权益分类	功能权益	普通用户	{{item.name}}会员
{{category.name}}	{{benefitItem.name}}

Marshallese: Alternate Surveillance for COVID-19 in a Unique Population

马绍尔语：对特殊人群中的 COVID-19 进行替代监测

基本信息

批准号：
10273577
负责人：
KA'IMI ALOHILANI SINCLAIR
金额：
$ 72.25万
依托单位：
WASHINGTON STATE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2020
资助国家：
美国
起止时间：
2020-12-21 至 2023-11-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10273577
关键词：
Address Adopted Adult Age Anosmia Area Arkansas Body Temperature COVID-19 COVID-19 disparity COVID-19 morbidity COVID-19 mortality COVID-19 pandemic COVID-19 surveillance Caring Cessation of life Chronic Disease Clinic Communities Community Health Aides Complement Complex Coronavirus County Data Disease Surveillance Early Diagnosis Early identification Ecology Ecosystem Ego Ethnic group Event Food Food Processing Generations Government Health Health Personnel Healthcare Healthcare Systems High Prevalence Hospitalization Household Individual Intervention Longitudinal cohort Marshall Islands Minority Groups Modality Non-Insulin-Dependent Diabetes Mellitus Northwestern United States Nuclear Weapons Testings Occupations Pacific Island Americans Participant Personal Satisfaction Plants Politics Population Population Surveillance Poultry Products Prevalence Public Health Race Radiation exposure Reporting Research Restaurants Risk Risk Factors SARS-CoV-2 infection Speed Structure Surveillance Methods Surveys Symptoms System Technology Testing Text Messaging Thermometers Time Training Tuberculosis Underserved Population Uninsured Ursidae Family Variant Virus Vulnerable Populations Washington Wireless Technology asymptomatic COVID-19 base bilingualism citizen science cohort coronavirus disease cost cultural values disorder prevention experience health care disparity health disparity high risk improved innovation member multimodality novel outreach services pandemic disease prevent preventive intervention programs recruit screening social social health determinants social media social stigma stem symptomatic COVID-19

项目摘要

ABSTRACT Marshallese Pacific Islanders bear a disproportionate burden of COVID-19 infection, hospitalization, and death, with rates 4 to 25 times higher than those of other US racial and ethnic groups in the Continental US.2,3 For example, in Northwest Arkansas Marshallese people represent less than 3% of the total population, but they account for 1 out of 5 COVID-19 cases in this area.2 Similarly, Marshallese represent just 1% of the population in Spokane County, Washington, but were nearly 30% of COVID-19 cases between March and May, 2020.4 Social determinants of health have powerful influences on community and individual risks for COVID-19.18 Culturally, the Marshallese community is extremely tight-knit, self-contained, and highly clustered; they often live in multi-generational households; and they traditionally value close contact and large social events, all of which increase vulnerability to the COVID-19 pandemic.19,20Marshallese are important recipients of effective surveillance efforts given the disproportionate impact of COVID-19 on this population and the long- standing disparities in health and health care. The MASC-UP study will generate novel data that reflect variation in risk of COVID-19 infection based on one’s place in the highly clustered Marshallese community. For Specific Aim 1, bilingual Marshallese Community Health Workers will recruit and train a longitudinal cohort of 800 Marshallese adults, ages 18 and older, in participatory disease surveillance methods that include using a wireless thermometer to continuously track body temperature; social media and text messaging in which participants (aka citizen scientists) can report symptoms; and a CHW helpline to report symptoms and request COVID-19 information. Participatory disease surveillance complements traditional surveillance systems by engaging communities in reporting COVID-19 symptoms and events. Its strengths lie in the speed at which data can be made available, the ability to scale the technology to obtain data at low cost, and the ability to cover populations that might not otherwise be tracked. For Specific Aim 2 participants will complete an ego-centric contact survey to characterize the social contact networks of members in the disease surveillance cohort from Aim 1. The networks will allow identification of people at highest risk of COVID-19 infection and elucidate targets for high-impact preventive intervention. For Specific Aim 3 we will integrate findings from Aims 1 and 2 into the existing test-based disease surveillance currently being performed at the state and local levels. This Aim will augment existing surveillance systems that have proved insufficient to stem the pandemic in Marshallese people. The proposed study will be generalizable to other high risk, clustered underserved populations.

摘要