Herbert Wertheim School of Public Health and Human Longevity Science, University of California San Diego, San Diego, CA; Qualitative Researcher, Center on Gender Equity and Health, School of Medicine, University of California San Diego, San Diego, CA; Scholar (Master Candidate), Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD.
Herbert Wertheim School of Public Health and Human Longevity Science, University of California San Diego, San Diego, CA; Qualitative Researcher, Center on Gender Equity and Health, School of Medicine, University of California San Diego, San Diego, CA; Scholar (Ph.D. Candidate), Joint Doctoral Program in Public Health-Global Health, San Diego State University, San Diego, CA.
J Sch Health. 2023 May;93(5):353-359. doi: 10.1111/josh.13308. Epub 2023 Mar 20.
Case investigation and contact tracing (CI/CT) are important public health tools to interrupt COVID-19 transmission. Our study aims to understand how parents and school staff perceive COVID-19 CI/CT.
Using a mixed methods approach, we distributed a community survey and conducted 15 focus group discussions (FGDs) in English and Spanish between December 2020 and March 2021 with 20 parents and 22 staff from schools in San Diego County ZIP Codes with COVID-19 rates in the top quintile as of August 2020.
One in 4 survey respondents reported that they would be reluctant to participate in CI/CT. FGDs revealed themes of mistrust in government authorities, overburdened institutions, unfamiliarity with CI/CT, and uncertainty about its reliability. School community members emphasized that parents trust schools to be involved in CI/CT efforts, but schools are overwhelmed with this added responsibility.
Investing in schools as community hubs is necessary so they can become important partners in prevention and mitigation in public health.
病例调查和接触者追踪(CI/CT)是阻断 COVID-19 传播的重要公共卫生手段。本研究旨在了解家长和学校工作人员对 COVID-19 CI/CT 的看法。
采用混合方法,我们于 2020 年 12 月至 2021 年 3 月间,在圣地亚哥县 COVID-19 发病率在 2020 年 8 月前处于前五分位数的邮政编码地区的学校,用英文和西班牙语,分发了一份社区调查问卷,并开展了 15 次焦点小组讨论(FGD),参与者包括 20 名家长和 22 名学校工作人员。
每 4 名调查参与者中就有 1 人表示不愿参与 CI/CT。FGD 揭示了对政府当局、机构负担过重、对 CI/CT 不熟悉以及对其可靠性不确定的不信任主题。学校社区成员强调,家长信任学校参与 CI/CT 工作,但学校承担这项额外责任负担过重。
有必要投资于学校作为社区中心,以便它们能够成为公共卫生预防和缓解的重要合作伙伴。