Comparing community-driven COVID-19 vaccine distribution methods: Faith-based organizations vs. outpatient clinics.
Comparing community-driven COVID-19 vaccine distribution methods: Faith-based organizations vs. outpatient clinics.
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DOI：
10.4103/jfmpc.jfmpc_327_22
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发表时间：
2022-10
影响因子：
1.4
通讯作者：
Selig JP
中科院分区：
文献类型：
--
作者：
McElfish PA;Rowland B;Hall S;CarlLee S;Reece S;Macechko MD;Shah SK;Rojo MO;Riklon S;Richard-Davis G;Marin LP;Laelan M;Maddison BK;Alik E;Selig JP
少数民族和低社会经济水平社区可能面临接种疫苗的实际障碍，包括获得医疗保健的机会减少和对医疗保健组织的信任度降低;然而，很少有研究将这些障碍作为疫苗摄取差异的原因。我们与社区合作伙伴合作，实施并评估了两种社区驱动的COVID-19疫苗分发方法-通过信仰组织（FBO）和门诊诊所-重点是了解获得每种分发方法的人群之间的差异。在接种疫苗后15分钟的观察期内，与来到疫苗接种地点的参与者进行接触并要求他们完成一项调查。使用卡方检验检查分布位置之间的差异。该调查提供了1，476份有效回复，在疫苗接种活动期间，共有927名参与者在临床地点招募，519人在FBO招募。种族/族裔之间存在显著差异，FBO的分配方法在西班牙裔/拉丁裔和马绍尔裔参与者中所占比例较高。使用FBO分布方法，健康素养较低和教育程度较低的未投保参与者比例较高。FBO参与者更有可能报告“完全”信任COVID-19疫苗。FBO和诊所参与者之间在疫苗犹豫水平方面没有显著差异。在获取方面没有统计学上的显著差异。较高比例的西班牙裔/拉丁裔和马绍尔参与者利用FBO进行疫苗接种，这表明与FBO的合作可能会增加少数族裔社区的疫苗接种率，并有助于减轻疫苗接种差异。
Minority and low socioeconomic communities may face practical barriers to vaccination, including decreased access to health care and less trust in healthcare organizations; however, few studies have focused on these barriers as the cause of differential vaccine uptake. We worked with community partners to implement and evaluate two community-driven approaches to COVID-19 vaccination distribution—through faith-based organizations (FBOs) and outpatient clinics—with a focus on understanding the differences between the populations who accessed each distribution method. Participants who came to the vaccination locations were approached and asked to complete a survey during their 15 min post-vaccination observation period. Differences between distribution locations were examined using Chi-square tests. The survey rendered 1,476 valid responses, with a total of 927 participants recruited at clinical locations and 519 at FBOs during vaccination events. There were significant differences by race/ethnicity, with distribution methods at FBOs reaching a higher proportion of Hispanic/Latino and Marshallese participants. The proportion of uninsured participants who had lower health literacy and had lower educational attainment was higher with the FBO distribution method. FBO participants were more likely to report “completely” trusting the COVID-19 vaccine. There was no significant difference between FBO and clinic participants with regard to the level of vaccine hesitancy. There were no statistically significant differences with regard to access. A higher proportion of Hispanic/Latino and Marshallese participants utilized FBOs for vaccination, suggesting collaborations with FBOs can potentially increase vaccination uptake among minority communities and help mitigate vaccination disparities.
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DOI：
10.1111/cts.12350
发表时间：
2015-12
期刊：
Clinical and translational science
影响因子：
--
作者：
McElfish PA;Kohler P;Smith C;Warmack S;Buron B;Hudson J;Bridges M;Purvis R;Rubon-Chutaro J
通讯作者：
Rubon-Chutaro J
影响因子：
2
作者：
Barmania S;Reiss MJ
通讯作者：
Reiss MJ
DOI：
10.3390/ijerph18168690
发表时间：
2021-08-17
影响因子：
--
作者：
Moore R;Willis DE;Shah SK;Purvis RS;Shields X;McElfish PA
通讯作者：
McElfish PA
DOI：
10.1111/cts.13077
发表时间：
2021-11
期刊：
Clinical and translational science
影响因子：
--
作者：
Willis DE;Andersen JA;Bryant-Moore K;Selig JP;Long CR;Felix HC;Curran GM;McElfish PA
通讯作者：
McElfish PA
影响因子：
3.6
作者：
McElfish PA;Willis DE;Shah SK;Bryant-Moore K;Rojo MO;Selig JP
通讯作者：
Selig JP