UC Davis Environmental Health Sciences Core Center

加州大学戴维斯分校环境健康科学核心中心

• 批准号: 10403897
• 负责人: Irva Hertz-Picciotto
• 金额: $ 27.88万
• 依托单位: UNIVERSITY OF CALIFORNIA AT DAVIS
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-05-05 至 2025-03-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10403897
• 关键词: Address; Agriculture; COVID-19; COVID-19 pandemic; COVID-19 vaccination; California; Caring; Cessation of life; Communication; Communities; Community Workers; Consult; County; Crowding; Data; Decision Making; Development; Dose; Eligibility Determination; Employee; Environmental Health; Evaluation; Family; Family member; Hispanics; Household; Housing; Incentives; Intervention; Latino; Linguistics; Logistics; Masks; Motivation; Persons; Play; Population; Process; Quarantine; Resources; Risk; Role; SARS-CoV-2 transmission; Secure; Social Distance; Statistical Models; Structure; Surveys; Symptoms; Test Result; Testing; Time; Translations; Trust; Update; Vaccinated; Vaccination; Vaccines; Weather; community partnership; cultural values; experience; farmer; flexibility; improved; infection risk; literacy; mathematical model; member; vaccine acceptance; vaccine distribution; vaccine evaluation; vaccine hesitancy

ABSTRACT Latinos have disproportionately suffered from COVID-19. In California, Latinos make up 39% of the population but 46% of deaths and more than half of all cases. Agricultural employees are essential workers and the risk of SARS-CoV-2 transmission is high because social distancing and masking are difficult—especially in very hot weather. In addition, the risk of SARS-CoV-2 transmission within households is high as one-third of agricultural employees live in crowded and multi-family housing (>1 persons/room). In these households, self-isolation or quarantine is simply not feasible when a family member has been exposed. Non-pharmaceutical interventions such as testing, social distancing, quarantine, and isolation have played a critical role in mitigating the impact of COVID-19. However, despite being at increased risk of infection, testing rates among Latinos is lower compared to Whites and Latinos are more likely to be positive when tested and to require higher level of care at the time of positive test. In the US, nearly 13% of Hispanic or Latino have received at least one dose, and 10% have been fully vaccinated, despite eligibility open to all on April 19th, 2021.There is a major gap in COVID-19 vaccination among underserved and/or vulnerable Latino population. We propose a three-tiered approach to address barriers to COVID-19 vaccination in predominantly Latino counties in California, Yolo, Fresno, Madera, and Stanislaus. ÓRALE COVID-19! was proposed to overcome motivational and logistic barriers to testing by decreasing the time from symptoms, to seeking testing, to securing testing, to receiving test results, to consult about self-isolation, quarantine, and increase the proportion who successfully self-isolated and quarantine. The aims of this study are to: (1) reduce vaccine hesitancy, improve vaccine update while continuing to promote testing with culturally and linguistically appropriate targeted communication and incentives guided by trusted community partners, (2) Develop a literacy-supported decision making process to reduce vaccine hesitancy, improve vaccine update while continuing to promote testing, and (3) evaluate the impact of interventions on vaccine hesitancy, uptake of vaccine and testing through robust statistical and mathematical models that provide a flexible framework to evaluate different scenarios of vaccine rollout. The proposed study will leverage strong community partnerships, expertise of collaborators with local CEAL member to incorporate CEAL-developed resources that will strengthen the implementation of our interventions, strong team organization, survey development expertise, translation of materials that will be critical for communication and dissemination, robust data capturing, harmonization, statistical, and modeling support, evaluation unit, and testing data that can be integrated to vaccination efforts to allow for a comprehensive characterization and evaluation of interventions on vaccine hesitancy and uptake. Vaccine prioritization and access to regular testing to Latino farmer worker communities that experience structural barriers such as overcrowded housing and have strong cultural values on support of large extended facilities is critical to reduce the burden associated with COVID-19.

抽象的 拉丁美洲人感染 COVID-19 的比例不成比例。在加利福尼亚州，拉丁裔占人口的 39% 但占死亡人数的 46% 和所有病例的一半以上。农业雇员是重要工人，存在以下风险： SARS-CoV-2 传播率很高，因为保持社交距离和遮盖口罩很困难，尤其是在非常炎热的地区 天气。此外，SARS-CoV-2 在家庭内传播的风险高达农业家庭的三分之一。 员工居住在拥挤的多户住宅中（>1 人/房间）。在这些家庭中，自我隔离或 当家庭成员接触过病毒时，隔离根本不可行。非药物干预 检测、社交距离、检疫和隔离等措施在减轻疫情影响方面发挥了关键作用 新冠肺炎。然而，尽管拉丁裔的感染风险增加，但与其他人群相比，拉丁裔的检测率较低。 白人和拉丁裔在检测时更有可能呈阳性，并且在检测时需要更高水平的护理 阳性测试。在美国，近 13% 的西班牙裔或拉丁裔至少接种过一剂疫苗，10% 的人曾接种过疫苗 尽管资格于 2021 年 4 月 19 日向所有人开放，但已完全接种疫苗。COVID-19 疫苗接种存在重大差距 服务不足和/或弱势拉丁裔人群。我们提出了一个三层方法来解决 在加利福尼亚州、约洛、弗雷斯诺、马德拉和以拉丁裔为主的县中，接种 COVID-19 疫苗存在障碍 斯坦尼斯劳斯.奥拉莱 COVID-19！建议克服测试的动机和后勤障碍 缩短从出现症状到寻求检测、确保检测、收到检测结果、咨询的时间 提高自我隔离、隔离成功率。这 本研究的目的是：（1）减少疫苗犹豫，改进疫苗更新，同时继续推广 在值得信赖的指导下，通过文化和语言上适当的有针对性的沟通和激励措施进行测试 社区合作伙伴，(2) 制定扫盲支持的决策流程，以减少疫苗犹豫， 在继续促进检测的同时改进疫苗更新，以及（3）评估干预措施对 疫苗犹豫、疫苗的使用以及通过稳健的统计和数学模型进行的测试，这些模型提供了 评估疫苗推出的不同情景的灵活框架。拟议的研究将利用强有力的 社区伙伴关系、合作者与当地 CEAL 成员的专业知识，以纳入 CEAL 开发的 将加强我们的干预措施实施、强有力的团队组织、调查的资源 开发专业知识、对沟通和传播至关重要的材料翻译、强大的 数据捕获、协调、统计和建模支持、评估单元和测试数据 纳入疫苗接种工作，以便对干预措施进行全面的描述和评估 疫苗犹豫和接受。拉丁裔农民工的疫苗优先顺序和定期检测机会 经历住房过度拥挤等结构性障碍并具有强烈​​文化价值观的社区 支持大型扩展设施对于减轻与 COVID-19 相关的负担至关重要。