Williams LaKeisha, Craig Leslie S, Peacock Erin, Fields Tynesia, Al-Dahir Sara, Hawkins Frances, Gillard Christopher, Singleton Brittany, Theall Katherine, Wilson Michelle, D'Amour Gene, Vu Mai, Sylvain Christopher, Franklin Lishunda, Caldwell Kathryn, Krousel-Wood Marie, Sarpong Daniel
RCMI Center for Cancer and Health Disparities, Center for Minority Health and Health Disparities Research and Education, College of Pharmacy, Xavier University of Louisiana, New Orleans, LA 70125, USA.
School of Medicine, Tulane University, New Orleans, LA 70112, USA.
Int J Environ Res Public Health. 2024 Dec 31;22(1):48. doi: 10.3390/ijerph22010048.
Given the increasing integration of trusted leaders in public health science, including vaccination programs, context-specific understandings of community perceptions and levels of trust are critical to intervention. This study aimed to understand the perspectives and attitudes of the southeastern Louisiana community and inform the development of a community-engaged action plan. A cross-sectional survey of 555 southeastern Louisianans-including faith-based organization (FBO) members, community pharmacy (CommRx) customers, community-based organization (CBO) contacts, and Louisiana community-dwelling residents-was conducted from November 2020 to March 2021. Multivariable logistic regression was used to explore factors associated with COVID-19 vaccination likelihood. Of the participants, 89.9% were Black and 56.9% were women (mean age = 53.3 years). Doctors/healthcare providers (HCPs) were the most trusted COVID-19 information sources. Vaccination likelihood was associated with increasing age (odds ratio (OR) = 1.47; 95% confidence interval (CI): 1.27-1.72), trust in doctors/HCPs (OR = 2.83; 95% CI: 1.64-4.88), trust in government (OR = 4.26; 95% CI: 2.44-7.43), and motivations to keep one's community safe (OR = 1.52; 95% CI: 1.36-1.70). CommRx customers (OR = 1.93; 95% CI: 1.02-3.65) and CBO contacts (OR = 2.57; 95% CI: 1.37-4.83) were more likely to receive a COVID-19 vaccine than FBO members. Engaging underserved communities and trusted stakeholders through collaborative Community-Academic-Public health-Practice (CAPP) partnerships such as the Louisiana Community Engagement Alliance can promote health and wellness and optimize health interventions.
鉴于包括疫苗接种计划在内的值得信赖的领导者在公共卫生科学中的参与日益增加，针对社区认知和信任水平的具体情境理解对于干预措施至关重要。本研究旨在了解路易斯安那州东南部社区的观点和态度，并为制定社区参与行动计划提供信息。2020年11月至2021年3月，对555名路易斯安那州东南部居民进行了横断面调查，这些居民包括基于信仰的组织（FBO）成员、社区药房（CommRx）顾客、社区组织（CBO）联系人以及路易斯安那州社区居民。采用多变量逻辑回归分析来探究与新冠病毒疫苗接种可能性相关的因素。在参与者中，89.9%为黑人，56.9%为女性（平均年龄 = 53.3岁）。医生/医疗保健提供者（HCPs）是最受信任的新冠病毒信息来源。疫苗接种可能性与年龄增长（优势比（OR） = 1.47；95%置信区间（CI）：1.27 - 1.72）、对医生/HCPs的信任（OR = 2.83；95% CI：1.64 - 4.88）、对政府的信任（OR = 4.26；95% CI：2.44 - 7.43）以及保障社区安全的动机（OR = 1.52；95% CI：1.36 - 1.70）相关。CommRx顾客（OR = 1.93；95% CI：1.02 - 3.65）和CBO联系人（OR = 2.57；95% CI：1.37 - 4.83）比FBO成员更有可能接种新冠病毒疫苗。通过诸如路易斯安那州社区参与联盟这样的社区 - 学术 - 公共卫生 - 实践（CAPP）合作伙伴关系，让服务不足的社区和值得信赖的利益相关者参与进来，可以促进健康和福祉，并优化健康干预措施。
