Perceptions of the Coronavirus and COVID-19 testing and vaccination in Latinx and Indigenous Mexican immigrant communities in the Eastern Coachella Valley.

Perceptions of the Coronavirus and COVID-19 testing and vaccination in Latinx and Indigenous Mexican immigrant communities in the Eastern Coachella Valley.
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DOI:
10.1186/s12889-022-13375-7
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发表时间:
2022-05-21
期刊:
影响因子:
4.5
通讯作者:
Cheney, Ann M.
Cheney, Ann M.
中科院分区:
医学2区
文献类型:
--
作者:
Gehlbach, Daniel;Vazquez, Evelyn;Ortiz, Gabriela;Li, Erica;Sanchez, Cintya Beltran;Rodriguez, Sonia;Pozar, Maria;Cheney, Ann M.

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一种新型冠状病毒 SARS-CoV-2(称为 COVID-19)在世界范围内迅速传播,影响所有人并造成持续的全球大流行。在美国各地,拉丁裔和原住民人口受到 COVID-19 病例和死亡率的影响尤为严重。需要对少数民族群体(特别是拉丁裔和拉丁美洲土著移民社区)中的病毒传播、COVID-19 检测和疫苗接种的看法和信念进行审查,以缓解新病例和死亡人数方面的广泛差异。这项研究于 2020 年 8 月至 2021 年 1 月进行,采用基于社区的参与式研究来吸引社区合作伙伴,并培养社区卫生工作者(即 promotores de salud)以及医学预科生和医学生进行定性研究的能力。该研究的目的是探讨健康的结构性和社会决定因素对冠状病毒、其传播以及有关 COVID-19 检测和疫苗接种的决策的看法。数据收集包括人种学研究,涉及公共场所的观察以及由位于南加州内陆沙漠地区的东科切拉山谷的拉丁裔和墨西哥土著农场工作社区成员组成的焦点小组。总共进行了七个焦点小组,其中六个用西班牙语,一个用普雷佩查语,共有 55 名参与者。涵盖的主题包括对冠状病毒及其传播的看法,以及 COVID-19 检测和疫苗接种。利用主题识别技术,研究结果确定了拉丁裔和墨西哥土著移民对病毒和 COVID-19 的看法背后的结构和社会因素,这些因素反过来又塑造了与 COVID-19 检测和疫苗接种相关的态度和行为。焦点小组中出现的共同主题包括错误信息、对机构缺乏信任以及就业和居住方面的不安全感。这些移民人口在结构上很容易受到历史和当前不平等的影响,这使他们面临着更大的感染 COVID-19、发病和死亡的风险。研究结果表明,迫切需要采取干预措施,通过解决该人群对政府和公共卫生的不信任问题来减少结构性脆弱性。
A novel coronavirus, SARS-CoV-2 (known as COVID-19), spread rapidly around the world, affecting all and creating an ongoing global pandemic. Across the United States, Latinx and Indigenous populations have been disproportionately affected by COVID-19 cases and death rates. An examination of the perceptions and beliefs about the spread of the virus, COVID-19 testing, and vaccination amongst racial-ethnic minority groups, specifically Latinx and Indigenous Latin American immigrant communities, is needed to alleviate the widespread disparity in new cases and deaths. This study was carried out from August 2020 to January 2021 and used community-based participatory research to engage community partners and build the capacity of community health workers (i.e., promotores de salud) and pre-medical and medical students in conducting qualitative research. The objective of the study was to examine the structural and social determinants of health on perceptions of the coronavirus, its spread, and decisions around COVID-19 testing and vaccination. Data collection included ethnography involving observations in public settings and focus groups with members of Latinx and Indigenous Mexican farm-working communities in the Eastern Coachella Valley, located in the Inland Southern California desert region. A total of seven focus groups, six in Spanish and one in Purépecha, with a total of 55 participants were conducted. Topics covered include perceptions of the coronavirus and its spread, as well as COVID-19 testing and vaccination. Using theme identification techniques, the findings identify structural and social factors that underly perceptions held by Latinx and Indigenous Mexican immigrants about the virus and COVID-19, which, in turn, shape attitudes and behaviors related to COVID-19 testing and vaccination. Common themes that emerged across focus groups include misinformation, lack of trust in institutions, and insecurity around employment and residency. This immigrant population is structurally vulnerable to historical and present-day inequalities that put them at increased risk of COVID-19 exposure, morbidity, and mortality. Study findings indicate a significant need for interventions that decrease structural vulnerabilities by addressing issues of (dis)trust in government and public health among this population.
DOI: 10.1037/tra0000889
发表时间: 2020-07
期刊: Psychological trauma : theory, research, practice and policy
影响因子: --
作者:
Fortuna LR;Tolou-Shams M;Robles-Ramamurthy B;Porche MV
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影响因子: --
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发表时间: 2020-09-01
影响因子: 4.4
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