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Community-Engaged Research: COVID-19 Testing, Infection, and Vaccination among Underserved Minority Communities in
Haley R Martin1, David R Brown2, Eileen Fluney3
1Department of Dietetics and Nutrition, Robert Stempel College of Public Health and Social Work, Florida International University, 11200 SW 8th Street, AHC5, Miami, FL 33199, USA.
Vaccines
|February 24, 2024
Summary
Community-engaged research in Miami found that belief in COVID-19 vaccine effectiveness predicted vaccination. Social determinants of health, like access to healthcare and housing, significantly impacted vaccination and testing behaviors in this vulnerable population.
Area of Science:
- Public Health
- Epidemiology
- Community-Engaged Research
Background:
- Community collaboration is vital for public health initiatives.
- Understanding COVID-19 vaccination and testing in minoritized communities is crucial.
Purpose of the Study:
- To explore COVID-19 vaccination, testing, and infection using community-engaged research.
- To identify factors influencing these behaviors in a minoritized community in Miami, Florida.
Main Methods:
- Community-engaged research conducted from March 2021 to February 2022.
- Data collected via self-report and medical records from 1689 participants.
- COVID-19 vaccination verified, testing self-reported, and infection determined by rt-PCR.
Main Results:
- 75.9% of participants received at least one COVID-19 vaccine dose.
- Belief in vaccine effectiveness predicted lower odds of COVID-19 positivity.
- Healthcare access challenges were linked to lower vaccination rates.
Conclusions:
- Belief in vaccine effectiveness and social determinants of health are key predictors of COVID-19 behaviors.
- Public health strategies must address social determinants in vulnerable communities.
- Community-engaged research is effective for understanding and addressing health disparities.

