Community-Defined Measures to Bridge Health Equity Gaps for COVID-19: Small Town and Rural Needs

项目摘要/摘要 这项建议回应了食品和药物管理局希望增进对新冠肺炎和 为种族和少数民族提供长期的COVID或COVID后的条件，并促进 了解如何减少新冠肺炎虚假信息和虚假信息(RFA- FD-23-009)..该社区参与研究(CENR)项目调查正在进行的COVID- 与健康公平和可获得性相关的19条经验(包括新冠肺炎和长CoVID) 障碍，针对非洲裔美国人/黑人、西班牙裔/拉丁裔和其他多元文化群体 马里兰州南部查尔斯县和圣玛丽县的农村/小镇。解决健康问题 公平对待多样化的新冠肺炎相关体验和急性后护理需求，以及CoVID- 19项研究和临床试验的参与，将需要持续不断的活动 由社区指导的关于障碍和双向参与的研究提供信息。活动的和 还需要与历史上代表性不足的社区建立真正的伙伴关系 消除障碍，并提出可采取行动的项目，以减少错误/虚假信息的传播。 此外，在Cenr，纳入了农村/小岛屿发展中国家目前与新冠肺炎有关的经验 城镇社区，再加上需要减少周围的误导和虚假信息 突发公共卫生事件，可以为解决不同少数民族的健康公平做出巨大贡献 社区。我们提交了《社区定义的弥合卫生公平差距的措施》 《新冠肺炎：小城镇和农村需求》实现以下目标：目标1：划定 哪些与新冠肺炎相关的因素影响农村/小城镇黑人/非洲人的健康公平 马里兰州南部的美国人和西班牙裔/拉丁裔居民。目标2：共同设计健康公平 指导中心伙伴关系识别和处理错误/虚假信息的原则 推动包括社区/信仰组织在内的新冠肺炎研究招生。目标3： 共同开发工具包，促进以公平为重点的新冠肺炎临床试验 征聘/留用/执行议定书；应对战略 关于科学/研究的错误信息/虚假信息；以及更多参与的方法 FDA咨询委员会和其他以社区为基础的伙伴关系。

PROJECT SUMMARY/ABSTRACT This proposal responds to the FDA’s desire to advance understanding of COVID-19 and long COVID or post-COVID conditions for racial and ethnic minorities and to advance the understanding of how to mitigate spread of COVID-19 misinformation and disinformation (RFA- FD-23-009).. This Community Engaged Research (CEnR) project investigates ongoing COVID- 19 experiences (including COVID-19 and long COVID), related to health equity and access barriers, for African Americans/Blacks, Hispanics/Latinos, and other multicultural populations in Southern Maryland’s rural/small-towns of Charles and St. Mary’s counties. Addressing health equity in diverse COVID-19-related experiences and post-acute care needs, along with COVID- 19 research and clinical trials participation, will require activities which are continuously informed by community-guided research on barriers and bidirectional engagement. Active and authentic partnerships with historically underrepresented communities are also needed to address barriers, and to propose actionable items to mitigate the spread of mis/disinformation. Moreover, in CEnR, the incorporation of ongoing COVID-19-related experiences of rural/small town communities, coupled with the need for mitigation of mis and disinformation surrounding public health emergencies, can contribute greatly to resolving health equity for diverse minority communities. We submit “Community-defined Measures to Bridge Health Equity Gaps for COVID-19: Small Town and Rural Needs” to achieve the following aims: Aim 1: Delineate which COVID-19-related factors impact health equity for rural/small-town Black/African American and Hispanic/Latino residents in Southern MD. Aim 2: Codesign health equity principles to guide CEnR partnerships to recognize and address mis/disinformation, and to foster COVID-19 research enrollment, including community/faith-based organizations. Aim 3: Codevelop a toolkit to facilitate equity-focused COVID-19 clinical trial recruitment/retention/implementation protocols; strategies to counter misinformation/disinformation about science/research; and methods for greater engagement in FDA Advisory Committees, and other community-based partnerships.