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高接种率和系列完成度:以社区为基础为有限英语水平的拉丁裔接种 COVID-19 疫苗。

High Uptake and Series Completion of COVID-19 Vaccine at Community-Based Vaccination for Latinos With Limited English Proficiency.

机构信息

Department of Medicine (Messrs Bigelow and Saxton, Dr Page, and Ms Flores-Miller) Emergency Medicine (Dr Martinez), Johns Hopkins University School of Medicine, Baltimore, Maryland; School of Industrial Engineering, Pontíficia Universidad Católica de Valparaíso, Valparaíso, Chile (Dr Martínez); Johns Hopkins Whiting School of Engineering, Baltimore, Maryland (Mr Shin and Ms Parent); Esperanza Center, Baltimore, Maryland (Mss Williams and Phillips); and Department of Health Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland (Dr Yang).

出版信息

J Public Health Manag Pract. 2022;28(6):E789-E794. doi: 10.1097/PHH.0000000000001625. Epub 2022 Sep 5.

Abstract

BACKGROUND

Despite the disproportionate impact of COVID-19 on Latinos, there were disparities in vaccination, especially during the early phase of COVID-19 immunization rollout.

METHODS

Leveraging a community-academic partnership established to expand access to SARS-CoV2 testing, we implemented community vaccination clinics with multifaceted outreach strategies and flexible appointments for limited English proficiency Latinos.

RESULTS

Between February 26 and May 7 2021, 2250 individuals received the first dose of COVID-19 vaccination during 18 free community events. Among them, 92.4% (95% confidence interval [CI], 91.2%-93.4%) self-identified as Hispanic, 88.7% (95% CI, 87.2%-89.9%) were limited English proficiency Spanish speakers, 23.1% (95% CI, 20.9%-25.2%) reported prior COVID-19 infection, 19.4% (95% CI, 16.9%-22.25%) had a body mass index of more than 35, 35.0% (95% CI, 32.2%-37.8%) had cardiovascular disease, and 21.6% (95% CI, 19.2%-24.0%) had diabetes. The timely second-dose completion rate was high (98.7%; 95% CI, 97.6%-99.2%) and did not vary by outreach method.

CONCLUSION

A free community-based vaccination initiative expanded access for Latinos with limited English proficiency at high risk for COVID-19 during the early phase of the immunization program in the US.

摘要

背景

尽管 COVID-19 对拉丁裔人群的影响不成比例,但在疫苗接种方面仍存在差异,尤其是在 COVID-19 免疫接种计划的早期阶段。

方法

利用为扩大 SARS-CoV2 检测而建立的社区学术合作伙伴关系,我们实施了社区疫苗接种诊所,采用了多方面的外展策略,并为英语水平有限的拉丁裔人群提供灵活的预约服务。

结果

在 2021 年 2 月 26 日至 5 月 7 日期间,在 18 次免费社区活动中,共有 2250 人接受了第一剂 COVID-19 疫苗接种。其中,92.4%(95%置信区间[CI],91.2%-93.4%)自认为是西班牙裔,88.7%(95% CI,87.2%-89.9%)是英语水平有限的西班牙语使用者,23.1%(95% CI,20.9%-25.2%)报告曾感染过 COVID-19,19.4%(95% CI,16.9%-22.25%)的体重指数超过 35,35.0%(95% CI,32.2%-37.8%)患有心血管疾病,21.6%(95% CI,19.2%-24.0%)患有糖尿病。及时完成第二剂疫苗接种的比例很高(98.7%;95% CI,97.6%-99.2%),且不同的外展方法之间没有差异。

结论

在美国免疫计划的早期阶段,一项免费的社区疫苗接种计划为英语水平有限且感染 COVID-19 风险较高的拉丁裔人群扩大了接种机会。

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