少数民族低收入社区的社区保健员客户作为研究参与者的可行性

IF 2 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Iyabo Obasanjo, Shanteny Jackson, Stephanie Carrington, Somasheker Akkaladevi
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引用次数: 0

摘要

作为 COVID-19 大流行应对措施的一部分,为社区保健员 (CHW) 的聘用和培训提供了更多的资金,以提高他们在减轻健康的负面社会决定因素对最弱势个人和社区生活的影响方面的作用。在弱势人群中加强使用社区保健工作者也可用于改善这些人群的应用研究,以研究如何改善低收入少数民族人群的健康状况。我们利用州 CHW 协会作为合作伙伴,开展了一项可行性研究,以接触到为低收入少数民族人口工作的 CHW。我们对 CHW 的三百零三(303)名客户进行了访谈,了解他们的各种人口统计、健康获取和就业信息,并使用单变量和多变量分析来确定未接种 COVID-19 疫苗的相关因素,使用卡方来确定就业是否与拥有健康保险相关。约有一半的客户自我认同为黑人/非洲裔美国人,一半为西班牙裔美国人。三分之二是女性,52.1%失业,55.1%没有医疗保险。就业状况与是否拥有医疗保险之间没有关联。大多数人(71.6%)接种过一剂 COVID-19 疫苗,年轻和非裔美国人与没有接种过一剂 COVID-19 疫苗、失业和没有医疗保险有关。大多数客户都是为了五个健康的社会决定因素 (SDOH) 中的健康/保健问题来找 CHW 的。客户提供了 38 个不同的工作岗位,工作岗位主要是蓝领工作以及健康和个人护理方面的工作。我们的研究结果表明,社区保健工作者能够接触到最易受伤害的人群,他们的医疗服务有限且失业率高,社区保健工作者可以有效地与低收入少数民族人群建立联系,开展应用研究。我们的分析发现,在这些低收入人群中,年轻、非裔美国人、失业和没有医疗保险都与没有接种 COVID-19 疫苗有关,而就业与拥有医疗保险无关。我们的研究表明,与社区保健工作者合作,将他们的客户作为研究对象,可以阐明有关该人群的新信息,这些信息可用于公共卫生计划的制定。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Feasibility of Clients of Community Health Workers from Minority Low-Income Communities as Research Participants

The increased funding provided for Community Health Worker (CHW) hiring and training as part of the COVID-19 pandemic response was to increase their impact in alleviating the effects of negative social determinants of health in the lives of the most vulnerable individuals and communities. This enhanced use of CHW in vulnerable populations can also be used to improve access to such populations for applied research to study ways to improve health outcomes for low-income minority populations. We carried out a feasibility study using the State CHW association as partners to reach CHWs working with low-income minority population. Three hundred and three (303) clients of CHWs were interviewed on various demographic, health access, and employment information and both univariate and multivariate analyses was used to determine factors associated with being unvaccinated against COVID-19 and chi-squared used to determine if employment was associated with having health insurance. About half of the clients self-identified as Black/African American and half as Hispanic. Two-thirds were women and 52.1% were unemployed and 55.1% had no health insurance. There was no association between employment status and having health insurance. Majority (71.6%) had received one dose of a type of COVID-19 vaccine and being younger and being African American were associated with not getting a dose of COVID-19 vaccine, as well as being unemployed and not having health insurance. Most of the clients came to see the CHW about a Health/Healthcare issue of the five social determinants of health (SDOH). There were 38 different job titles provided by the clients and the job titles were mainly blue collar jobs and jobs in health and personal care. Our results indicate that CHWs reach the most vulnerable population who have limited health access and high unemployment and that CHWs can effectively be used for linkage to low-income minority population for applied research. Our analyses found that in this low-income population, being younger, being African American, being unemployed, and not having health insurance are each associated with not getting vaccinated against COVID-19, and employment is not associated with having health insurance. We have shown that partnership with CHWs to access their clients as research subjects leads to elucidating new information on the population that can be used in addressing public health programming.

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来源期刊
CiteScore
4.50
自引率
8.30%
发文量
423
期刊介绍: Health and Social Care in the community is an essential journal for anyone involved in nursing, social work, physiotherapy, occupational therapy, general practice, health psychology, health economy, primary health care and the promotion of health. It is an international peer-reviewed journal supporting interdisciplinary collaboration on policy and practice within health and social care in the community. The journal publishes: - Original research papers in all areas of health and social care - Topical health and social care review articles - Policy and practice evaluations - Book reviews - Special issues
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