COVID-19 Effects on the Mental and Physical Health of AAPI Survey Study (COMPASS) II

指南针项目摘要/摘要 新冠肺炎大流行继续对健康、社会和经济造成毁灭性的影响 新冠肺炎对美国的影响加剧了显著的健康差距，社会- 经济不平等和歧视/仇外心理，在此之前和之后都存在 新冠肺炎。新冠肺炎相关政策(例如，就地安置；社会疏远)已经放置 弱势群体，包括种族/族裔少数群体以及低收入者， 英语水平有限，在社会和技术上更加孤立 更糟糕的健康状况和风险。尤其是亚裔美国人和太平洋岛民(AAPI)， 涵盖了上述所有特征。AAPI也经历了显著的健康状况 差距，这种差距可能因新冠肺炎而加剧，以及关于歧视的报告 由于新冠肺炎，AAPI人群中的仇外情绪令人震惊。尤其是更老的AAPI， 中国更有可能受到新冠肺炎政策的不成比例的影响。还有，身体健康的人 认知障碍(即阿尔茨海默病和相关痴呆)等情况 可能忘记采取预防新冠肺炎的措施(例如洗手)。 照顾者的健康也可能受到影响(例如，较少的喘息选择；更多的护理管理 责任；对自我和护理接受者感染的恐惧/焦虑、经济不稳定)。这个 这项研究的目标是，新冠肺炎对老年人身心健康的影响 AAPI调查研究(COMPASS)II，是为了评估新冠肺炎对AAPI的纵向影响 来自Compass I，这是迄今为止最大的新冠肺炎国家AAPI研究(N=5,242)。指南针 利用美国唯一的AAPI注册中心，针对AAPI研究和 在ADRD、老龄化和与照顾者相关的研究方面进行教育(护理)，以实现这一目标。 通过我们强大的学术和社区合作伙伴关系，我们将与 Compass I参与者完成关于以下影响的多语言后续调查 新冠肺炎关于他们的健康，医疗保健获得，照顾，遭受歧视的经历， 就业和收入。我们还将检查新冠肺炎疫苗接种前后的差异 意愿和担忧(FDA批准的疫苗上市前/上市后)，以及是否如此 差异与接种新冠肺炎疫苗有关。指南针参与者 将完成一项关于他们健康(身体、精神和经济)的多语言跟踪调查， 在接受医疗保健和照顾方面的变化，歧视/仇外心理的经历， 还有，生产力。罗盘II既是罗盘I的必要和自然延伸，也是罗盘I的自然延伸 将有助于为未来的政策、计划和其他研究提供信息，这些政策、计划和其他研究可以缓解 新冠肺炎对急性呼吸道感染的不良反应。

Project Abstract/Summary of COMPASS The COVID-19 pandemic has continued to have devastating health, social, and economic implications in the U.S. COVID-19 has intensified the significant health disparities, socio- economic inequalities, and discrimination/xenophobia that exist, both prior to and due to COVID-19. COVID-19 related policies (e.g., shelter-in-place; social distancing) have placed vulnerable populations including racial/ethnic minorities as well as those who are low-income, have limited English proficiency, and are socially and technologically isolated in even more dire situations and risk for poorer health. Asian Americans and Pacific Islanders (AAPI), in particular, encompass all of these aforementioned characteristics. AAPI also experience significant health disparities, which has likely been exacerbated due to COVID-19, and reports of discrimination and xenophobia in the AAPI population due to COVID-19 are alarming. Older AAPI, especially, are more likely to be disproportionately affected by COVID-19 policies. Also, persons with health conditions such as cognitive impairment (i.e., Alzheimer’s disease and related dementias [ADRD]) may forget to perform precautions to prevent COVID-19 (e.g., handwashing). Caregivers’ health may also be affected (e.g., less respite options; more care management responsibilities; fear/anxiety of infection for self and care recipients, economic instability). The goal of this proposed research, COVID-19 Effects on the Mental and Physical Health of AAPI Survey Study (COMPASS) II, is to assess the longitudinal effects of COVID-19 on AAPI from COMPASS I, the largest COVID-19 national study of AAPI to date (N=5,242). COMPASS leveraged the only AAPI registry in the U.S., Collaborative Approach for AAPI Research and Education (CARE) in ADRD, aging and caregiver-related research, to achieve this goal. Through our strong academic-community partnerships, we will conduct a follow-up with COMPASS I participants to complete a multilingual follow-up survey about the impact of COVID-19 on their health, healthcare access, caregiving, experience with discrimination, employment, and income. We will also examine pre- and post-differences in COVID-19 vaccine willingness and concerns (pre-/post-availability of FDA-approved vaccines), and whether such differences are associated with the receipt of the COVID-19 vaccine. COMPASS participants will complete a multilingual follow-up survey about their health (physical, mental and financial), changes in receiving healthcare and in caregiving, experience with discrimination/xenophobia, and, productivity. COMPASS II is both a necessary and natural extension of COMPASS I, and will help to inform future policies, programs and additional research that can alleviate the adverse effects of COVID-19 for AAPI.