Building Resilience and Vital Equity (BRAVE) - Increasing COVID-19 Testing in American Indians

建立韧性和重要公平 (BRAVE) - 增加美洲印第安人的 COVID-19 检测

• 批准号: 10258335
• 负责人: DEEPAK KUMAR
• 金额: $ 139.07万
• 依托单位: NORTH CAROLINA CENTRAL UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-09-26 至 2023-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10258335
• 关键词: Address; Adherence; Age; Alaska Native; American Indians; Behavioral; Belief; COVID testing; COVID-19; COVID-19 pandemic; COVID-19 testing; Caring; Chronic Kidney Failure; Communities; Community Outreach; Contracts; Counseling; Country; County; Data; Data Analyses; Data Collection; Diabetes Mellitus; Discrimination; Disease; Econometric Models; Economics; Elderly; Emergency Situation; Ethics; Evaluation; Focus Groups; Fright; Government; Guidelines; Health; Health education; Healthcare Systems; Heart Diseases; High Prevalence; Immunization; Income; Indigenous; Individual; Institution; Intervention; Logistics; Lumbee tribe; Lung; Medical; Methods; Minority; Misinformation; Mississippi; Modeling; Native Americans; Native-Born; Neighborhoods; North Carolina; Not Hispanic or Latino; Obesity; Outcome; Participant; Politics; Population; Poverty; RADx Underserved Populations; Recommendation; Risk Factors; Rivers; Scotland; Social Impacts; Source; Statistical Methods; Surveys; Testing; Time; Transportation; Trust; Universities; Vaccination; Virus; Woman; Work; coronavirus disease; data de-identification; data sharing; design; distrust; economic impact; experience; fighting; follow-up; health disparity; member; outreach; pandemic disease; preservation; public health emergency; resilience; rural underserved; social; social health determinants; social implication; social stigma; socioeconomics; tool; transportation access; underserved community; virtual

Abstract The COVID19 pandemic continues to hit hardest on underserved communities including American Indians (AI)/Alaska Natives (AN). Diseases with significant health disparities and social determinants of health are major risk factors and define COVID19 related disparities among AI/AN. Increased testing and upcoming adherence to vaccination recommendations are two important strategies to manage COVID19 and mitigate the impact of the virus on marginalized communities. Mounting evidence indicates that underserved communities are less likely to actively participate in mass testing and immunization recommendations due to poverty, access, inadequate information, logistics and issues surrounding fear, stigma and trust. North Carolina (NC) has the largest AI population east of the Mississippi River and the sixth largest AI population in the nation with more than half living in rural underserved counties of Robeson, Scotland, Hoke and Cumberland. This proposal is a partnership between two community engaged academic institutions (North Carolina Central University - NCCU and University of North Carolina at Pembroke-UNCP) and a major community partner – The Lumbee Tribe of North Carolina (LTNC) with 62,500 members. We hypothesize that a bidirectional community- engaged approach to understand the social ethical and behavioral implications (SEBI) combined with focused interventions to address the barriers will increase testing and mitigate the consequences of COVID-19 in AI communities of NC. The specific aims of the proposal are (1) To understand the barriers and social implications of COVID19 testing among American Indians by designing and implementing culturally sensitive survey tools and intervention materials. (2) Implement BRAVE outreach and testing interventions to increase testing in American Indian community and (3) Data analysis, evaluation and data sharing. BRAVE is a bold community-engaged initiative to increase testing by addressing disparities and building resiliency to change the narrative from struggle to strength in AI community as we fight this unfortunate public health emergency.

摘要 COVID 19大流行继续对包括美洲印第安人在内的服务不足社区造成最严重的打击 (AI)阿拉斯加原住民（Alaska Natives）具有重大健康差异的疾病和健康的社会决定因素是 主要风险因素，并定义AI/AN之间的COVID 19相关差异。增加测试和即将到来的 遵守疫苗接种建议是管理COVID 19和减轻 病毒对边缘化社区的影响。越来越多的证据表明， 由于贫困，不太可能积极参与大规模检测和免疫建议， 接触、信息不足、后勤以及围绕恐惧、耻辱和信任的问题。北卡罗来纳州（NC） 拥有密西西比河以东最大的人工智能人口和全国第六大人工智能人口， 超过一半的人生活在罗伯逊、苏格兰、霍克和坎伯兰等服务水平低下的农村县。这 一项提案是两个社区参与的学术机构（北卡罗来纳州中央）之间的伙伴关系 大学- NCCU和北卡罗来纳州彭布罗克大学-UNCP）和一个主要的社区合作伙伴- 北卡罗来纳州的伦比部落（LTNC），有62,500名成员。我们假设一个双向社区- 参与的方法来理解社会道德和行为的影响（SEBI）结合重点 解决这些障碍的干预措施将增加测试并减轻COVID-19在人工智能中的后果 NC社区该提案的具体目标是（1）了解障碍和社会 通过设计和实施文化敏感的COVID 19测试在美洲印第安人中的影响 调查工具和干预材料。(2)实施BRAVE外展和测试干预措施， （3）数据分析、评估和数据共享。勇敢是一种勇敢 社区参与的倡议，通过解决差异和建立弹性来增加测试，以改变 在我们与这场不幸的公共卫生紧急事件作斗争时，人工智能社区从斗争到力量的叙述。