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

像全国许多州一样，COVID-19病例和死亡人数影响了有色人种社区， 密歇根州的失业率不成比例地高于白人。一个令人震惊的现实是， (AA)仅占密歇根州人口的13.6%，但他们占COVID-19死亡人数的40%。半年 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 也有类似的差异，包括杰内塞、沃什特诺和肯特。在杰内塞县， 美国人占总人口的20.3%，占COVID-19病例的35%和死亡人数的45%。在 到目前为止，华盛顿县近一半的案件位于该市两个多数低收入邮政编码区 伊普西兰蒂非裔美国居民占华盛顿州人口的12%， 占案件的四分之一以上。在肯特县，虽然10.8%的人口是拉丁裔（LX）， 这一族群占COVID-19病例的32.4%。毫无疑问，这场危机加剧了 密歇根州存在的种族/民族不平等和健康差异。来自该州的初步数据显示， 这些差距很可能会恶化，原因是人们在这方面的犹豫不决、恐惧、不信任和错误信息。 如果不采取任何措施改变目前的趋势，就不会接种COVID-19疫苗。这项题为"以社区为中心"的建议 改善新型冠状病毒疫苗吸收的干预措施（CIVIC）旨在直接解决和减少 COVID-19疫苗犹豫和增加经历COVID-19的人群的疫苗接种 相关差异。我们将重点关注密歇根州内的四个县， COVID-19在AA和LX社区内，即，韦恩、杰内塞、肯特和沃什特诺县。使用 基于社区参与式研究（CBPR）方法，CIVIC将利用：其长期关系 在社区参与下，建立了CBPR指导委员会， 作为社区参与联盟（CEAL）的赠款接受者， 密歇根大学CTSA（MICHR），以及我们的学术合作伙伴的专业知识，以确定和了解 导致密歇根州AA和LX社区对COVID-19疫苗犹豫不决的因素。我们将开发 并测试基于以社区为中心的方法的干预措施，以实现增加 疫苗摄取。我们将通过以下目标实现这一目标：1：增加对障碍的了解 和疫苗接种和犹豫的驱动因素; 2：增加疫苗接种和减少疫苗犹豫 通过实施和评价多层次干预措施; 3：增加疫苗接种， 通过实施和评价个体水平的定制方案， 4.维持、加强和评估公民社会伙伴关系的有效性， 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.