Community-Centered Interventions for Improved Vaccine Uptake for COVID (CIVIC)

像全国许多州一样，新冠肺炎病例和死亡事件影响了 密歇根州的失业率比白人高得不成比例。一个令人震惊的现实是，尽管非裔美国人 (Aa)仅占密歇根州人口的13.6%，但占新冠肺炎死亡人数的40%。一半的人 密歇根州的病例和死亡发生在韦恩县。密歇根州下半部的其他县 有类似的差距，包括杰纳西，华盛顿和肯特。在Genesee县，非洲人 美国人占总人口的20.3%，占新冠肺炎病例的35%，死亡人数的45%。在……里面 瓦什滕诺县，到目前为止，近一半的病例位于该市两个占多数的低收入邮政编码 伊普西兰蒂的。占华盛顿人口12%的非裔美国人居民不成比例地 占案件总数的四分之一以上。在肯特县，10.8%的人口是拉丁裔(LX)， 这一民族占新冠肺炎病例的32.4%。毫无疑问，这场危机加剧了 密歇根州现有的种族/民族不平等和健康差距。该州的初步数据显示， 这些差距很可能会由于对 如果不采取任何措施改变目前的趋势，新冠肺炎疫苗。这项名为以社区为中心的建议 旨在提高COVID疫苗接种率的干预措施(CIRICAL)旨在直接解决和减少 新冠肺炎疫苗接种迟疑和经历过新冠肺炎的人群增加疫苗接种率 相关的差异。我们将重点关注密歇根州内的四个县，这些县的 新冠肺炎位于AA和LX社区，即韦恩县、杰纳西县、肯特县和瓦什滕诺县。使用 基于社区的参与性研究(CBPR)方法，公民意愿利用：其长期关系 在社区的参与下，建立了一个CBPR指导委员会，并了解到 作为社区参与联盟(CEAL)赠款接受者， 密歇根大学CTSA(MICHR)和我们的学术合作伙伴的专业知识来识别和了解 在密歇根州的AA和LX社区，导致新冠肺炎疫苗迟迟不能接种的因素。我们将发展 并基于以社区为中心的方法测试干预措施，以实现增加 疫苗接种率。我们将通过以下目标实现这一目标：1.提高对障碍的认识 和疫苗接种和犹豫的驱动因素；2：增加疫苗接种，减少疫苗犹豫 通过实施和评估多层次干预措施；3：增加疫苗接种率和 通过实施和评估量身定做的个人水平来减少疫苗的迟疑 干预；和4：维持、加强和评估公民伙伴关系的有效性，以公平 让所有合作伙伴参与进来。

Like many states across the country, COVID-19 cases and deaths have impacted communities of color in Michigan at disproportionately higher rates than whites. A staggering reality is that while African Americans (AA) represent only 13.6% of Michigan’s population, they represent 40% of the deaths from COVID-19. Half of the cases and deaths in Michigan occurred in Wayne County. Other Counties in the lower half of Michigan have similar disparities including Genesee, Washtenaw, and Kent. In Genesee County, where African Americans represent 20.3% of the population, they represent 35% of COVID-19 cases and 45% of deaths. In Washtenaw County, nearly half of the cases to date are located in two majority low-income zip codes in the city of Ypsilanti. African American residents, who make up 12% of the Washtenaw population, disproportionately constitute more than a quarter of the cases. And in Kent County, while 10.8% of the population is Latinx (LX), this ethnic group makes up 32.4% of COVID-19 cases. It is unquestionable that this crisis has exacerbated existing racial/ethnic inequity and health disparities in Michigan. Preliminary data from the state reveal that these disparities will likely worsen due to significant hesitancy, fear, mistrust and misinformation regarding the COVID-19 vaccine if nothing is done to change current trends. This proposal, entitled Community-Centered Interventions for Improved Vaccine Uptake for COVID (CIVIC), is designed to directly address and decrease COVID-19 vaccine hesitancy and increase vaccine uptake among populations that experience COVID-19 related disparities. We will focus on the four counties within Michigan where a disproportionate burden of COVID-19 is within AA and LX communities, i.e., Wayne, Genesee, Kent and Washtenaw Counties. Using a community-based participatory research (CBPR) approach, CIVIC will leverage: its long term relationships with the communities involved, an established CBPR Steering Committee developed and the knowledge gained as a Community Engagement Alliance (CEAL) grant recipient, the resources and networks of the University of Michigan CTSA (MICHR), and the expertise of our academic partners to identify and understand factors that contribute to COVID-19 vaccine hesitancy in AA and LX communities in Michigan. We will develop and test interventions based on community-centered approaches to achieve a primary goal of increased vaccine uptake. We will achieve this goal with the following aims: 1: Increase understanding of the barriers and drivers of vaccine uptake and hesitancy; 2: Increase vaccine uptake and decrease vaccine hesitancy through the implementation and evaluation of a multilevel intervention; 3: Increase vaccine uptake and decrease vaccine hesitancy through the implementation and evaluation of an individual level tailored intervention; and 4: Maintain, enhance, and evaluate the effectiveness of the CIVIC partnership to equitably engage all partners.