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Engaging Same-Day Peer Ambassadors to Increase Coronavirus Disease 2019 Vaccination Among People Experiencing Unsheltered Homelessness in Los Angeles County: A Hybrid Feasibility-Evaluation Study.
Shover, Chelsea L; Rosen, Allison; Mata, José; Robie, Brooke; Alvarado, Julissa; Frederes, Ashley; Romero, Ruby; Beltran, Jacqueline; Bratcher, Anna; Chang, Alicia H; Choi, Kristen R; Garcia, Candelaria; Shoptaw, Steven; Guha, Priyanka; Richard, Lindsey; Sixx, Gunner; Baez, Angel; Coleman, Anthony; Harvell, Sarah; Jackson, Shirnae; Lee, Caroline; Swan, Joanna; Torres, Kenny; Kantrim, Emily Uyeda; McKeever, Maya; Nguyen, Anh; Rice, Adam; Rosales, Marisol; Spoliansky, Jordan; Bromley, Elizabeth; Behforouz, Heidi; Gelberg, Lillian; Gorbach, Pamina M; Rimoin, Anne W; Thomas, Emily H.
Afiliación
  • Shover CL; Division of General Internal Medicine and Health Services Research, UCLA David Geffen School of Medicine, Los Angeles, California, USA.
  • Rosen A; Department of Epidemiology, UCLA Fielding School of Public Health, Los Angeles, California, USA.
  • Mata J; Los Angeles County Department of Health Services, Los Angeles, California, USA.
  • Robie B; Los Angeles County Department of Health Services, Los Angeles, California, USA.
  • Alvarado J; Los Angeles County Department of Health Services, Los Angeles, California, USA.
  • Frederes A; Department of Environmental Health Sciences, UCLA Fielding School of Public Health, Los Angeles, California, USA.
  • Romero R; Department of Community Health Sciences, UCLA Fielding School of Public Health, Los Angeles, California, USA.
  • Beltran J; Division of General Internal Medicine and Health Services Research, UCLA David Geffen School of Medicine, Los Angeles, California, USA.
  • Bratcher A; Department of Epidemiology, UCLA Fielding School of Public Health, Los Angeles, California, USA.
  • Chang AH; Department of Epidemiology, UCLA Fielding School of Public Health, Los Angeles, California, USA.
  • Choi KR; Los Angeles County Department of Public Health, Los Angeles, California, USA.
  • Garcia C; Department of Health Policy and Management, UCLA Fielding School of Public Health, Los Angeles, California, USA.
  • Shoptaw S; UCLA School of Nursing,, Los Angeles, California, USA.
  • Guha P; Department of Epidemiology, UCLA Fielding School of Public Health, Los Angeles, California, USA.
  • Richard L; Department of Family Medicine, UCLA David Geffen School of Medicine, Los Angeles, California, USA.
  • Sixx G; Los Angeles County Department of Health Services, Los Angeles, California, USA.
  • Baez A; Los Angeles County Department of Health Services, Los Angeles, California, USA.
  • Coleman A; Los Angeles County Department of Health Services, Los Angeles, California, USA.
  • Harvell S; Los Angeles County Department of Health Services, Los Angeles, California, USA.
  • Jackson S; Los Angeles County Department of Health Services, Los Angeles, California, USA.
  • Lee C; Los Angeles County Department of Health Services, Los Angeles, California, USA.
  • Swan J; Los Angeles County Department of Health Services, Los Angeles, California, USA.
  • Torres K; Los Angeles County Department of Health Services, Los Angeles, California, USA.
  • Kantrim EU; Los Angeles County Department of Health Services, Los Angeles, California, USA.
  • McKeever M; Los Angeles County Department of Health Services, Los Angeles, California, USA.
  • Nguyen A; Los Angeles County Department of Health Services, Los Angeles, California, USA.
  • Rice A; Los Angeles County Department of Health Services, Los Angeles, California, USA.
  • Rosales M; Los Angeles County Department of Health Services, Los Angeles, California, USA.
  • Spoliansky J; Los Angeles County Department of Health Services, Los Angeles, California, USA.
  • Bromley E; Los Angeles County Department of Health Services, Los Angeles, California, USA.
  • Behforouz H; Los Angeles County Department of Health Services, Los Angeles, California, USA.
  • Gelberg L; Psychiatry and Biobehavioral Sciences, UCLA David Geffen School of Medicine, Los Angeles, California, USA.
  • Gorbach PM; Los Angeles County Department of Health Services, Los Angeles, California, USA.
  • Rimoin AW; Department of Health Policy and Management, UCLA Fielding School of Public Health, Los Angeles, California, USA.
  • Thomas EH; Department of Family Medicine, UCLA David Geffen School of Medicine, Los Angeles, California, USA.
J Infect Dis ; 226(Suppl 3): S346-S352, 2022 10 07.
Article en En | MEDLINE | ID: mdl-36208168
ABSTRACT

BACKGROUND:

This study aimed to evaluate the feasibility and acceptability of engaging unhoused peer ambassadors (PAs) in coronavirus disease 2019 (COVID-19) vaccination efforts to reach people experiencing unsheltered homelessness in Los Angeles County.

METHODS:

From August to December 2021, vaccinated PAs aged ≥18 years who could provide informed consent were recruited during vaccination events for same-day participation. Events were held at encampments, service providers (eg, housing agencies, food lines, and mobile showers), and roving locations around Los Angeles. PAs were asked to join outreach alongside community health workers and shared their experience getting vaccinated, receiving a $25 gift card for each hour they participated. Postevent surveys evaluated how many PAs enrolled and how long they participated. In October 2021, we added a preliminary effectiveness evaluation of how many additional vaccinations were attributable to PAs. Staff who enrolled the PAs estimated the number of additional people vaccinated because of talking with the PA.

RESULTS:

A total of 117 PAs were enrolled at 103 events, participating for an average of 2 hours. At events with the effectiveness evaluation, 197 additional people were vaccinated over 167 PA hours ($21.19 gift card cost per additional person vaccinated), accounting for >25% of all vaccines given at these events.

DISCUSSION:

Recruiting same-day unhoused PAs is a feasible, acceptable, and preliminarily effective technique to increase COVID-19 vaccination in unsheltered settings. The findings can inform delivery of other health services for people experiencing homelessness.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Contexto en salud: 1_ASSA2030 / 2_ODS3 / 4_TD Problema de salud: 1_doencas_nao_transmissiveis / 1_doencas_transmissiveis / 2_enfermedades_transmissibles / 2_muertes_prematuras_enfermedades_notrasmisibles / 4_pneumonia Asunto principal: Personas con Mala Vivienda / Vacunas / COVID-19 Aspecto: Determinantes_sociais_saude Límite: Adolescent / Adult / Humans País/Región como asunto: America do norte Idioma: En Revista: J Infect Dis Año: 2022 Tipo del documento: Article País de afiliación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Contexto en salud: 1_ASSA2030 / 2_ODS3 / 4_TD Problema de salud: 1_doencas_nao_transmissiveis / 1_doencas_transmissiveis / 2_enfermedades_transmissibles / 2_muertes_prematuras_enfermedades_notrasmisibles / 4_pneumonia Asunto principal: Personas con Mala Vivienda / Vacunas / COVID-19 Aspecto: Determinantes_sociais_saude Límite: Adolescent / Adult / Humans País/Región como asunto: America do norte Idioma: En Revista: J Infect Dis Año: 2022 Tipo del documento: Article País de afiliación: Estados Unidos