Administrative Core

项目总结/摘要 COVID-19大流行对少数族裔和服务不足的社区造成了不成比例的影响， 强调需要采取创新办法，应对这一疾病对我们大多数人造成的影响， 弱势群体。根据CDC的数据，黑人死于Covid-19感染的可能性高出3倍， 比他们的白色同伴更有可能住院。在亚拉巴马，黑人死亡率是 白色人的比例，农村地区的比例更高，往往缺乏医疗保健 基础设施演进不幸的是，与艾滋病相关的发病率和死亡率方面存在的差距 COVID-19感染，已经延续到少数群体COVID-19疫苗接种率的下降，这是 在南方各州更为明显，那里长期存在少数群体得不到照顾的问题， 由于安全网医疗保健机构资金不足和公然的系统性种族主义，从而 减少这些人感染COVID-19后发病率和死亡率的差异，我们 需要共同努力，解决增加少数群体死于COVID-19风险的不平等问题， 这导致了疫苗接种率的下降。 虽然少数民族和农村社区存在对政府经营的医疗保健计划的不信任问题， 并在一定程度上导致了少数群体COVID-19疫苗接种率的下降， 更大的问题与错误信息有关，这导致34%的黑人选择“观望” 特别是在年轻人中，这种方法会在社区传播疾病。因此，必须 一个协调一致的，多管齐下的自下而上的方法，涉及各种利益相关者，有一个社区的历史 参与这些人群，并已经获得了可信度。在这里，我们提出这样一个 计划，WeCARE项目，其中包括各种利益相关者的交织网络，如 社区领袖、医疗保健提供者和民间组织将在各个方面共同努力， 解决导致这种新型冠状病毒疫苗接种犹豫的障碍。在塔斯基吉大学的领导下， 项目的重点是提供道德上健全的，文化上适当的，以证据为基础的信息， 向高危少数民族和服务不足的农村人口提供新冠疫苗。目标是获取与以下内容相关的数据： COVID-19疫苗接种的独特且通常未命名的障碍，许多人只会与 在新型冠状病毒肺炎大流行之前赢得了他们的信任，并利用这种伙伴关系来克服这些障碍， 从而增加了这些高危社区的疫苗接种。

PROJECT SUMMARY/ABSTRACT The COVID-19 pandemic has disproportionately affected minority and underserved communities thus highlighting the need for innovative approaches to address the impact this disease has had on our most vulnerable populations. According to the CDC, Blacks are 3X more likely to die from Covid-19 infection and 4X more likely to be hospitalized, than their white counterparts. In Alabama, Black people have died at 1.5 times the rate of white people, with higher rates found in rural areas, which often lack healthcare infrastructure. Unfortunately, the disparity that exist with regard to the morbidity and mortality associated with Covid-19 infection, has carried over to decreased Covid-19 vaccination rates in minority populations, which is more pronounced in southern states, where there is long-standing issues of lack of access to care for minority populations, due to underfunding of safety-net healthcare institutions and frank systemic racism. Thus, to decrease the disparity in morbidity and mortality from COVID-19 infection experienced by these individuals, we need to work together to address the inequities that increase the risk of death from COVID-19 for minority and underserved populations and that contribute to their decreased vaccination rates. While issues of mistrust of government-run healthcare programs exist in minority and rural communities and has contributed to some degree to decreased uptake of Covid-19 vaccination in minority populations, a larger issue is related to misinformation which has contributed to 34% of Blacks opting for the “wait and see” approach, especially in younger individuals spread the disease in their communities. Therefore, there must be a concerted, multi-prong bottom-up approach involving various stakeholders that have a history of community engagement in these populations and has already garnered trustworthiness. Here we propose such a program, the WeCARE project, which consist of an intertwined network of various stakeholders such as community leaders, healthcare providers, and civic organizations, that will work together on various fronts to address the barriers contributing to this Covid-19 vaccination hesitancy. Led by Tuskegee University, this project is focused on providing ethically-sound, culturally-appropriate, evidence-based information on the Covid-19 vaccines to at-risk minority and underserved rural populations. The goal is to obtain data related to the unique and often unnamed barriers to Covid-19 vaccination, that many will only share with entities that have earned their trust prior to the Covid-19 pandemic, and use this partnership to overcome those barriers, thus resulting in increased uptake of vaccination in these at-risk communities.