COVID-19测试和疫苗接种的障碍和促进因素:罗德岛拉丁裔/西班牙裔社区的定性焦点小组研究
D Grace Smith1, Yovanska Duarte-Velez2,3, Elizabeth S Chen1,4
1Advance Clinical and Translational Research, Division of Biology and Medicine, Brown University, Providence, RI, United States.
社区卫生领导者和参与式方法是改善拉丁裔/西班牙裔社区COVID-19测试和接种疫苗的关键. 了解个人和社区背景对于公平的流行病准备至关重要.
科学领域:
- 公共卫生 公共卫生
- 实施科学 实施科学
- 健康 公平 卫生 公平
背景情况:
- COVID-19大流行不成比例地影响了拉丁裔/西班牙裔社区,导致更高的传染和较差的结果.
- 由于各种因素,这个社区的测试和疫苗接种率也较低.
研究的目的:
- 确定影响公平获得COVID-19测试和疫苗接种计划的障碍和促进者的障碍.
- 利用实施科学框架来研究罗德岛拉丁裔/西班牙裔社区中的这些问题.
主要方法:
- 采用以社区为中心的方法,赋予促进者 (社区卫生领导人) 权力.
- 与拉丁裔/西班牙裔社区进行了8个重点小组 (n=55).
- 与为这个社区服务的医疗保健专业人员进行了六次采访.
主要成果:
- 社区成员对测试/接种疫苗的决定受到社区,宗教,人际关系和情感背景的影响.
- 信息获取,感知可访问性和代理权是决策的关键因素.
- 临床医生发现了社区成员未提出的结构性障碍.
结论:
- 障碍物和促进者是由当地,社区和个人因素塑造的,强调特定环境的需求.
- 基于社区的参与性方法和社区领导人的参与对于疫情准备至关重要.
- 建立信任,框架消息和有效传播信息需要社区参与.
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