Increasing access and uptake of SARS-CoV-2 at-home tests using a community-engaged approach.
Increasing access and uptake of SARS-CoV-2 at-home tests using a community-engaged approach.
复制标题
DOI：
10.1016/j.pmedr.2022.101967
复制
发表时间：
2022-10
影响因子：
2.8
通讯作者：
Cohen-Wolkowiez, Michael
中科院分区：
文献类型：
--
作者：
D'Agostino, Emily M.;Corbie, Giselle;Kibbe, Warren A.;Hornik, Christoph P.;Al Richmond;Dunston, Angella;Damman, Allyn;Wruck, Lisa;Alvarado, Manuel;Cohen-Wolkowiez, Michael
美国卫生系统中持续存在有关 COVID-19 检测和疫苗接种的不平等现象。我们调查了是否可以采用社区参与的方法向服务不足的人群免费提供在家快速 SARS-CoV-2 检测。 2021 年 11 月 18 日至 12 月 31 日期间，通过 67 个社区合作伙伴和一个移动单位成功向加利福尼亚州默塞德县的大多数拉美裔/拉丁裔/西班牙裔人口分发了 400,000 份测试。收集前进行测试 (59%) 是最常见的测试原因。如果亚洲人与可能呈阳性的人有密切接触，那么他们比白人更有可能进行 COVID-19 检测（比值比 [OR] = 3.4，95% 置信区间 [CI] = 1.7–6.7）。与成年人相比，未成年人更有可能测试自己是否与确诊阳性的人有过密切接触（OR=1.7，95%CI=1.0-3.0），而亚洲人（OR=4.1，95%CI=1.2-13.7）和西班牙裔/拉丁裔/西班牙人（OR=2.5，95%CI=1.0-6.6）与白人相比，更有可能进行检测。更有可能测试他们是否有阳性家庭成员。与白人相比，亚洲人更有可能获得阳性检测结果。未成年人接种疫苗的可能性低于成年人（OR = 0.2，95% CI = 0.1–0.3）。在未接种疫苗的个体中，用英语完成调查的人与用西班牙语完成调查的人表示，他们将来更有可能接种疫苗（OR = 8.2，95% CI = 1.5–44.4）。与白人相比，与在医生办公室或社区环境相比，亚洲人不太可能更喜欢从药房/药店获取口服新冠病毒药物（OR = 0.3，95% CI = 0.2–0.6）。研究结果强调需要可复制和可扩展的社区参与策略，通过增加 SARS-CoV-2 测试和疫苗的获取和使用来减少 COVID-19 差异。
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.
影响因子：
4.5
作者：
Ciccone EJ;Conserve DF;Dave G;Hornik CP;Kuhn ML;Herling JL;Song M;Alston S;Singler L;Schmidt MD;Jones A;Broderick S;Wruck LM;Kibbe WA;Aiello AE;Woods CW;Richmond A;Cohen-Wolkowiez M;Corbie-Smith G
通讯作者：
Corbie-Smith G
DOI：
10.1056/nejmoa2116044
发表时间：
2022-02-10
期刊：
The New England journal of medicine
影响因子：
--
作者：
Jayk Bernal A;Gomes da Silva MM;Musungaie DB;Kovalchuk E;Gonzalez A;Delos Reyes V;Martín-Quirós A;Caraco Y;Williams-Diaz A;Brown ML;Du J;Pedley A;Assaid C;Strizki J;Grobler JA;Shamsuddin HH;Tipping R;Wan H;Paschke A;Butterton JR;Johnson MG;De Anda C;MOVe-OUT Study Group
通讯作者：
MOVe-OUT Study Group
影响因子：
3.7
作者：
Corbie-Smith G;Wynn M;Richmond A;Rennie S;Green M;Hoover SM;Watson-Hopper S;Nisbeth KS
通讯作者：
Nisbeth KS