Increasing access and uptake of SARS-CoV-2 at-home tests using a community-engaged approach.

D'Agostino, Emily M

Corbie, Giselle

Kibbe, Warren A

Hornik, Christoph P

Richmond, Al

Dunston, Angella

Damman, Allyn

Wruck, Lisa

Alvarado, Manuel

Cohen-Wolkowiez, Michael

2022-11-01T23:37:14Z

2022-11-01T23:37:14Z

2022-10

2022-11-01T23:37:13Z

Inequalities around COVID-19 testing and vaccination persist in the U.S. health system. We investigated whether a community-engaged approach could be used to distribute free, at-home, rapid SARS-CoV-2 tests to underserved populations. Between November 18-December 31, 2021, 400,000 tests were successfully distributed via 67 community partners and a mobile unit to a majority Hispanic/Latino/Spanish population in Merced County, California. Testing before gathering (59 %) was the most common testing reason. Asians versus Whites were more likely to test for COVID-19 if they had close contact with someone who may have been positive (odds ratio [OR] = 3.4, 95 % confidence interval [CI] = 1.7-6.7). Minors versus adults were more likely to test if they had close contact with someone who was confirmed positive (OR = 1.7, 95 % CI = 1.0-3.0), whereas Asian (OR = 4.1, 95 % CI = 1.2-13.7) and Hispanic/Latino/Spanish (OR = 2.5, 95 % CI = 1.0-6.6) versus White individuals were more likely to test if they had a positive household member. Asians versus Whites were more likely to receive a positive test result. Minors were less likely than adults to have been vaccinated (OR = 0.2, 95 % CI = 0.1-0.3). Among unvaccinated individuals, those who completed the survey in English versus Spanish indicated they were more likely to get vaccinated in the future (OR = 8.2, 95 % CI = 1.5-44.4). Asians versus Whites were less likely to prefer accessing oral COVID medications from a pharmacy/drug store only compared with a doctor's office or community setting (OR = 0.3, 95 % CI = 0.2-0.6). Study findings reinforce the need for replicable and scalable community-engaged strategies for reducing COVID-19 disparities by increasing SARS-CoV-2 test and vaccine access and uptake.

S2211-3355(22)00274-1

2211-3355

2211-3355

https://hdl.handle.net/10161/26178

eng

Elsevier BV

Preventive medicine reports

10.1016/j.pmedr.2022.101967

COVID-19

Community engagement

SARS-CoV-2

Testing

Underserved populations

YMCF, You & Me COVID-Free

Increasing access and uptake of SARS-CoV-2 at-home tests using a community-engaged approach.

Journal article

D'Agostino, Emily M|0000-0003-0468-4836

Kibbe, Warren A|0000-0001-5622-7659

Hornik, Christoph P|0000-0001-7056-8759

Wruck, Lisa|0000-0003-1732-9067

Cohen-Wolkowiez, Michael|0000-0002-2458-2266

101967

Duke

School of Medicine

Basic Science Departments

Clinical Science Departments

Institutes and Centers

Biostatistics & Bioinformatics

Orthopaedic Surgery

Pediatrics

Pediatrics, Critical Care Medicine

Pediatrics, Infectious Diseases

Duke Cancer Institute

Duke Clinical Research Institute

Population Health Sciences

Orthopaedic Surgery, Occupational Therapy

Published

29