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

超过1000万美国家庭拖欠租金或拖欠租金≥3个月 COVID-19期间的抵押贷款付款。这些家庭不成比例地低收入 与白人相比，少数种族或少数民族的家庭可能性是白人的两倍。圣市。 密苏里州路易斯市正在利用其美国救援计划（HR 1319）拨款建立一个租金减免 为这些家庭提供援助的方案和支助基金。我们将利用这个独特的机会 通过一个创新的跨部门项目，向租金减免热线电话的拨打者询问有关COVID-19的信息 疫苗接种和检测，并评估策略，以帮助他们与。在目标1中， 确定圣路易斯住房不稳定成年人的COVID-19疫苗接种率。在目标2中， 将评估针对性信息对未接种疫苗的来电者接种疫苗的影响。在 目标3，我们将评估一种经过验证的顺序请求策略，以引发家庭COVID-19检测 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 和受资助者联盟访问测试技术，使用公共数据元素， 高度响应FOSI中概述的优先事项。因为美国的许多社区。 将建立类似的租金减免计划和服务， 具有广泛应用的潜力，可将疫苗接种和检测纳入社会服务。

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.