Confronting COVID-19 in under-resourced, African American neighborhoods: a qualitative study examining community member and stakeholders' perceptions.
Confronting COVID-19 in under-resourced, African American neighborhoods: a qualitative study examining community member and stakeholders' perceptions.
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DOI：
10.1080/13557858.2021.1873250
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发表时间：
2021-01
影响因子：
3.1
通讯作者：
Fouad MN
中科院分区：
文献类型：
--
作者：
Bateman LB;Schoenberger YM;Hansen B;Osborne TN;Okoro GC;Speights KM;Fouad MN
本研究的目的是研究阿拉巴马州资源不足社区非洲裔美国居民对COVID-19的预防、应对和检测的看法。在pre - proceed模型的指导下，使用安全的Zoom会议在阿拉巴马州的五个城市和农村社区进行了虚拟焦点小组。社区居民和利益相关者（N=36）参与；对会议进行了录音和录像，并根据《专题分析》进行了记录和分析。主题由模型的pre部分在三个重点领域（预防、应对和测试）中易感、强化和使能障碍和促进者组织。预防障碍包括冷漠、难以保持社交距离、缺乏信息、来自权威人士的混杂信息以及缺乏个人防护装备。预防促进因素包括对感染COVID-19的担忧、来自可信来源的明确和一致的信息、接触者追踪以及提供个人防护装备。应对障碍包括粮食不安全、心理健康问题、孤立、经济困难、缺乏保健机会以及虚拟学校和教堂服务问题，这些问题因无法连接到互联网而加剧。促进应对的因素包括宗教信仰、增加体育活动和希望感。测试障碍包括误解、恐惧、不信任、测试限制和测试地点的位置。促进测试的因素包括激励、来自可信来源的清晰信息、方便的测试地点和免费测试。获得社区成员的观点可以确定预防、应对和检测的障碍和促进因素，并可能改善结果。虽然解决健康的社会决定因素（如收入、教育、医疗信任）将是缩小与COVID-19相关的健康差距的有效途径，但迫切需要减轻COVID-19在弱势人群中的传播和严重程度。干预措施应侧重于下游决定因素，例如我们研究中出现的那些。
The purpose of this study was to examine perceptions of COVID-19 related to prevention, coping, and testing of African American residents in under-resourced communities in Alabama. Guided by the PRECEDE-PROCEED model, virtual focus groups were conducted in five urban and rural Alabama communities using secure Zoom meetings. Community residents and stakeholders (N=36 total) participated; meetings were audio- and video-recorded, transcribed, and analyzed according to Thematic Analysis. Themes were organized by the PRECEDE portion of the model in Predisposing, Reinforcing, and Enabling barriers and facilitators in three focus areas: prevention, coping, and testing. Prevention barriers included apathy, difficulty with social distancing, lack of information, mixed messages from authority figures, and lack of personal protective equipment (PPE). Prevention facilitators included concerns about contracting COVID-19, clear and consistent messages from trusted sources, contact tracing, and the provision of PPE. Coping barriers included food insecurity, mental health issues, isolation, economic hardships, lack of health care access, and issues with virtual schooling and church services, which were exacerbated by inability to connect to the internet. Facilitators to coping included religious faith, increased physical activity, and a sense of hope. Testing barriers included misunderstanding, fear, mistrust, testing restrictions, and location of testing sites. Facilitators to testing included incentives, clear information from trusted sources, convenient testing locations, and free tests. Gaining community members’ perspectives can identify barriers and facilitators to prevention, coping, and testing and potentially improve outcomes. While addressing the social determinants of health (e.g., income, education, medical trust) would be an effective path by which to diminish health disparities related to COVID-19, there is an urgent need to mitigate the spread and severity of COVID-19 in vulnerable populations. Interventions should focus on downstream determinants, such as those emerging from our study.
影响因子：
5.4
作者：
Archibald, Mandy M.;Ambagtsheer, Rachel C.;Lawless, Michael
通讯作者：
Lawless, Michael
影响因子：
6.6
作者：
Alderwick, Hugh;Gottlieb, Laura M.
通讯作者：
Gottlieb, Laura M.
影响因子：
5.5
作者：
Cockerham, William C.;Hamby, Bryant W.;Oates, Gabriela R.
通讯作者：
Oates, Gabriela R.