Implementing Community-based Approaches to Increase SARS-CoV-2 Testing among an Underserved and Vulnerable Hispanic Population

实施基于社区的方法，以增加服务不足和弱势西班牙裔人群中的 SARS-CoV-2 检测

• 批准号: 10259289
• 负责人: Robert A. Kirken
• 金额: $ 69.09万
• 依托单位: UNIVERSITY OF TEXAS EL PASO
• 依托单位国家: 美国
• 财政年份: 1998
• 资助国家: 美国
• 起止时间: 1998-06-15 至 2022-11-12
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10259289
• 关键词: 2019-nCoV; Address; Affect; Age; Area; Awareness; Behavioral; Biomedical Research; Businesses; CLIA certified; COVID testing; COVID-19; COVID-19 pandemic; COVID-19 prevention; COVID-19 testing; COVID-19 vaccine; Cities; Collaborations; Communities; Community Health Aides; County; Coupled; Cross-Sectional Studies; Data; Development; Disadvantaged; Disease; Economics; Education; Equipment and supply inventories; Faculty; Family member; Federally Qualified Health Center; Foundations; Funding; Future; Grant; Health; Health Personnel; Health Status; Healthcare; Hispanics; Household; Immunize; Individual; Inequality; Medical; Not Hispanic or Latino; Occupations; Outcome; Patient Recruitments; Population; Population Characteristics; Prevention; Privatization; Process; Public Health; Research; Rural; Site; Structure; Students; System; Testing; Texas; Time; Transportation; Trust; United States; Universities; Virus; Vulnerable Populations; Work; base; catalyst; community partnership; cultural competence; design; hospitalization rates; improved; infection rate; marginalized population; member; metropolitan; negative affect; novel; novel coronavirus; pandemic disease; personalized approach; programs; rural area; rural dwellers; rural health disparities; social; social culture; social determinants; social health determinants; success; underserved community; uptake; vaccine acceptance; willingness

PROJECT ABSTRACT Hispanics living in the United States have been negatively affected by the COVID-19 pandemic in a disproportionate manner, including significantly higher infection and hospitalization rates compared with non- Hispanic whites. The El Paso, TX metropolitan area has a substantial Hispanic population that has been profoundly affected by the current SARS-CoV-2 pandemic, especially the vulnerable residents of rural El Paso County. Many of these residents suffer from marked cumulative disadvantages with limited healthcare, poor access to public transportation, work as essential workers in low-paying frontline jobs, and demonstrate a persistent hesitancy to interact with unfamiliar medical systems and processes, resulting in “SARS-CoV-2 testing deserts”. There is a critical need to increase the number of individuals being tested for SARS-CoV-2 in El Paso County, however, success in this space requires an integrated and personalized approach whereby residents are engaged with and informed by trusted co-ethnics and local organizations. The proposed aims will strategically integrate University of Texas at El Paso (UTEP), non-profit, business, and public partners, coupled with culturally- centric familial and Community Health Worker (CHWs) networks, as catalysts to: 1) reduce testing deficiencies by providing SARS-CoV-2 testing information, navigation strategies to testing sites, and implementing local pop-up testing sites, and 2) provide foundational data for understanding testing barriers and developing platforms for assessing future COVID-19 vaccine uptake willingness for El Paso residents. The UTEP Border Biomedical Research Center (BBRC), and associated Coronavirus Testing Program that provides CLIA-certified testing, is central to completion of the integrated approaches, and the established capability of the investigative team to interact with community partners and recruit participants is a prominent strength of the proposed plan. The proposed studies will test the novel hypothesis that improving the reach, acceptance, uptake and sustainability of SARS-CoV-2 testing for the most marginalized populations of El Paso County is dependent on implementing strategies that target the cultural, social and behavioral factors characteristic of this population. The multifaceted approach will enhance the testing capacity in the El Paso region, reduce testing hesitancy, increase coronavirus testing numbers for vulnerable populations within specific testing deserts, and exert a sustained influence on the health status of the region by integrating the extensive collaborative networks that are essential for addressing the persistent negative social determinants of health.

项目摘要 居住在美国的西班牙裔人受到了 COVID-19 大流行的负面影响 不成比例的方式，包括与非非感染者相比明显更高的感染率和住院率 德克萨斯州埃尔帕索大都市区有大量西班牙裔人口。 受到当前 SARS-CoV-2 大流行的广泛影响，尤其是埃尔帕索农村地区的弱势居民 这些居民中的许多人都遭受着医疗保健有限、贫困等明显的累积劣势。 获得公共交通，在低薪一线工作中担任重要工作人员，并展示出 持续犹豫是否与不熟悉的医疗系统和流程进行交互，导致“SARS-CoV-2 检测” 迫切需要增加埃尔帕索接受 SARS-CoV-2 检测的人数。 然而，县在这一领域的成功需要采取综合和个性化的方法，让居民 与值得信赖的同族和当地组织进行接触并了解其情况。拟议的目标将从战略上进行。 整合德克萨斯大学埃尔帕索分校 (UTEP)、非营利组织、商业和公共合作伙伴，以及文化上的合作伙伴 以家庭和社区卫生工作者 (CHW) 为中心的网络，作为催化剂：1) 通过以下方式减少检测缺陷 提供 SARS-CoV-2 检测信息、检测站点导航策略以及实施本地弹出窗口 测试站点，2) 提供基础数据以了解测试障碍和开发平台 评估埃尔帕索居民未来接种 COVID-19 疫苗的意愿 UTEP 边境生物医学。 研究中心 (BBRC) 以及提供 CLIA 认证测试的相关冠状病毒测试计划 对于完成综合方法以及调查小组的既定能力至关重要 与社区合作伙伴互动并招募参与者是拟议计划的一个突出优势。 拟议的研究将测试新的假设，即提高覆盖范围、接受度、吸收率和可持续性 对埃尔帕索县最边缘化人群进行 S​​ARS-CoV-2 检测的程度取决于实施 针对该人群的文化、社会和行为因素特征的策略。 方法将增强埃尔帕索地区的检测能力，减少检测犹豫，增加冠状病毒 特定测试沙漠中弱势群体的测试数量，并对测试产生持续影响 通过整合对于解决问题至关重要的广泛协作网络来了解该地区的健康状况 持续存在的负面健康社会决定因素。