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流行病学情报界网络干预:针对 COVID-19 社区传播的社区应对措施。

Epidemiological intelligence community network intervention: a community response for COVID-19 community transmission.

机构信息

Public Health Program, Ponce Health Sciences University, Ponce, PR, Puerto Rico.

Ponce Research Institute, Ponce Health Sciences University, Ponce, PR, Puerto Rico.

出版信息

BMC Public Health. 2023 Jun 1;23(1):1044. doi: 10.1186/s12889-023-15727-3.

Abstract

BACKGROUND

Expanding and providing access to early detection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) through testing community-based strategies among socially vulnerable communities (SVC) are critical to reducing health disparities. The Epidemiological Intelligence Community Network (EpI-Net) community-based intervention sought to increase coronavirus 2019 (COVID-19) testing uptake and prevention practices among SVC in Puerto Rico (PR). We evaluated EpI-Net's community leaders' capacity-building component by assessing pre-post COVID-19 public health workshops' tests' score changes and satisfaction among trained community leaders.

METHODS

A total of 24 community leaders from SVC in PR have completed four community workshops. Pre- and post-assessments were completed as part of the health promotors training program to evaluate participants' tests score changes and satisfaction outcomes.

RESULTS

Preliminary results showed: (1) high intervention retention levels of community leaders (85.7% acceptance rate); (2) change in post-test scores for community engagement strategies (p = 0.012); (3) change in post-test educational scores in COVID-19 prevention practices (p = 0.014); and (4) a change in scores in public health emergency management strategies (p < 0.001).

CONCLUSIONS

The overall workshop satisfaction was 99.6%. Community leaders have shown the importance of community capacity building as a key component for intervention feasibility and impact.

TRIAL REGISTRATION

Our study was retrospectively registered under the ClinicalTrial.gov ID NCT04910542.

摘要

背景

通过在社会弱势群体(SVC)中扩大并提供对严重急性呼吸综合征冠状病毒 2 (SARS-CoV-2)的早期检测的社区为基础的策略,对于减少健康差距至关重要。流行病学智能社区网络(EpI-Net)以社区为基础的干预措施旨在提高波多黎各(PR)SVC 对 2019 年冠状病毒病(COVID-19)的检测率和预防措施。我们通过评估接受过培训的社区领导人的 COVID-19 公共卫生研讨会的测试分数变化和满意度,来评估 EpI-Net 的社区领导人能力建设部分。

方法

来自波多黎各 SVC 的 24 位社区领导人完成了四个社区研讨会。预评估和后评估是作为健康促进者培训计划的一部分完成的,以评估参与者的测试分数变化和满意度结果。

结果

初步结果显示:(1)社区领导人的干预保留率高(接受率为 85.7%);(2)社区参与策略的后测分数变化(p=0.012);(3)COVID-19 预防措施的后测教育分数变化(p=0.014);和(4)公共卫生应急管理策略的分数变化(p<0.001)。

结论

总体研讨会满意度为 99.6%。社区领导人已经证明了社区能力建设作为干预可行性和影响的关键组成部分的重要性。

试验注册

我们的研究在 ClinicalTrial.gov 注册号 NCT04910542 下进行了回顾性注册。

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Social vulnerability and COVID-19: An analysis of CDC data.
Prog Cardiovasc Dis. 2022 Jul-Aug;73:91-93. doi: 10.1016/j.pcad.2021.09.006. Epub 2021 Sep 22.
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Risk for COVID-19 infection and death among Latinos in the United States: examining heterogeneity in transmission dynamics.
Ann Epidemiol. 2020 Dec;52:46-53.e2. doi: 10.1016/j.annepidem.2020.07.007. Epub 2020 Jul 23.
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The Impact of Social Vulnerability on COVID-19 in the U.S.: An Analysis of Spatially Varying Relationships.
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