Evaluation of the COVID-19 Vaccination Campaign ¡Ándale! ¿Qué Esperas? in Latinx Communities in California, June 2021-May 2022.

IF 3 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Public Health Reports Pub Date : 2024-07-01 Epub Date: 2023-11-13 DOI:10.1177/00333549231204043

Saira Nawaz, Kyle J Moon, Francis Anagbonu, Anne Trinh, Lizette Escobedo, Gloria Itzel Montiel

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引用次数: 0

Abstract

Objectives: The 12-month vaccination campaign ¡Ándale! ¿Qué Esperas? was launched to increase COVID-19 vaccination rates in Latinx populations in California by expanding community outreach. The objectives of this evaluation were to (1) determine predictors of vaccination rates and (2) identify barriers to vaccination and potential solutions.

Methods: Five community partners in California serving Latinx populations with high social vulnerability participated in the ¡Ándale! ¿Qué Esperas? campaign. Community health workers were hired to deliver outreach (virtual, one-on-one, group based, and information dissemination), vaccinations, and supportive services. We collected data on outreach strategy used (method and location), number of vaccinations provided and reasons for delay, and number of times that supportive services were provided. We used regression models to assess significant predictors of vaccinations and supportive services.

Results: Community health workers (N = 146) hired from June 1, 2021, through May 31, 2022, performed outreach engagements (n = 6297) and supportive services (n = 313 796), resulting in 130 413 vaccinations and 28 660 vaccine appointments. The number of vaccinations administered was significantly higher at events in which supportive services were provided versus not provided (coefficient = 34.02; 95% CI, 3.34-64.68; P = .03). The odds ratio of supportive services was 3.67 (95% CI, 1.76-7.55) during virtual outreach and 2.95 (95% CI, 2.37-3.69) during one-on-one outreach (P < .001 for both) as compared with information dissemination encounters. Vaccination concerns were reported among 55.0% of vaccinated survey respondents (67.7%, vaccine confidence; 51.7%, access).

Conclusions: Supportive services facilitate vaccinations, ease transportation and time barriers, and instill confidence among working-class racial and ethnic minority populations.

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COVID-19疫苗接种运动评价“Ándale!”还有什麽Esperas吗?在加州拉丁裔社区，2021年6月至2022年5月。

目的:为期12个月的疫苗接种运动Ándale!还有什麽Esperas吗?旨在通过扩大社区外展，提高加州拉丁裔人口的COVID-19疫苗接种率。本次评估的目的是:(1)确定疫苗接种率的预测因素;(2)确定疫苗接种的障碍和潜在的解决方案。方法:加州的五个社区合作伙伴为拉丁裔高社会脆弱性人群提供服务，参与了“Ándale!还有什麽Esperas吗?运动。聘请社区卫生工作者提供外展服务(虚拟、一对一、以小组为基础和信息传播)、疫苗接种和支持性服务。我们收集了使用的外展策略(方法和地点)、提供的疫苗接种次数和延迟的原因以及提供支持性服务的次数的数据。我们使用回归模型来评估疫苗接种和支持服务的重要预测因素。结果:从2021年6月1日到2022年5月31日，聘用的社区卫生工作者(N = 146)进行了外展活动(N = 6297)和支持服务(N = 313796)，导致130 413次疫苗接种和28 660次疫苗预约。在提供支持服务的事件中，接种疫苗的数量明显高于未提供支持服务的事件(系数= 34.02;95% ci, 3.34-64.68;P = .03)。与信息传播接触相比，虚拟外展期间支持服务的优势比为3.67 (95% CI, 1.76-7.55)，一对一外展期间支持服务的优势比为2.95 (95% CI, 2.37-3.69)(两者P < 0.001)。接种疫苗的受访者中有55.0%报告了疫苗接种问题(67.7%，疫苗信心;51.7%,访问)。结论:支持性服务促进了疫苗接种，缓解了交通和时间障碍，并在工薪阶层种族和少数民族人群中树立了信心。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Public Health Reports 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.00

自引率

6.10%

发文量

164

审稿时长

6-12 weeks

期刊介绍： Public Health Reports is the official journal of the Office of the U.S. Surgeon General and the U.S. Public Health Service and has been published since 1878. It is published bimonthly, plus supplement issues, through an official agreement with the Association of Schools and Programs of Public Health. The journal is peer-reviewed and publishes original research and commentaries in the areas of public health practice and methodology, original research, public health law, and public health schools and teaching. Issues contain regular commentaries by the U.S. Surgeon General and executives of the U.S. Department of Health and Human Services and the Office of the Assistant Secretary of Health. The journal focuses upon such topics as tobacco control, teenage violence, occupational disease and injury, immunization, drug policy, lead screening, health disparities, and many other key and emerging public health issues. In addition to the six regular issues, PHR produces supplemental issues approximately 2-5 times per year which focus on specific topics that are of particular interest to our readership. The journal''s contributors are on the front line of public health and they present their work in a readable and accessible format.

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