Addressing COVID-19 vaccine hesitancy in rural communities: A case study in engaging trusted messengers to pivot and plan.
Addressing COVID-19 vaccine hesitancy in rural communities: A case study in engaging trusted messengers to pivot and plan.
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DOI：
10.3389/fpubh.2023.1059067
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发表时间：
2023
影响因子：
5.2
通讯作者：
Yousefi-Nooraie, Reza
中科院分区：
文献类型：
--
作者：
Reichelt, Melhaney;Cullen, John Patrick;Mayer-Fried, Sara;Russell, Holly Ann;Bennett, Nancy M. M.;Yousefi-Nooraie, Reza
2020 年 COVID-19 的大流行宣告为美国的公共卫生实践带来了独特的挑战、教训和机遇。尽管有明确证据表明 COVID-19 疫苗有效，但许多地区的疫苗接种率和疫苗信心仍然较低。不接种疫苗或对疫苗犹豫不决的人越来越难以接触到。有几个因素影响农村地区对疫苗的犹豫和行为，包括医疗保健获取方面的挑战、错误信息、政治忠诚以及对缺乏可靠证据和长期影响知识的担忧。 2021 年 3 月，手指湖农村免疫计划 (FLRII) 与利益相关者合作，解决纽约州农村九个县（称为手指湖）的疫苗犹豫问题。在从社区合作伙伴、医生和当地卫生部门收集的有关其最大障碍和最大需求的数据的推动下，FLRII 团队为可信信使 (TM) 创建了一个互动计划，其中包括一个利益相关者小组，称为可信信使论坛 (TMF)。 TMF 从 2021 年 8 月至 2022 年 8 月每两周举行一次会议，与当地 TM 互动并实时传播最新知识。在论坛会议期间，TM 详细介绍了他们在社区中对抗疫苗犹豫的经验，并通过积极互动和重申对话相互支持。社区利益相关者之间的合作可以形成一个脚手架，支持对各种公共卫生问题的快速反应，并带来有影响力的变化。对于实施基于社区的研究项目的研究人员来说，在可信通讯论坛之后对利益相关者小组进行建模可以有效地实现项目范围的多样化并实时对出现的问题做出反应。
The pandemic declaration of COVID-19 in 2020 presented unique challenges, lessons, and opportunities for public health practice in the United States. Despite clear evidence of COVID-19 vaccine effectiveness, vaccine uptake and vaccine confidence remained low in many regions. Vaccine holdouts, or those who are vaccine hesitant, have been an increasingly difficult population to reach. Several factors influence vaccine hesitancy and behavior in rural areas, including health care access challenges, misinformation, political loyalties, and concerns regarding the perceived lack of trustworthy evidence and knowledge of long-term effects. In March 2021, the Finger Lakes Rural Immunization Initiative (FLRII) engaged stakeholders to address vaccine hesitancy in a nine-county region of rural New York known as the Finger Lakes. Driven by data collected from community partners, physicians, and local health departments regarding their biggest barriers and greatest needs, the FLRII team created an interactive program for trusted messengers (TMs) including a stakeholder panel, called the Trusted Messenger Forum (TMF). The TMF met every 2 weeks from August 2021- August 2022 to engage local TMs and disseminate up-to-date knowledge in real time. During forum sessions, TMs shared detailed accounts of their experiences combating vaccine hesitancy in their communities and supported one another in their efforts through positive interaction and reaffirming conversations. Collaborations between community stakeholders can form a scaffolding to support a rapid response to a variety of public health problems and result in impactful change. For researchers implementing community-based research projects, modeling stakeholder panels after trusted messenger forums can be effective for diversifying the scope of the project and reacting to emergent problems in real-time.
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影响因子：
5.5
作者：
Schoch-Spana M;Brunson EK;Long R;Ruth A;Ravi SJ;Trotochaud M;Borio L;Brewer J;Buccina J;Connell N;Hall LL;Kass N;Kirkland A;Koonin L;Larson H;Lu BF;Omer SB;Orenstein WA;Poland GA;Privor-Dumm L;Quinn SC;Salmon D;White A
通讯作者：
White A
影响因子：
5.9
作者：
Cunningham-Erves J;Stewart EC;Duke J;Alexander L;Davis J;Wilus D;Wyche-Etheridge K;Miller ST
通讯作者：
Miller ST
影响因子：
--
作者：
Mayo, Nicole L.;Cullen, John P.;Russell, Holly Ann
通讯作者：
Russell, Holly Ann
影响因子：
4
作者：
Yousefi Nooraie R;Shelton RC;Fiscella K;Kwan BM;McMahon JM
通讯作者：
McMahon JM
影响因子：
120.7
作者：
Cullen, John P.;Russ, Savanah;Russell, Holly Ann
通讯作者：
Russell, Holly Ann