COVID-19 Vaccine Policy Implementation and Differential Vaccine Uptake Trajectories in Chicago Communities.
COVID-19 Vaccine Policy Implementation and Differential Vaccine Uptake Trajectories in Chicago Communities.
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芝加哥社区的 COVID-19 疫苗政策实施和差异化疫苗接种轨迹。
DOI：
10.1097/phh.0000000000001841
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发表时间：
2024
期刊：
影响因子：
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通讯作者：
Stiehl,Emily
中科院分区：
文献类型：
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作者：
Kim,SageJ;McWhirter,Noah;Duong,Kelly;Khare,ManoramaM;Giles,WayneH;Basu,Sanjib;Hershow,RonaldC;Stiehl,Emily
背景：自2019冠状病毒病疫情爆发以来，我们已实施多项公共卫生干预措施，以应对迅速演变的疫情和社区需求。本文描述了疫苗分发第一年芝加哥COVID-19疫苗接种协调战略的范围、时间和影响。方法：通过对参与实施全市COVID-19疫苗外展倡议的公共卫生官员和社区组织（CBO）领导人进行一系列访谈，我们构建了疫苗外展倡议的时间轴。将时间轴与疫苗接种率相匹配，以探索社区区域疫苗推广活动的影响。最后，我们讨论了政策举措的性质和社区characteristics.Results的疫苗摄取水平：公共卫生部（CDPH）的芝加哥实施无数的疫苗推广策略，包括大规模接种疫苗的网站，改善访问，和社区层面的疫苗接种运动。保护芝加哥+是CDPH发起的主要疫苗推广工作，它确定了15个高度脆弱的社区地区。到2021年12月，超过270万（67%）芝加哥人完成了疫苗接种。芝加哥黑人（51.3%）接种疫苗的可能性远远低于亚裔（77.6%）、白色（69.8%）和西班牙裔（63.6%）芝加哥居民。此外，COVID-19疫苗接种完成率存在显著的空间差异：与黑人社区相比，主要是白色和西班牙裔社区的疫苗接种完成率更高。结论：芝加哥为提高COVID-19疫苗接种率而开展的社区外展工作显示了社区参与方法在大流行应对中的重要性。尽管全市努力建设社区基础设施，但黑人社区的疫苗接种水平相对低于其他社区。需要进行更广泛的社会重组，以减轻投资减少和居住隔离，并改善对医疗的不信任，为未来的流行病和灾害做好准备。
Background:Since the onset of the COVID-19 pandemic, multiple public health interventions have been implemented to respond to the rapidly evolving pandemic and community needs. This article describes the scope, timing, and impact of coordinated strategies for COVID-19 vaccine uptake in Chicago for the first year of vaccine distribution.Methods:Using a series of interviews with public health officials and leaders of community-based organizations (CBOs) who participated in the implementation of the citywide COVID-19 vaccine outreach initiatives, we constructed a timeline of vaccine outreach initiatives. The timeline was matched to the vaccine uptake rates to explore the impact of the vaccine outreach initiatives by community area. Finally, we discussed the nature of policy initiatives and the level of vaccine uptake in relation to community characteristics.Results:The Chicago Department of Public Health (CDPH) implemented myriad vaccine outreach strategies, including mass vaccination sites, improved access, and community-level vaccine campaigns. Protect Chicago+ was the primary vaccine outreach effort initiated by the CDPH, which identified 15 highly vulnerable community areas. More than 2.7 million (67%) Chicagoans completed the vaccine regimen by December 2021. Black (51.3%) Chicagoans were considerably less likely to be vaccinated than Asian (77.6%), White (69.8%), and Hispanic (63.6%) Chicago residents. In addition, there were significant spatial differences in the rate of COVID-19 vaccine completion: predominantly White and Hispanic communities, compared with Black communities, had higher rates of vaccine completion.Conclusions:The community outreach efforts to improve COVID-19 vaccine uptake in Chicago have shown the importance of community-engaged approaches in pandemic responses. Despite citywide efforts to build community infrastructure, Black communities had relatively lower levels of vaccine uptake than other communities. Broader social restructuring to mitigate disinvestment and residential segregation and to ameliorate medical mistrust will be needed to prepare for future pandemics and disasters.