RCMI Center for Health Disparities Research

项目摘要/摘要 NIMHD GRANT U54 MD012392-04紧急补充 家长项目名称：RCMI健康差距研究中心 附录标题：NCCU COVID犹豫不决 黑人/非裔美国人(B/AA)正遭受新冠肺炎的不成比例，并进一步 背负着显著的新冠肺炎健康差距，其特点是风险增加，增加 发病率和死亡率上升与系统性偏见、种族主义、基于历史的不信任、 以及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 护理方面的差距。在新冠肺炎相关筛查和疫苗接种的情况下，任何解决方案或 干预必须承认和解决基于历史的不信任，以及这种不信任可能 表现为疫苗的犹豫不决。这份为期两年的补充资料，与家长助学金有关，标题为 “RCMI健康差异中心(RCHDR)”寻求利用专业知识、协作和 从ACCORD(新冠肺炎相关高级中心)收集的关键数据中获得的知识 差异)，以解决新冠肺炎检测方面的担忧和疫苗方面的迟疑。我们假设一个 全面的计划，包括社区参与、同行支持和移动健康 提高健康素养的技术，并植根于社会生态框架，可以提供 提高新冠肺炎疫苗接种犹豫和疫苗接种率的可持续方法。这 多维的、基于理论的项目旨在减少疫苗的犹豫和增加 在一个城市社区和四个农村县接种新冠肺炎疫苗的目标是1)确定 与疫苗接受相关的因素，包括犹豫和接受，2)实施和评估 解决疫苗迟疑问题的综合干预措施的可及性和有效性，3)确定 AIM 2中列出的策略的影响和有效性，并衡量疫苗迟疑的变化 这两个项目年。从这项工作中，将拥有经过测试的消息传递、社区支持、 提高社区能力和知识，提高疫苗接种率。

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.