RCMI Center for Health Disparities Research

项目概要/摘要 NIMHD赠款紧急补充U 54 MD 012392 -04 RCMI健康差异研究中心（RCMI Center for Health Disparities Research） 补充标题：NCCU COVID犹豫 黑人/非洲裔美国人（B/AA）正在遭受COVID-19的困扰，并进一步 由于COVID-19健康差异显著，风险增加， 与系统性偏见、种族主义、基于历史的不信任、 结构性障碍和较低的健康素养。利用社区关系、技术和 支持患者-提供者关系/沟通作为解决健康问题的潜在解决方案 护理差异。在COVID-19相关筛查和疫苗接种的情况下，任何解决方案或 干预行动必须承认和解决历史上的不信任，以及这种不信任如何可能 表现在对疫苗的犹豫。这2年的补充，有关父母补助金NCCU RCMI名为 “RCMI健康差异中心（RCHDR）”旨在利用专业知识，合作和 从雅阁（2019冠状病毒病相关疾病高级中心）收集的关键数据中获得的知识 差异），以解决COVID-19检测问题和疫苗犹豫。我们假设 包括社区参与、同伴支持和移动健康在内的综合计划 技术，以提高健康素养，并植根于社会生态框架可以提供一个 以可持续的方式改善COVID-19疫苗接种犹豫和疫苗接种率。这 一个多维的、基于理论的项目旨在减少疫苗犹豫， 在一个城市社区和四个农村县接种COVID-19疫苗的目的是：1）确定 与疫苗接受有关的因素，包括犹豫和接受，2）实施和评估 解决疫苗犹豫的综合干预措施的范围和有效性，3）确定 AIM 2中列出的策略的影响和有效性，并测量疫苗犹豫的变化， 两个项目年。从这项工作中，将有一个缓存的测试消息，社区支持， 提高社区能力和知识，增加疫苗接种。

PROJECT SUMMARY/ABSTRACT Urgent Supplement to NIMHD Grant U54 MD012392-04 Title of Parent Project: RCMI Center for Health Disparities Research Title of Supplement: NCCU COVID Hesitancy Black/African Americans (B/AA) are suffering disproportionality from COVID-19 and are further burdened by significant COVID-19 health disparities characterized by increased risk, increased incidence, and increased mortality rates linked to systemic bias, racism, historically-based mistrust, and structural barriers and lower health literacy. Leveraging community relationships, technology, and patient-provider relationships/communication are supported as potential solutions to address health care disparities. In the case of COVID-19 related screenings and vaccinations, any solution or intervention must acknowledge and address historically based mistrust and how this mistrust may manifest in vaccine hesitancy. This 2-year supplement, related to parent grant NCCU RCMI titled “RCMI Center for Health Disparities (RCHDR)” seeks to leverage expertise, collaborations and knowledge gained from the key data collected by ACCORD (Advanced Center for COVID-19 Related Disparities) to address COVID-19 testing concerns and vaccine hesitancy. We hypothesize that a comprehensive program encompassing community engagement, peer support, and mHealth technologies to improve health literacy and is rooted in the social ecological framework could offer a sustainable approach to improving COVID-19 vaccination hesitancy and vaccination uptake. This multidimensional, theory-based project is designed to decrease vaccine hesitancy and increase COVID-19 vaccinations in an urban community and four rural counties will aim to 1) Determine factors related to vaccine acceptance including hesitancy and uptake, 2) Implement and evaluate the reach and effectiveness of a comprehensive intervention to address vaccine hesitancy, 3) Determine the impact and efficacy of strategies listed in AIM 2 and measure changes in vaccine hesitancy over the two project year. From this work, will have a cache of tested messaging, community support, improved community capacity and knowledge, and increased vaccination uptake.