Community-Centered Assessment to Inform Pandemic Response in Georgia (US).
Community-Centered Assessment to Inform Pandemic Response in Georgia (US).
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DOI：
10.3390/ijerph20095741
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发表时间：
2023-05-08
影响因子：
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通讯作者：
Mubasher, Mohamed
中科院分区：
文献类型：
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作者：
Henry Akintobi, Tabia;Quarells, Rakale C;Bednarczyk, Robert A;Khizer, Saadia;Taylor, Brittany D;Nwagwu, Michelle N A;Hill, Mekhi;Ordonez, Claudia E;Sabben, Gaelle;Spivey, Sedessie;Davis, Kayla;Best, Michael L;Chen, Amy Z;Lovell, Katherine;Craig, Leslie S;Mubasher, Mohamed
格鲁吉亚社区参与联盟（CEAL）对抗COVID-19差异项目开展社区参与的研究和外展活动，以解决错误信息和不信任，促进将不同种族和民族人群纳入临床试验，并增加检测和疫苗接种。在其社区联盟委员会的指导下，格鲁吉亚CEAL调查在格鲁吉亚18岁及以上的黑人和拉丁裔中进行，以了解社区对COVID-19检测和疫苗的知识、看法、理解和行为。调查传播使用通过Qualtrics生成的调查链接进行，并在董事会成员和其他全州网络中传播。重点县的特点是：（a）18岁及以上的黑人和拉丁裔居民比例最高;（B）COVID-19检测率最低;（c）SVI值最高。最终样本包括2082名受访者。大多数参与者是男性（57.1%）和拉丁裔（62.8%）。大约一半的样本年龄为18-30岁（49.2%）;样本的平均年龄为33.2岁（SD = 9.0），范围为18 - 82岁。显著预测接种疫苗可能性的COVID-19信息的可信来源包括他们的医生/医疗保健提供者（p值：0.0054），诊所（p值：0.006）和大学医院（p值：0.0024）。拉丁裔/非拉丁裔黑人与拉丁裔白人相比，接受检测和/或接种疫苗的可能性显著降低。非拉丁裔黑人的平均知识得分高于拉丁裔白人（12.1 vs. 10.9，p < 0.001）和拉丁裔黑人（分别为12.1 vs. 9.6，p < 0.001）。男性的平均知识得分显著低于女性（10.3 vs. 11.0，p = 0.001），与从未接受过COVID-19检测的患者相比（分别为10.5和11.5，p = 0.005），未接受任何剂量疫苗接种者与完全接种者相比（分别为10.0 vs. 11.0，p < 0.001）。这些数据为未来比较公众对COVID-19疫情的态度和做法的轨迹提供了基准。他们还指出，为特定的文化，种族和民族群体量身定制沟通策略的重要性，以确保适当解决社区特定的健康寻求行为的障碍和决定因素。
The Georgia Community Engagement Alliance (CEAL) Against COVID-19 Disparities Project conducts community-engaged research and outreach to address misinformation and mistrust, to promote inclusion of diverse racial and ethnic populations in clinical trials and increase testing and vaccination uptake. Guided by its Community Coalition Board, The GEORGIA CEAL Survey was administered among Black and Latinx Georgia 18 years and older to learn about community knowledge, perceptions, understandings, and behaviors regarding COVID-19 testing and vaccines. Survey dissemination occurred using survey links generated through Qualtrics and disseminated among board members and other statewide networks. Characteristics of focus counties were (a) highest proportion of 18 years and older Black and Latinx residents; (b) lowest COVID-19 testing rates; and (c) highest SVI values. The final sample included 2082 surveyed respondents. The majority of participants were men (57.1%) and Latinx (62.8%). Approximately half of the sample was aged 18–30 (49.2%); the mean age of the sample was 33.2 years (SD = 9.0), ranging from 18 to 82 years of age. Trusted sources of COVID-19 information that significantly predicted the likelihood of vaccination included their doctor/health care provider (p-value: 0.0054), a clinic (p-value: 0.006), and university hospitals (p-value: 0.0024). Latinx/non-Latinx, Blacks vs. Latinx, Whites were significantly less likely to get tested and/or vaccinated. Non-Latinx, Blacks had higher mean knowledge scores than Latinx, Whites (12.1 vs. 10.9, p < 0.001) and Latinx, Blacks (12.1 vs. 9.6, respectively, p < 0.001). The mean knowledge score was significantly lower in men compared to women (10.3 vs. 11.0, p = 0.001), in those who had been previously tested for COVID-19 compared to those who had never been tested (10.5 vs. 11.5, respectively, p = 0.005), and in those who did not receive any dose of vaccination compared to those who were fully vaccinated (10.0 vs. 11.0, respectively, p < 0.001). These data provide a benchmark for future comparisons of the trajectory of public attitudes and practices related to the COVID-19 pandemic. They also point to the importance of tailoring communication strategies to specific cultural, racial, and ethnic groups to ensure that community-specific barriers to and determinants of health-seeking behaviors are appropriately addressed.