疫苗接种比没有慢性疾病的人，其他工作建议 那些具有慢性疾病的种族化的人仍然犹豫不决。先前的研究 关于流感疫苗还发现疫苗犹豫与以前的疫苗之间存在关联 患有慢性健康状况的患者中医疗虐待的经历。有 一些证据表明，患有慢性病的种族化个人不太可能 由于医疗种族主义的经历增加了不信任，寻求医疗服务， 可能是导致疫苗犹豫的一个因素。虽然大量研究有 受检查的疫苗在种族化人群和患有慢性状况的人中参加 研究这些研究的研究较少 人群。此外，还有大量的研究要求方法 这可以通过基于社区的社区来增加边缘化社​​区对疫苗接种的信任 受信任实体的合作伙伴关系和疫苗信息提供。项目2VIDA！使用 社区参与疫苗促销的方法，并提供了宝贵的机会 针对具有慢性条件的种族化患者的考试疫苗结果。提议 项目将寻求更好地了解慢性身体健康之间的关系 2VIDA之间的条件，机构信任和疫苗结果！参与者使用 基于社区的混合方法方法。该分析将为 疫苗吸收和参加参与者，并扩大CBPR方法 探索用于应用2VIDA项目发现的可能性！到未来的社区主导 干预措施。该项目还将允许培训来自的初级研究人员 不利的背景，并致力于解决健康差异以及 通过指导和学术服务来推动多样性和包容性。