Identifying and addressing critical social, ethical, and behavioral factors associated with COVID-19 testing and vaccination among Spanish speakers

摘要 拉丁裔社区受新冠肺炎大流行的影响不成比例，讲西班牙语的拉丁裔社区 社区承担着更重的感染、住院和死亡负担。面临的主要障碍 新冠肺炎检测和疫苗接种已经存在，仍有迫切需要了解和解决 在拉丁裔社区内进行新冠肺炎测试和接种疫苗的伦理和行为影响。我们的 久负盛名的社区-学术合作伙伴关系提出了严格的混合方法，以社区为基础 参与性研究(CBPR)研究更好地了解新冠肺炎检测和疫苗接种的SEBI，并 改进和测试一种新的、文化上一致的干预措施，以增加新冠肺炎检测和疫苗接种 在讲西班牙语的拉丁裔社区内。 在目标1中，我们将对来自Latinx的医疗服务提供者和代表进行个人深入采访- 为讲西班牙语的拉丁裔社区成员的社区组织和焦点小组提供服务 扩大我们对个人、人际、机构、社区和政策因素的理解 影响讲西班牙语的拉丁裔社区的新冠肺炎检测和疫苗接种。在目标2中，我们将 整合其他相关新冠肺炎研究和目标1的研究结果，以提炼西班牙语 被称为NuestraSaludSegura(我们的安全健康)的干预措施旨在增加新冠肺炎检测和 在讲西班牙语的拉丁裔人群中接种疫苗。NuestraSaludSegura利用互补的 同行导航和移动健康的优势。我们还将使用一个纵向小组来测试干预- 随机试验设计在：(1)基线和(2)干预后即刻评估参与者。我们 预期干预组中的参与者相对于延迟干预中的参与者 该集团将展示增加的新冠肺炎检测和疫苗接种。在目标3中，我们将发展和 传播实践、研究、干预和政策重点和建议，以增加新冠肺炎 测试和疫苗接种，减少新冠肺炎差距，促进讲西班牙语的拉丁裔的健康公平 通过举办一个以赋权理论为基础的社区论坛，促进社区发展。 这项CBPR研究将通过增加对SEBI的了解来促进预防科学和实践 新冠肺炎检测接种和检测促进和支持新冠肺炎的创新干预 在特别缺乏服务和弱势群体中进行检测和接种疫苗--讲西班牙语的拉丁裔 美国的社区。

Summary Latinx communities are disproportionately affected by the COVID-19 pandemic, with Spanish-speaking Latinx communities carrying even heavier burdens of infection, hospitalization, and mortality. Major barriers to COVID-19 testing and vaccination exist, and a profound need remains to understand and address the social, ethical, and behavioral implications (SEBI) of COVID-19 testing and vaccination within Latinx communities. Our well-established community-academic partnership proposes a rigorous mixed-methods, community-based participatory research (CBPR) study better understand the SEBI of COVID-19 testing and vaccination and to refine and test a novel and culturally congruent intervention to increase COVID-19 testing and vaccination within Spanish-speaking Latinx communities. In Aim 1, we will conduct individual in-depth interviews with health providers and representatives from Latinx- serving community-based organizations and focus groups with Spanish-speaking Latinx community members to expand our understanding of the individual, interpersonal, institutional, community, and policy factors influencing COVID-19 testing and vaccination within Spanish-speaking Latinx communities. In Aim 2, we will integrate findings from other relevant COVID-19 studies and from Aim 1 to refine a Spanish-language intervention known as NuestraSaludSegura (Our Safe Health) designed to increase COVID-19 testing and vaccination among Spanish-speaking Latinx persons. NuestraSaludSegura harnesses the complementary strengths of peer navigation and mHealth. We will also test the intervention using a longitudinal group- randomized trial design assessing participants at: (1) baseline and (2) immediate post intervention. We anticipate that participants in the intervention group, relative to their counterparts in the delayed -intervention group, will demonstrate increased COVID-19 testing and vaccination. In Aim 3, we will develop and disseminate practice, research, intervention, and policy priorities and recommendations to increase COVID-19 testing and vaccination, reduce COVID-19 disparities, and promote health equity in Spanish-speaking Latinx communities by conducting an empowerment theory-based community forum. This CBPR study will advance prevention science and practice through increased understanding of the SEBI of COVID-19 testing and vaccination and testing an innovative intervention to promote and support COVID-19 testing and vaccination among a particularly underserved and vulnerable population – Spanish-speaking Latinx communities in the United States.