ABSTRACT
Vaccination disparities are part of a larger system of health inequities among racial and ethnic groups in the United States. To increase vaccine equity of racial and ethnic populations, the Centers for Disease Control and Prevention (CDC) designed the Partnering for Vaccine Equity program in January 2021, which funded and supported national, state, local, and community organizations in 50 states-which include Indian Health Service Tribal Areas; Washington, DC; and Puerto Rico-to implement culturally tailored activities to improve access to, availability of, and confidence in COVID-19 and influenza vaccines. To increase vaccine uptake at the local level, CDC partnered with national organizations such as the National Urban League and Asian & Pacific Islander American Health Forum to engage community-based organizations to take action. Lessons learned from the program include the importance of directly supporting and engaging with the community, providing tailored messages and access to vaccines to reach communities where they are, training messengers who are trusted by those in the community, and providing support to funded partners through trainings on program design and implementation that can be institutionalized and sustained beyond the COVID-19 pandemic. Building on these lessons will ensure CDC and other public health partners can continue to advance vaccine equity, increase vaccine uptake, improve health outcomes, and build trust with communities as part of a comprehensive adult immunization infrastructure.
Subject(s)
COVID-19 Vaccines , COVID-19 , Humans , United States , COVID-19/prevention & control , COVID-19/epidemiology , COVID-19 Vaccines/supply & distribution , COVID-19 Vaccines/administration & dosage , Healthcare Disparities , SARS-CoV-2 , Immunization Programs/organization & administration , Centers for Disease Control and Prevention, U.S./organization & administration , AdultABSTRACT
INTRODUCTION: Inadequate program design and lack of access to evidence-based programs are major barriers to the management of chronic diseases such as arthritis, particularly for African Americans. This study evaluates the effectiveness of the Arthritis Foundation's Walk With Ease Program (WWE) in a subsample of African Americans who were part of a larger study that established evidence of the program's efficacy. METHODS: Participants were African Americans (N = 117) with self-reported arthritis who chose to participate in either a self-directed (n = 68) or group (n = 49) 6-week WWE program. Arthritis-related symptoms (ie, pain, fatigue, stiffness; measured using visual analog scales) were assessed at baseline, 6 weeks, and 1 year. Independent samples t tests were conducted to examine group differences (ie, self-directed vs group) in arthritis-related symptoms at baseline, and paired sample t tests were conducted to examine differences over time (ie, baseline to 6 weeks and baseline to 1 year) in symptoms. Satisfaction was examined by descriptive statistics. RESULTS: Younger, more educated individuals chose the self-directed format (P < .001, P = .008; respectively). After the 6-week intervention, participants reported a decrease in pain (P < .001), fatigue (P = .002), and stiffness (P < .001). At 1 year, the decrease in pain (P = .04) and stiffness (P = .002) remained constant. Overall, participants were satisfied with both program formats. CONCLUSION: The individualized and group formats of the WWE program improved arthritis-related pain, fatigue, and stiffness in African Americans. Culturally appealing arthritis interventions ultimately may increase the use of existing arthritis interventions.
Subject(s)
Black or African American , Osteoarthritis/pathology , Walking , Aged , Aging , Attitude to Health , Behavior Therapy , Exercise Therapy/methods , Humans , Middle Aged , Osteoarthritis/therapy , Program Evaluation , Self Care , Treatment OutcomeABSTRACT
The Environmental and Policy Strategies to Increase Physical Activity Among Adults with Arthritis report focuses on the ways to make physical activity more convenient and accessible for adults with arthritis. The report is designed to engage 6 important sectors, which were adapted from the National Physical Activity Plan, as partners with a mutual interest in increasing physical activity among adults with arthritis using environmental and policy strategies. It serves as a call to action for each of these sectors to collaborate and focus more attention on helping people live well with arthritis and be a productive part of our society.
