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社区参与式研究策略在提高目标社区 COVID-19 疫苗接种率方面的有效性:社区参与联盟(CEAL)区域团队。

Effectiveness of Community-Engaged Research Strategies in Increasing COVID-19 Vaccinations in Targeted Communities: The Community Engagement Alliance (CEAL) Regional Teams.

机构信息

Simani M. Price and Melanie Chansky are with the Public Health Practice at Westat. Robyn Ferg, Elizabeth Eisenhauer, and Jean Opsomer are with the Statistics and Data Science Center at Westat.

出版信息

Am J Public Health. 2024 Jan;114(S1):S124-S127. doi: 10.2105/AJPH.2023.307517.

Abstract

To explore a key outcome of interest for the Community Engagement Alliance (CEAL) Regional Teams by examining COVID-19 vaccinations over time in US counties where CEAL teams operated and comparing them to demographically similar counties in the same state. Our evaluation used a nonequivalent control group design. Each county where a CEAL team operated was matched to a unique non-CEAL county in the same state. Components of the Centers for Disease Control and Prevention's Social Vulnerability Index were used as the matching criteria. COVID-19 vaccinations (county-level percentage of residents aged 18 years or older who are fully vaccinated) for CEAL and matched counties were analyzed over time. The mean percentage of vaccinated adults was significantly higher in CEAL counties than in matched non-CEAL counties. Sensitivity analyses confirmed conclusions did not change depending on the CEAL cohort or closeness of matches. Our findings support CEAL team efforts to increase COVID-19 vaccinations in target communities and employ community-engaged research more broadly within public health contexts. (. 2024;114(S1):S124-S127. https://doi.org/10.2105/AJPH.2023.307517).

摘要

为了通过考察美国社区参与联盟(CEAL)区域团队运营所在县的 COVID-19 疫苗接种情况并将其与同一州具有相似人口特征的县进行比较,来探索社区参与联盟区域团队的一个关键关注结果。我们的评估采用了非等效对照组设计。CEAL 团队运营的每个县都与同一州的一个独特的非 CEAL 县相匹配。疾病控制与预防中心的社会脆弱性指数的组成部分被用作匹配标准。对 CEAL 和匹配县的 COVID-19 疫苗接种情况(按县计算的 18 岁或以上完全接种疫苗的居民比例)进行了随时间的分析。CEAL 县的完全接种疫苗的成年人比例明显高于匹配的非 CEAL 县。敏感性分析证实,结论不会因 CEAL 队列或匹配的接近程度而改变。我们的研究结果支持 CEAL 团队在目标社区增加 COVID-19 疫苗接种的努力,并在更广泛的公共卫生背景下采用社区参与研究。(2024;114(S1):S124-S127。https://doi.org/10.2105/AJPH.2023.307517)。

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