Expanding population-level interventions to help more low-income smokers quit

1000多万美国家庭拖欠房租或≥拖欠房租3个月 在新冠肺炎期间支付抵押贷款。这些家庭的收入低得不成比例。 与白人相比，少数民族居住的可能性是白人的两倍。圣彼得堡。 密苏里州路易斯市正在利用其美国救援计划(HR1319)拨款建立租金减免 帮助这些家庭的热线和支持基金。我们将在这个独特的机会基础上再接再厉 通过一个创新的跨行业项目，向租金减免帮助热线呼叫者询问新冠肺炎的情况 疫苗接种和检测，并评估帮助他们两者的战略。在目标1中，我们将 确定圣路易斯住房不稳定成年人新冠肺炎接种率。在目标2中，我们 将评估定向信息对未接种疫苗的呼叫者接种疫苗的影响。在……里面 目标3，我们将评估一种经过验证的顺序请求策略，以引发室内新冠肺炎测试 那些对接种疫苗不感兴趣的人。这项研究是与 现有的RADxUP和CEAL社区合作伙伴，利用RADxUP协调中心 和受赠者联盟访问测试技术，使用公共数据元素，并且是 高度响应FOSI中概述的优先事项。因为美国各地的许多社区 将建立类似的租金减免计划和服务，这是拟议的研究结果 具有广泛应用的潜力，将疫苗接种和检测整合到社会服务中。

Over 10 million American households have fallen behind on rent or are ≥3 months behind on mortgage payments during COVID-19. These households are disproportionately low-income and twice as likely to be home to racial or ethnic minorities compared to whites. The City of St. Louis, MO is using its American Rescue Plan (HR1319) allocation to establish a rent-relief helpline and support fund to assist such households. We will build upon this unique opportunity with an innovative cross-sector project to ask rent-relief helpline callers about COVID-19 vaccination and testing, and evaluate strategies to help them with both. In Aim 1 we will determine the COVID-19 vaccination rate of housing-unstable adults in St. Louis. In Aim 2, we will evaluate the impact of targeted messages on unvaccinated callers’ getting vaccinated. In Aim 3, we will evaluate a proven sequential request strategy to elicit in-home COVID-19 testing among those who are not interested in getting vaccinated. The study was jointly conceived with existing RADxUP and CEAL community partners, draws upon the RADxUP Coordinating Center and consortium of grantees to access testing technology, uses common data elements, and is highly responsive to priorities outlined in the FOSI. Because many communities across the U.S. will be establishing similar rent-relief programs and services, findings from the proposed study have the potential for wide application, integrating vaccination and testing into social services.