慢性病、COVID-19疫苗接种以及加利福尼亚州圣地亚哥西班牙裔/拉丁裔社区之间的机构信任

IF 4.3 2区医学 Q1 MEDICINE, GENERAL & INTERNAL

Preventive medicine Pub Date : 2025-02-03 DOI:10.1016/j.ypmed.2025.108240

Samantha Streuli , Argentina E. Servin , Linda Salgin , Fatima A. Muñoz , Davey M. Smith , Jamila K. Stockman , Sophie E. O'Bryan , Daniel Ramirez , Cynthia James-Price , Britt Skaathun

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引用次数: 0

摘要

西班牙裔/拉丁裔人口受到2019冠状病毒病大流行的影响尤为严重。这些人群也更有可能患有慢性病，使他们面临COVID-19严重后果的更高风险。疫苗接种对于降低COVID-19严重后果的风险很重要，但由于在医疗保健和社区撤资方面的歧视经历导致的机构信任，西班牙裔/拉丁裔人群可能不太可能接种疫苗。项目二维达!是一项随机临床试验，旨在响应在加利福尼亚州圣地亚哥这些人群中增加信任和疫苗获取的需求。分析2维达!数据，这篇文章试图更好地理解慢性健康状况，机构信任和疫苗接种行为之间的关系，主要是在圣地亚哥的西班牙裔/拉丁裔样本。方法：我们对2021年7月至2023年6月期间收集的基线调查数据进行了二次分析。我们使用有序逻辑回归来了解慢性疾病、机构信任和参与者之间的疫苗接种之间的关系。结果我们的研究结果表明，年龄在36岁以上的参与者、女性、对医疗保健和健康信息表示更高机构信任的人、以及患有一种或多种慢性疾病的人接受更多疫苗接种的几率更高。用西班牙语接受调查的参与者接种疫苗的几率较低（与英语相比）。结论研究结果表明，对老年西班牙裔/拉丁裔慢性疾病人群接种疫苗重要性的广泛宣传可能支持了疫苗接种。需要有针对性的信息传递和以社区为基础的方法，以建立信任，打击错误信息，并增加年轻人和西班牙语使用者的疫苗接种率。

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Chronic conditions, COVID-19 vaccination, and institutional trust among Hispanic/Latinx communities in San Diego, California

Background

Hispanic/Latinx populations have been disproportionately impacted by the COVID-19 pandemic. These populations are also more likely to have chronic conditions, putting them at higher risk of severe COVID-19 outcomes. Vaccination is important to reduce the risk of severe COVID-19 outcomes, but Hispanic/Latinx populations may be less likely to vaccinate due to institutional trust related to experiences of discrimination in healthcare and community disinvestment. Project 2VIDA! is a randomized clinical trial developed to respond to the need for increased trust and vaccine access among these populations in San Diego, California. Analyzing 2VIDA! data, this article seeks to better understand the relationship between chronic health conditions, institutional trust, and vaccination behaviors among a predominantly Hispanic/Latinx sample in San Diego.

Methods

We conducted a secondary analysis of baseline survey data collected from July 2021–June 2023 during 2VIDA! We used ordered logistic regression to understand the relationship between chronic conditions, institutional trust, and vaccination among participants.

Results

Our findings show that participants aged 36 or older, women, those who indicated higher institutional trust in healthcare and health information, and those with one or more chronic conditions had higher odds of receiving more vaccinations. Participants who took the survey in Spanish had lower odds of vaccination (compared to English).

Conclusions

Our findings suggest that widespread communication on the importance of vaccination for older Hispanic/Latinx populations with chronic conditions may have supported vaccination uptake. Targeted messaging and community-based approaches to build trust, combat misinformation, and increase vaccination uptake among younger individuals and Spanish-speakers are needed.

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来源期刊

Preventive medicine 医学-公共卫生、环境卫生与职业卫生

CiteScore

7.70

自引率

3.90%

发文量

审稿时长

42 days

期刊介绍： Founded in 1972 by Ernst Wynder, Preventive Medicine is an international scholarly journal that provides prompt publication of original articles on the science and practice of disease prevention, health promotion, and public health policymaking. Preventive Medicine aims to reward innovation. It will favor insightful observational studies, thoughtful explorations of health data, unsuspected new angles for existing hypotheses, robust randomized controlled trials, and impartial systematic reviews. Preventive Medicine''s ultimate goal is to publish research that will have an impact on the work of practitioners of disease prevention and health promotion, as well as of related disciplines.