Using Community Engagement and Geographic Information Systems to Address COVID-19 Vaccination Disparities.

Using Community Engagement and Geographic Information Systems to Address COVID-19 Vaccination Disparities.
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利用社区参与和地理信息系统解决 COVID-19 疫苗接种差异。

DOI:
10.3390/tropicalmed7080177
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发表时间:
2022-08-11
影响因子:
2.9
通讯作者:
Donnelly J
Donnelly J
中科院分区:
医学3区
文献类型:
--
作者:
Wu TY;Yang X;Lally S;Rainville AJ;Ford O;Bessire R;Donnelly J

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新冠肺炎疫情加剧了美国现有的健康差距,对少数族裔群体造成了不成比例的影响。针对亚裔美国人的COVID-19数据有限,导致对这一人群的关注减少;然而,现有统计数据显示,COVID-19对这一人群的影响鲜为人知。尽管疫苗供应大幅增加,最近COVID-19疫苗接种率也有所提高,但疫苗接种方面的种族和族裔差异仍然存在。对于英语水平有限(LEP)的人来说,这种差异更大。本文的目的是应用社区参与和地理信息系统(GIS)策略,通过减少COVID-19疫苗接种的结构性障碍来增加COVID-19疫苗接种的公平获取,特别关注患有LEP的亚裔美国人。在学术单位与社区组织之间现有的社区学术伙伴关系的基础上,项目团队建立了社区主导的COVID-19移动和弹出式疫苗接种诊所,为社区中服务不足的个人提供服务,与商业药店合作并为社区组织预约,利用地理信息系统在最需要的社区附近建立COVID-19疫苗接种点,并部署可信赖的信使,提供与语言和文化相关的COVID-19疫苗信息,从而在社区成员中建立疫苗信心。流动诊所的实施扩大了COVID-19疫苗的可及性,社区驱动的多部门伙伴关系可提高能力,加强努力并促进难以接触到的人群获得COVID-19疫苗接种。
The COVID-19 pandemic has exacerbated existing health disparities and had a disproportionate impact on racial and ethnic minority groups in the United States. Limited COVID-19 data for Asian Americans have led to less attention for this population; nevertheless, available statistics have revealed lesser known impacts of COVID-19 on this population. Even with significant increases in vaccine supply and recent increases in COVID-19 vaccination rates, racial and ethnic disparities in vaccine uptake still persist. These disparities are amplified for individuals with limited English proficiency (LEP). The purpose of this paper is to apply community-engaged and geographic information system (GIS) strategies to increase equitable access to COVID-19 vaccination uptake by decreasing the structural barriers to COVID-19 vaccine uptake, with a particular focus on Asian Americans with LEP. Building upon existing community-academic partnerships between the academic unit and community-based organizations, the project team established community-led mobile and pop-up COVID-19 vaccination clinics to reach underserved individuals in their communities, worked with commercial pharmacies and reserved appointments for community-based organizations, used GIS to establish COVID-19 vaccination sites close to communities with the greatest need, and deployed trusted messengers to deliver linguistically and culturally relevant COVID-19 vaccine messages which built vaccine confidence among the community members. The implementation of mobile clinics expanded COVID-19 vaccine access and community-driven, multi-sector partnerships can increase the capacity to enhance efforts and facilitate access to COVID-19 vaccination for hard-to-reach populations.
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