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Article

Building Trust and Awareness to Increase AZ Native Nation Participation in COVID-19 Vaccines

by
Grant Sears
1,*,
Marissa Tutt
1,
Samantha Sabo
1,
Naomi Lee
1,
Nicolette Teufel-Shone
1,
Anthony Baca
1,
Marianne Bennett
2,
J. T. Neva Nashio
3,
Fernando Flores
4 and
Julie Baldwin
1
1
Center for Health Equity Research, Northern Arizona University, Flagstaff, AZ 86011, USA
2
River People Health Center, Scottsdale, AZ 85256, USA
3
White Mountain Apache Tribe CHR Program, Whiteriver, AZ 85941, USA
4
Colorado River Indian Tribes, Parker, AZ 85344, USA
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2023, 20(1), 31; https://doi.org/10.3390/ijerph20010031
Submission received: 27 October 2022 / Revised: 14 December 2022 / Accepted: 17 December 2022 / Published: 20 December 2022
(This article belongs to the Special Issue Proceedings of the 2022 Research Centers in Minority Institutions (RCMI) Consortium National Conference)
Review Reports Versions Notes

Abstract

The goal of this study was to establish effective, culturally appropriate strategies to enhance participation of American Indian/Alaska Native (AI/AN) communities in prevention and treatment of COVID-19, including vaccine uptake. Thirteen Community Health Representatives (CHRs) from three Arizona Native nations tailored education materials to each community. CHRs delivered the intervention to over 160 community members and administered a pre-posttest to assess trusted sources of information, knowledge, and self-efficacy and intention regarding COVID-19 vaccines. Based on pre-posttest results, doctors/healthcare providers and CHRs were the most trusted health messengers for COVID-19 information; contacts on social media, the state and federal governments, and mainstream news were among the least trusted. Almost two-thirds of respondents felt the education session was relevant to their community and culture, and more than half reported using the education materials to talk to a family member or friend about getting vaccinated. About 67% trusted the COVID-19 information provided and 74% trusted the CHR providing the information. Culturally and locally relevant COVID-19 vaccine information was welcomed and used by community members to advocate for vaccination. The materials and education provided by CHRs were viewed as helpful and emphasized the trust and influence CHRs have in their communities.
Keywords: American Indian; coronavirus; health education; community health representative; community health worker; vaccine hesitancy American Indian; coronavirus; health education; community health representative; community health worker; vaccine hesitancy

Share and Cite

MDPI and ACS Style

Sears, G.; Tutt, M.; Sabo, S.; Lee, N.; Teufel-Shone, N.; Baca, A.; Bennett, M.; Nashio, J.T.N.; Flores, F.; Baldwin, J. Building Trust and Awareness to Increase AZ Native Nation Participation in COVID-19 Vaccines. Int. J. Environ. Res. Public Health 2023, 20, 31. https://doi.org/10.3390/ijerph20010031

AMA Style

Sears G, Tutt M, Sabo S, Lee N, Teufel-Shone N, Baca A, Bennett M, Nashio JTN, Flores F, Baldwin J. Building Trust and Awareness to Increase AZ Native Nation Participation in COVID-19 Vaccines. International Journal of Environmental Research and Public Health. 2023; 20(1):31. https://doi.org/10.3390/ijerph20010031

Chicago/Turabian Style

Sears, Grant, Marissa Tutt, Samantha Sabo, Naomi Lee, Nicolette Teufel-Shone, Anthony Baca, Marianne Bennett, J. T. Neva Nashio, Fernando Flores, and Julie Baldwin. 2023. "Building Trust and Awareness to Increase AZ Native Nation Participation in COVID-19 Vaccines" International Journal of Environmental Research and Public Health 20, no. 1: 31. https://doi.org/10.3390/ijerph20010031

APA Style

Sears, G., Tutt, M., Sabo, S., Lee, N., Teufel-Shone, N., Baca, A., Bennett, M., Nashio, J. T. N., Flores, F., & Baldwin, J. (2023). Building Trust and Awareness to Increase AZ Native Nation Participation in COVID-19 Vaccines. International Journal of Environmental Research and Public Health, 20(1), 31. https://doi.org/10.3390/ijerph20010031

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