Addressing Low-Income Housing Resident Mistrust in COVID-19 Guidance

解决低收入住房居民对 COVID-19 指南的不信任

• 批准号: 10291145
• 负责人: Andrew Duane Plunk
• 金额: $ 57.6万
• 依托单位: EASTERN VIRGINIA MEDICAL SCHOOL
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-08-07 至 2025-04-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10291145
• 关键词: Address; Affect; Air; Area; Attitude; Biological Markers; COVID-19; Communities; Disease; Effectiveness; Ensure; Environment; Exhalation; Exhibits; Focus Groups; Fright; Goals; Group Interviews; Health; Housing; Individual; Institution; Intervention; Interview; Justice; Laws; Left; Legitimacy; Low income; Measures; Mediating; Methods; Modeling; Monitor; Nicotine; Outcome; Passive Smoking; Perception; Policies; Process; Property; Proxy; Public Housing; Punishment; Recommendation; Reporting; Rights; Risk; Sampling; Smoke; Smoke-free home; Smoker; Smoking; Surveys; Testing; Tobacco; Trust; U.S. Department of Housing and Urban Development; Walking; Work; authority; base; community based participatory research; environmental tobacco smoke; environmental tobacco smoke exposure; experience; fine particles; health disparity populations; implementation framework; implementation strategy; improved; member; metropolitan; prevent; response; soda tax; theories; willingness

Project Summary Ongoing engagement of low-income housing residents suggests that widespread mistrust of information about COVID-19, particularly when received from public housing authorities, has contributed to low compliance with public health guidance in these communities. In particular, recommendations for COVID-19 testing are met with skepticism and suspicion. We have received similar feedback about potential vaccination when/if a COVID-19 vaccine is developed—in addition to mistrust in COVID-19 messaging, persistent concerns about exploitation in research seem to be negatively affecting attitudes toward participation in certain types of related activities, especially when a blood draw or injection is involved. Principles and approaches from community-based participatory research guide this study. In Aim 1 we investigate why low-income housing residents report poor compliance with public health guidance, including COVID-19 testing. We will determine whether residents do not understand COVID-19 guidance (particularly whether they are able to generalize guidance from one setting to another) or if they understand, but instead choose not to comply. In Aim 2 we will assess telehealth as a potential tool for addressing low-income housing resident mistrust in COVID-19 guidance. In our preliminary work, physicians with whom residents have established relationships were considered the most trustworthy source of COVID-19 information. Unfortunately, residents commonly report that COVID-19 has disrupted how they receive medical care. In Aim 3 we develop community-informed strategies to address resident concerns about COVID-19 testing and to make testing more relevant to their needs. We will begin by exploring strategies to overcome the impact of privacy concerns of residents on the provision of services or other benefits offered or coordinated by PHAs. Other barriers will be addressed as they emerge.

项目摘要 低收入住房居民的持续参与表明，对信息的广泛不信任 关于COVID-19，特别是从公共住房当局收到的信息， 在这些社区遵守公共卫生指导。特别是， COVID-19检测遭到怀疑和质疑。我们收到了类似的反馈， 除了对COVID-19的不信任之外，当/如果COVID-19疫苗被开发出来， 信息，对研究中剥削的持续关注似乎对态度产生了负面影响 参与某些类型的相关活动，特别是当抽血或注射是 涉案 基于社区的参与性研究的原则和方法指导这项研究。在目标1中， 调查为什么低收入住房居民报告不遵守公共卫生指导， 包括COVID-19检测我们将确定居民是否不理解COVID-19指导 （尤其是他们是否能够从一个设置到另一个设置的指导）或如果他们 理解，但选择不遵守。在目标2中，我们将评估远程保健作为一种潜在的工具， 解决低收入住房居民对COVID-19指导的不信任。在我们的初步工作中， 与居民建立关系的医生被认为是最值得信赖的 COVID-19信息来源。不幸的是，居民们普遍报告说，COVID-19扰乱了 如何获得医疗护理。在目标3中，我们制定了社区知情战略， 关注COVID-19检测，并使检测更符合他们的需求。我们将开始 探讨策略，以消除居民对隐私的关注对提供服务的影响 或PHA提供或协调的其他福利。其他障碍将在出现时加以解决。