Access to COVID-19 testing by individuals with housing insecurity during the early days of the COVID-19 pandemic in the United States: a scoping review.

Johannesson, Jon M; Glover, William A; Petti, Cathy A; Veldman, Timothy H; Tsalik, Ephraim L; Taylor, Donald H; Hendren, Stephanie; Neighbors, Coralei E; Tillekeratne, L Gayani; Kennedy, Scott W; Harper, Barrie; Kibbe, Warren A; Corbie, Giselle; Cohen-Wolkowiez, Michael; Woods, Christopher W; Lee, Mark J

Access to COVID-19 testing by individuals with housing insecurity during the early days of the COVID-19 pandemic in the United States: a scoping review.

dc.contributor.author	Johannesson, Jon M
dc.contributor.author	Glover, William A
dc.contributor.author	Petti, Cathy A
dc.contributor.author	Veldman, Timothy H
dc.contributor.author	Tsalik, Ephraim L
dc.contributor.author	Taylor, Donald H
dc.contributor.author	Hendren, Stephanie
dc.contributor.author	Neighbors, Coralei E
dc.contributor.author	Tillekeratne, L Gayani
dc.contributor.author	Kennedy, Scott W
dc.contributor.author	Harper, Barrie
dc.contributor.author	Kibbe, Warren A
dc.contributor.author	Corbie, Giselle
dc.contributor.author	Cohen-Wolkowiez, Michael
dc.contributor.author	Woods, Christopher W
dc.contributor.author	Lee, Mark J
dc.date.accessioned	2023-10-18T23:44:33Z
dc.date.available	2023-10-18T23:44:33Z
dc.date.issued	2023-01
dc.date.updated	2023-10-18T23:44:32Z
dc.description.abstract	Introduction The COVID-19 pandemic focused attention on healthcare disparities and inequities faced by individuals within marginalized and structurally disadvantaged groups in the United States. These individuals bore the heaviest burden across this pandemic as they faced increased risk of infection and difficulty in accessing testing and medical care. Individuals experiencing housing insecurity are a particularly vulnerable population given the additional barriers they face. In this scoping review, we identify some of the barriers this high-risk group experienced during the early days of the pandemic and assess novel solutions to overcome these barriers. Methods A scoping review was performed following PRISMA-Sc guidelines looking for studies focusing on COVID-19 testing among individuals experiencing housing insecurity. Barriers as well as solutions to barriers were identified as applicable and summarized using qualitative methods, highlighting particular ways that proved effective in facilitating access to testing access and delivery. Results Ultimately, 42 studies were included in the scoping review, with 143 barriers grouped into four categories: lack of cultural understanding, systemic racism, and stigma; medical care cost, insurance, and logistics; immigration policies, language, and fear of deportation; and other. Out of these 42 studies, 30 of these studies also suggested solutions to address them. Conclusion A paucity of studies have analyzed COVID-19 testing barriers among those experiencing housing insecurity, and this is even more pronounced in terms of solutions to address those barriers. Expanding resources and supporting investigators within this space is necessary to ensure equitable healthcare delivery.
dc.identifier.issn	2296-2565
dc.identifier.issn	2296-2565
dc.identifier.uri	https://hdl.handle.net/10161/29286
dc.language	eng
dc.publisher	Frontiers Media SA
dc.relation.ispartof	Frontiers in public health
dc.relation.isversionof	10.3389/fpubh.2023.1237066
dc.subject	COVID-19
dc.subject	healthcare barriers
dc.subject	healthcare disparities
dc.subject	inequities
dc.subject	pandemic
dc.subject	underserved
dc.title	Access to COVID-19 testing by individuals with housing insecurity during the early days of the COVID-19 pandemic in the United States: a scoping review.
dc.type	Journal article
duke.contributor.orcid	Tsalik, Ephraim L\|0000-0002-6417-2042
duke.contributor.orcid	Taylor, Donald H\|0000-0003-1450-3146
duke.contributor.orcid	Neighbors, Coralei E\|0000-0002-0367-2983
duke.contributor.orcid	Tillekeratne, L Gayani\|0000-0001-6012-7271
duke.contributor.orcid	Kibbe, Warren A\|0000-0001-5622-7659
duke.contributor.orcid	Cohen-Wolkowiez, Michael\|0000-0002-2458-2266
duke.contributor.orcid	Woods, Christopher W\|0000-0001-7240-2453
pubs.begin-page	1237066
pubs.organisational-group	Duke
pubs.organisational-group	School of Medicine
pubs.organisational-group	Student
pubs.organisational-group	Basic Science Departments
pubs.organisational-group	Population Health Sciences
pubs.publication-status	Published
pubs.volume	11