Exploration of Multilevel Barriers and Strategies That Affected Early COVID-19 Vaccination and Testing in Rural Latino Communities in Southwest Florida.
Exploration of Multilevel Barriers and Strategies That Affected Early COVID-19 Vaccination and Testing in Rural Latino Communities in Southwest Florida.
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DOI：
10.3390/ijerph191811785
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发表时间：
2022-09-18
影响因子：
--
通讯作者：
Redwine, Laura
中科院分区：
文献类型：
--
作者：
Buro, Acadia W.;Candelaria, Kevin Roman;Bailey, Rocio;Luna, Frances;Albizu-Jacob, Alexandra;Stern, Marilyn;Redwine, Laura
COVID-19 大流行对多个种族和少数民族群体造成了不成比例的影响，其中包括居住在农村社区的拉丁裔。疫苗接种率和检测率低，加上健康的社会决定因素，在很大程度上造成了这种不同的影响。鉴于拉丁裔农村移民和移民社区特有的需求和限制，这项定性研究研究了影响佛罗里达州西南部这些社区的 COVID-19 疫苗接种和检测采用率的多层次障碍和策略。 2021 年 3 月至 4 月期间，与各个主要利益相关者进行了四个焦点小组（n = 25），其中包括农村拉丁裔社区成员、地方领导人和社区卫生工作者（“Promotoras de Salud”）。与 COVID-19 疫苗接种和检测障碍相关的主题包括恐惧、缺乏控制、错误信息、缺乏可及性以及制度/政策问题；与提高 COVID-19 疫苗接种和检测采用率的策略相一致的主题包括信仰、照顾自我以及社区和家庭的复原力。改善拉丁裔农村社区未来大流行应对措施的建议包括纳入多层次的干预措施，例如考虑家庭的作用、让值得信赖的社区成员参与进来，以及确保制定和实施公平和一致的政策。
The COVID-19 pandemic has disproportionately impacted multiple racial and ethnic minority groups, including Latinos residing in rural communities. Low rates of vaccination and testing combined with social determinants of health have contributed significantly to this disparate impact. Given the needs and constraints unique to rural Latino migrant and immigrant communities, this qualitative study examined multilevel barriers and strategies that affect COVID-19 vaccination and testing uptake among these communities in southwest Florida. Four focus groups (n = 25) were conducted between March and April 2021 with various key stakeholders, including rural Latino community members, local leaders, and community health workers (‘Promotoras de Salud’). Themes that aligned with barriers to COVID-19 vaccination and testing included fear, lack of control, misinformation, lack of accessibility, and institutional/policy issues; themes that aligned with strategies to improve COVID-19 vaccination and testing uptake included faith, taking care of self, and community and family resilience. Recommendations for improving future pandemic responses for rural Latino communities include incorporating multiple levels of intervention, such as consideration of the role of the family, involving trusted community members, and ensuring the development and implementation of fair and consistent policies.
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影响因子：
5.9
作者：
Khubchandani J;Sharma S;Price JH;Wiblishauser MJ;Sharma M;Webb FJ
通讯作者：
Webb FJ
影响因子：
6.4
作者：
Gil, Raul Macias;Marcelin, Jasmine R.;Piggott, Damani A.
通讯作者：
Piggott, Damani A.
DOI：
10.1007/s11524-021-00588-1
发表时间：
2022-03
期刊：
Journal of urban health : bulletin of the New York Academy of Medicine
影响因子：
--
作者：
McFadden SM;Demeke J;Dada D;Wilton L;Wang M;Vlahov D;Nelson LE
通讯作者：
Nelson LE
影响因子：
4.6
作者：
Salinas, Juan L.;Salinas, Manisha
通讯作者：
Salinas, Manisha
影响因子：
5.5
作者：
Burke PF;Masters D;Massey G
通讯作者：
Massey G