Administrative Core

项目摘要/摘要 因此，新冠肺炎大流行对少数族裔和服务不足的社区造成了不成比例的影响 强调需要采用创新的方法来应对这种疾病对我们大多数人的影响 弱势群体。根据疾控中心的数据，黑人死于新冠肺炎感染的可能性是前者的3倍，后者是后者的4倍 与白人同龄人相比，他们更有可能住院。在阿拉巴马州，黑人的死亡率是 白人的比率，农村地区的比率较高，农村地区往往缺乏医疗保健 基础设施。不幸的是，在与以下疾病相关的发病率和死亡率方面存在的差距 新冠肺炎感染，导致少数民族人群新冠肺炎接种率下降，即 在南部各州更为明显，那里长期存在无法照顾少数族裔的问题 由于安全网保健机构资金不足和公然的系统性种族主义，造成了对人口的歧视。因此，要 降低这些人感染新冠肺炎的发病率和死亡率的差异，我们 需要共同努力解决增加少数族裔和青少年死于新冠肺炎风险的不平等问题 没有得到充分服务的人口，这也是疫苗接种率下降的原因之一。 虽然少数民族和农村社区存在着对政府运营的医疗保健计划的不信任问题 并在一定程度上导致少数族裔人群接受新冠肺炎疫苗接种的减少 更大的问题与错误信息有关，这导致34%的黑人选择“观望” 这种方法，特别是在较年轻的个人中，在他们的社区传播疾病。因此，必须有 一种协调一致、多管齐下、自下而上的方法，涉及具有社区历史的各种利益相关者 在这些人群中的参与，并已经获得了可信度。在这里，我们提出这样一种 计划，WeCare项目由不同利益相关者组成的相互交织的网络组成，例如 社区领袖、医疗保健提供者和公民组织将在各个战线上共同努力 解决导致这种新冠肺炎疫苗接种犹豫不决的障碍。在塔斯基吉大学的领导下，这 该项目的重点是提供道德上合理的、文化上合适的、基于证据的关于 向高危少数民族和服务不足的农村人口提供新冠肺炎疫苗。目标是获得与以下内容相关的数据 新冠肺炎接种面临的独特且往往未被点名的障碍，许多人只会与 在新冠肺炎疫情之前赢得了他们的信任，并利用这种合作伙伴关系克服这些障碍， 从而导致这些高危社区增加接种疫苗。

PROJECT SUMMARY/ABSTRACT The COVID-19 pandemic has disproportionately affected minority and underserved communities thus highlighting the need for innovative approaches to address the impact this disease has had on our most vulnerable populations. According to the CDC, Blacks are 3X more likely to die from Covid-19 infection and 4X more likely to be hospitalized, than their white counterparts. In Alabama, Black people have died at 1.5 times the rate of white people, with higher rates found in rural areas, which often lack healthcare infrastructure. Unfortunately, the disparity that exist with regard to the morbidity and mortality associated with Covid-19 infection, has carried over to decreased Covid-19 vaccination rates in minority populations, which is more pronounced in southern states, where there is long-standing issues of lack of access to care for minority populations, due to underfunding of safety-net healthcare institutions and frank systemic racism. Thus, to decrease the disparity in morbidity and mortality from COVID-19 infection experienced by these individuals, we need to work together to address the inequities that increase the risk of death from COVID-19 for minority and underserved populations and that contribute to their decreased vaccination rates. While issues of mistrust of government-run healthcare programs exist in minority and rural communities and has contributed to some degree to decreased uptake of Covid-19 vaccination in minority populations, a larger issue is related to misinformation which has contributed to 34% of Blacks opting for the “wait and see” approach, especially in younger individuals spread the disease in their communities. Therefore, there must be a concerted, multi-prong bottom-up approach involving various stakeholders that have a history of community engagement in these populations and has already garnered trustworthiness. Here we propose such a program, the WeCARE project, which consist of an intertwined network of various stakeholders such as community leaders, healthcare providers, and civic organizations, that will work together on various fronts to address the barriers contributing to this Covid-19 vaccination hesitancy. Led by Tuskegee University, this project is focused on providing ethically-sound, culturally-appropriate, evidence-based information on the Covid-19 vaccines to at-risk minority and underserved rural populations. The goal is to obtain data related to the unique and often unnamed barriers to Covid-19 vaccination, that many will only share with entities that have earned their trust prior to the Covid-19 pandemic, and use this partnership to overcome those barriers, thus resulting in increased uptake of vaccination in these at-risk communities.