ABSTRACT
The one-year U.S. Equity-First Vaccination Initiative (EVI), launched in April 2021, aimed to reduce racial inequities in coronavirus disease 2019 (COVID-19) vaccination across five demonstration cities (Baltimore, Chicago, Houston, Newark, and Oakland) and over the longer term strengthen the United States' public health system to achieve more-equitable outcomes. This initiative comprised nearly 100 community-based organizations (CBOs), who led hyper-local work to increase vaccination access and confidence in communities of individuals who identify as Black, Indigenous, and People of Color. In this study, the second of two on the initiative, the authors examine the results of the EVI. They look at the initiative's activities, effects, and challenges, and provide recommendations for how to support and sustain this hyper-local community-led approach and strengthen the public health system in the United States.
ABSTRACT
This survey study examines the prevalence of incentive receipt for COVID-19 vaccination and the association of various sociodemographic characteristics with perspectives on incentives' influence on trust in the COVID-19 vaccine.
Subject(s)
COVID-19 , Motivation , Humans , Trust , COVID-19 Vaccines/therapeutic use , COVID-19/prevention & controlSubject(s)
COVID-19 Vaccines , COVID-19 , Humans , Chicago/epidemiology , COVID-19/prevention & control , Illinois , VaccinationABSTRACT
We investigated racial and ethnic disparities in COVID-19 vaccine uptake, using data from the Centers for Disease Control and Prevention. As of March 29, 2022, uptake of the first dose was higher among Hispanic and Asian people than among White and Black people. In contrast, uptake rates of the booster were higher among Asian and White people than among Black and Hispanic people.
Subject(s)
COVID-19 , White People , Black or African American , COVID-19 Vaccines , Ethnicity , Healthcare Disparities , Humans , United StatesABSTRACT
With new coronavirus disease 2019 (COVID-19) vaccines authorized by the U.S. Food and Drug Administration and likely more to come, the (extraordinarily complex) logistics of deploying them have gotten underway. Public health officials across the country face a daunting task: convincing the majority of individuals to queue up for shots while also maintaining a steady supply of doses and efficient appointment sign-ups. The road ahead is still long and, even with increasing vaccination, will still require adherence with other effective public health behaviors, such as mask-wearing. This article addresses the importance of effectively matching the message, the audience, and the sender for messages to promote uptake of vaccination and of such behaviors as mask-wearing. It offers suggestions about how to leverage such factors as variations in risk perception and variation among U.S. subcultures regarding tendencies to follow rules and to act for the good of the group. The authors also review evidence that suggests health messages should engage directly with misinformation to refute it.
ABSTRACT
The coronavirus disease 2019 pandemic required significant public health interventions from local governments. Early in the pandemic, RAND researchers developed a decision support tool to provide policymakers with insight into the trade-offs they might face when choosing among nonpharmaceutical intervention levels. Using an updated version of the model, the researchers performed a stress-test of a variety of alternative reopening plans, using California as an example. This article presents the general lessons learned from these experiments and discusses four characteristics of the best reopening strategies.