色情视频

For those looking to halt the spread of COVID-19 at a community level, the first rule may be this:

鈥淵ou can鈥檛 just talk about COVID,鈥� said Elisa Sobo, chair and professor of anthropology at 色情视频.

Sobo and Noe Crespo of the School of Public Health were co-principal investigators on the 色情视频 team that contributed to , 鈥淐arrying Equity in COVID-19 Vaccination Forward: Guidance Informed by Communities of Color.鈥� Released today, it outlines strategies to ensure a more equitable, community-based rollout of life-saving vaccines.

In San Diego County鈥檚 most heavily Hispanic and Latino communities, the 色情视频 team found there are any number of interconnected issues beyond one鈥檚 trust in the vaccines that can play into one鈥檚 willingness and ability to get the vaccine. They range from worries over having enough to eat to anxiety over who鈥檒l look after the kids if their caregiver is knocked out for a day by vaccine side effects.

For this population, Sobo said, COVID-19 is 鈥渙ne little tiny thing 鈥� the tip of the iceberg鈥� in a life that is tough already.

It鈥檚 not always facts people need to be convinced to get a vaccine, the national coalition found after comparing results from six different regions. Mostly it鈥檚 access, which the coalition said can be there on paper but unattainable in reality due to the array of daily barriers and previous bad experiences with the health care system.

The 色情视频 team included researchers from the College of Arts and Letters and focused on South San Diego County. It is one of six university-based groups across the country participating in the national , led by Johns Hopkins Center for Health Security and Texas State University.

The project was designed in part to find ways to reduce the disproportionate, devastating impact of the pandemic on historically underserved Black and Latinx communities.

鈥淭here is no one size fits all solution,鈥� the coalition said today in releasing its report. 鈥淲e must empower and equip local communities to have a guiding hand in their own public health interventions.鈥�

Project manager Griselda Cervantes said the researchers conducted interviews and focus groups, sent mass emails and connected with community leaders to find their perceptions 鈥渙f what is needed in their community in order to recover from this pandemic鈥� and to promote overall wellness for the future.

While mass vaccination sites such as the one at Downtown San Diego鈥檚 Petco Park provided a solution for many, Cervantes said the team found many useful much smaller community level efforts that 鈥渟tarted out just wanting to help neighbors, then grew because they realized that there was a need.鈥�

The 色情视频 team鈥檚 fieldwork is still underway, she said, working to identify additional unvaccinated individuals.

Crespo, associate professor of health promotion and behavioral science and co-lead of the 色情视频 project team, said San Diego鈥檚 border location presented issues rarely seen in other research sites for the study, which included agricultural regions of Idaho and in Maryland, the mostly Black Prince George鈥檚 County.

For those in families that regularly cross the border (both northbound and southbound), COVID-19 is a 鈥渂inational experience where availability and eligibility look differently,鈥� he noted. For example, there are currently more vaccine varieties available in Mexico, and the eligibility criteria are different.  

And for some, Crespo said: 鈥淭he main issue is trying to avoid any contact with formal institutions so that it doesn鈥檛 come back to negatively impact you later.鈥� Some immigrants worry that taking a vaccine could make them a 'public charge or public burden,' potentially making them ineligible for permanent admission after receiving a certain level of public benefits.

The legal rule doesn鈥檛 apply to health care and COVID-19 vaccination, Sobo noted. But some don鈥檛 want to take a chance, thinking 鈥淚 have to stay under the radar to keep my docket clean.鈥�

鈥淧eople in the south region mostly want vaccination but there are other kinds of barriers,鈥� Sobo added. 鈥淵ou鈥檙e supposed to be able to get time off work. But that鈥檚 hard to do if you need the money or you know that if you do go your boss is going to give you the stink eye, and you鈥檙e going to get stigmatized, and then you鈥檙e going to get the worst assignment.

鈥淲e might call them little things but they mount up to big, big barriers,鈥� Sobo said.

In addition to Sobo, Crespo and Cervantes, the 色情视频 CommuniVax team included Corinne McDaniels-Davidson, director of the Institute for Public Health at 色情视频; Susan Kiene, professor of global health; and two graduate student research assistants, Diego Ceballos in the School of Public Health and Latin American Studies, and Sarah Song in the Department of Child and Family Development.

The 色情视频 team found promotoras (community health workers), who are trained to provide basic health education in Latinx communities, play an essential role in helping community members overcome barriers to vaccination and other health care access.

Cervantes said community-based organizations don鈥檛 always know of all the funding sources they can tap into to support their needs, and the 色情视频 team is working with these groups鈥� leaders to provide funding guidance

That鈥檚 part of a possible long-term spinoff from the project. While the CommuniVax coalition that included 色情视频 was formed late last year amid the height of COVID-19鈥檚 devastating impact across the world, it has a purpose beyond academic publications, Sobo said.

鈥淭he larger holistic project is aiming to really make some durable change that sticks in the health infrastructure,鈥� she said, 鈥渟o that we don鈥檛 get into this kind of a problem to begin with next time that there鈥檚 a rampant virus making its way around.鈥�