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影响两个农村农业社区中美洲原住民和拉丁裔进行 COVID-19 检测的因素:一项定性研究。

Factors influencing COVID-19 testing among Native Americans and Latinos in two rural agricultural communities: a qualitative study.

机构信息

Institute of Translational Health Sciences, University of Washington, Seattle, WA, United States.

Center for American Indian and Rural Health Equity, Montana State University, Bozeman, MT, United States.

出版信息

Front Public Health. 2023 Sep 14;11:1220052. doi: 10.3389/fpubh.2023.1220052. eCollection 2023.

Abstract

OBJECTIVE

To examine factors influencing decisions to test for COVID-19 among Native Americans on the Flathead Reservation in Montana and the Latino community in the Yakima Valley of Washington state.

METHODS

We conducted 30 key informant interviews with community leaders and six focus groups with community members to examine factors impacting decisions to test for COVID-19 during the second year of the COVID-19 pandemic from May 2021 to June 2021.

RESULTS

Three major themes that impacted testing for COVID-19 were identified: (1) Social factors, including the influence of families and friends and employment practices; (2) health factors, including testing procedures, home-based testing, and health communication; and (3) contextual factors, including distrust for government and medical communities and the impact on cultural practices and celebrations.

CONCLUSIONS

Social, health, and contextual factors influence the decision to test for COVID-19. Understanding the community's perception is critical for successful implementation of preventive strategies.

摘要

目的

研究影响蒙大拿州弗拉特黑德保留地的美洲原住民和华盛顿州雅基马谷的拉丁裔社区进行 COVID-19 检测决定的因素。

方法

我们对社区领导进行了 30 次关键知情人访谈,并对社区成员进行了 6 次焦点小组讨论,以从 2021 年 5 月至 2021 年 6 月的 COVID-19 大流行第二年期间检查影响 COVID-19 检测决定的因素。

结果

确定了影响 COVID-19 检测的三个主要主题:(1)社会因素,包括家庭和朋友的影响以及就业做法;(2)健康因素,包括测试程序、家庭测试和健康沟通;(3)背景因素,包括对政府和医疗社区的不信任以及对文化习俗和庆祝活动的影响。

结论

社会、健康和背景因素影响 COVID-19 的检测决定。了解社区的看法对于成功实施预防策略至关重要。

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