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Published on: April 9, 2021
COVID-19 Information, Trust, and Risk Perception Across Diverse Communities in the United States: Initial Findings
Rebekah J Walker1, Elizabeth Eisenhauer1, Erika L Thompson1
1Rebekah J. Walker is with the Division of General Internal Medicine, Department of Medicine, Medical College of Wisconsin, Milwaukee. Elizabeth Eisenhauer is with Westat, Rockville, MD. Erika L. Thompson is with the Department of Biostatistics and Epidemiology, School of Public Health, University of North Texas Health Science Center, Fort Worth. Robin Butler is with the School of Community Health and Policy, Morgan State University, Baltimore, MD. Nicholas Metheny is with the School of Nursing and Health Studies, University of Miami, Coral Gables, FL. Cristina S. Barroso is with the College of Nursing, University of Tennessee, Knoxville. Miguel Marino is with the Department of Family Medicine, Oregon Health & Science University, Portland.
Abstract:
Objectives. To provide initial findings from Community Engagement Alliance (CEAL), a multistate effort funded by the National Institutes of Health, to conduct urgent community-engaged research and outreach focused on COVID-19 awareness, education, and evidence-based response. Methods. We collected survey data (November 2020-November 2022) from 21 CEAL teams from 29 state and regional CEAL sites spanning 19 US states, the District of Columbia, and Puerto Rico, which covered priority populations served and trusted sources of information about COVID-19, including prevention behaviors, vaccination, and clinical trials. Results. A disproportionate number of respondents were Latino (45%) or Black (40%). There was considerable variability between CEAL sites regarding trusted sources of information, COVID-19 prevention, and COVID-19 vaccination. For example, more respondents (70%) reported health care providers as a trusted source of COVID-19 information than any other source (ranging from 6% to 87% by site). Conclusions. CEAL rapidly developed novel infrastructure to engage academic, public health, and community organizations to address COVID-19's impacts on underserved communities. CEAL provides an example of how to respond in future public health emergencies to quickly promote trustworthy, evidence-based information in ways that advance health equity. (Am J Public Health. 2024;114(S1):S112-S123. https://doi.org/10.2105/AJPH.2023.307504).
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