Takagi Maya Asami, Rhodes Simone T, Kim Jun Hwan, King Maxwell, Soukar Stephanie, Martin Chad, Sasaki Cole Angela, Chan Arlene, Brennan Ciara, Zyzanski Stephen, Kissoondial Barry, Ragina Neli
College of Medicine, Central Michigan University, Mount Pleasant, MI 48858, USA.
Department of Internal Medicine, University of California Davis School of Medicine, Sacramento, CA 95817, USA.
Vaccines (Basel). 2024 Jul 17;12(7):787. doi: 10.3390/vaccines12070787.
The COVID-19 pandemic has exacerbated existing healthcare disparities among American Indian/Alaska Native (AI/AN) populations rooted in historical traumas and systemic marginalization.
This study conducted at a single Indian Health Service (IHS) clinic in central Michigan evaluates two educational interventions for enhancing COVID-19 knowledge and attitudes in a sample AI/AN population. Utilizing a pre/post-intervention prospective study design, participants received either a video or infographic educational intervention, followed by a survey assessing their COVID-19 knowledge and attitudes.
The results indicate significant improvements in knowledge and attitudes post-intervention, with both modalities proving effective. However, specific factors such as gender, political affiliation, and place of residence influenced COVID-19 attitudes and knowledge, emphasizing the importance of tailored interventions.
Despite limitations, this study highlights the critical role of educational interventions in addressing vaccine hesitancy and promoting health equity within AI/AN communities. Moving forward, comprehensive strategies involving increased Indian Health Service funding, culturally relevant interventions, and policy advocacy are crucial in mitigating healthcare disparities and promoting health equity within AI/AN communities.
新冠疫情加剧了美国印第安人/阿拉斯加原住民（AI/AN）群体中因历史创伤和系统性边缘化而存在的现有医疗保健差距。
本研究在密歇根州中部的一家印第安卫生服务（IHS）诊所进行，评估了两种教育干预措施，以提高AI/AN样本群体对新冠病毒的认识和态度。采用干预前/后前瞻性研究设计，参与者接受了视频或信息图表教育干预，随后进行了一项调查，评估他们对新冠病毒的认识和态度。
结果表明，干预后知识和态度有显著改善，两种方式都证明是有效的。然而，性别、政治派别和居住地等特定因素影响了对新冠病毒的态度和知识，强调了量身定制干预措施的重要性。
尽管存在局限性，但本研究强调了教育干预在解决AI/AN社区疫苗犹豫问题和促进健康公平方面的关键作用。展望未来，增加印第安卫生服务资金、开展与文化相关的干预措施以及进行政策宣传等综合策略对于减轻AI/AN社区的医疗保健差距和促进健康公平至关重要。
