The Arizona Prevention Research Center partnerships in Arizona to promote COVID-19 vaccine health equity.

The Arizona Prevention Research Center partnerships in Arizona to promote COVID-19 vaccine health equity.
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DOI:
10.3389/fpubh.2022.944887
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发表时间:
2022
影响因子:
5.2
通讯作者:
Ingram, Maia
Ingram, Maia
中科院分区:
医学3区
文献类型:
--
作者:
Nuno, Tomas;Sierra, Lidia Azurdia;Wilkinson-Lee, Ada;Carvajal, Scott;de Zapien, Jill;Coulter, Kiera;Figueroa, Carlos;Morales, Mario;Sepulveda, Ramses;Sepulveda, Refugio;Ingram, Maia

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面对 COVID-19 大流行,对疫苗的犹豫是一个复杂的问题,它损害了我们国家减轻疾病负担和控制大流行的能力。 COVID-19 大流行揭示了亚利桑那州拉丁裔农村、服务不足、农场工人、残疾人和老年人口中日益扩大的健康差距和在传播、住院、发病率和死亡率方面不成比例的不良健康结果。 2021 年 3 月,尽管拉丁裔占亚利桑那州人口的 32%,但接种疫苗的人中有约 8.1% 是拉丁裔。亚利桑那州疫苗信心网络 (AzVCN) 提议利用亚利桑那州预防研究中心 (AzPRC) 的专业知识以及梅尔和伊妮德·祖克曼公共卫生学院 (MEZCOPH) 移动卫生部门 (MHU) 的资源来确定、实施和评估 MHU 干预措施,以增加 COVID-19 疫苗的使用。 AzVCN 的工作重点是亚利桑那州边境四个县的拉丁裔、农村、未投保/保险不足和农场工人社区,这些社区感染 COVID-19 发病和死亡的风险更大,并且获得疫苗接种和其他基本卫生服务的机会可能有限。 AzVCN 使用倾听会议与主要利益相关者和关键卫生保健工作者建立反馈循环,以验证障碍/促成因素,并确定解决方案以提高网络中出现的疫苗接种率。 AzVCN 还利用 MHU 的社区卫生工作者 (CHW) 实施了基于社区的干预措施,以增加亚利桑那州南部拉丁裔农村人口、未投保/保险不足和农场工人群体对 COVID-19 疫苗的了解,减少疫苗接种犹豫并提高疫苗接种率。 AzVCN 的成果包括: 确定重点人群中 COVID-19 疫苗接种的推动因素和障碍;确定战略和解决方案,以解决疫苗犹豫问题并提高重点人群的疫苗接种率;有证据表明,通过 AzVCN 测试的拟议解决方案有助于提高重点人群的疫苗接种率。通过这些努力,AzPRC 与社区卫生工作者和其他主要利益相关者合作,直接与社区合作,确定和解决疫苗接种的结构性和错误信息障碍,为 CDC 的信心疫苗接种战略做出了贡献。
Vaccine hesitancy in the face of the COVID-19 pandemic is a complex issue that undermines our national ability to reduce the burden of the disease and control the pandemic. The COVID-19 pandemic revealed widening health disparities and disproportionate adverse health outcomes in terms of transmission, hospitalizations, morbidity and mortality among Arizona's Latinx rural, underserved, farmworker, disabled and elderly populations. In March 2021, ~8.1% of those vaccinated were Latinx, though Latinxs make up 32% of Arizona's population. The Arizona Vaccine Confidence Network (AzVCN) proposed to leverage the expertise of the Arizona Prevention Research Center (AzPRC) and the resources of the Mel and Enid Zuckerman College of Public Health (MEZCOPH) Mobile Health Unit (MHU) to identify, implement and evaluate a MHU intervention to increase uptake of COVID-19 vaccines. The AzVCN focused efforts on Latinx, rural, un/underinsured and farmworker communities in the four Arizona border counties that are at greater risk of COVID-19 morbidity and mortality and may have limited access to vaccination and other essential health services. The AzVCN used listening sessions to create a feedback loop with key stakeholders and critical health care workers to validate barriers/enablers and identify solutions to increase vaccination uptake emerging from the network. The AzVCN also implemented a community-based intervention using community health workers (CHWs) based in a MHU to increase knowledge of the COVID-19 vaccines, reduce vaccination hesitancy and increase vaccination uptake among Latinx rural, un/underinsured and farmworker populations in Southern Arizona. AzVCN outcomes include: identification of enablers and barriers of COVID-19 vaccination in the priority populations; identification of strategies and solutions to address vaccine hesitancy and increase vaccine uptake among priority population; and evidence that the proposed solutions being tested through the AzVCN contribute to increased vaccine uptake among the priority populations. Through these efforts the AzPRC contributed to the CDC's Vaccinate with Confidence Strategy by collaborating with CHWs and other key stakeholders to engage directly with communities in identifying and addressing structural and misinformation barriers to vaccine uptake.
DOI: 10.1371/journal.pone.0256122
发表时间: 2021
期刊: PloS one
影响因子: 3.7
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