Reproducibility and implementation of a rapid, community-based COVID-19 "test and respond" model in low-income, majority-Latino communities in Northern California.
Reproducibility and implementation of a rapid, community-based COVID-19 "test and respond" model in low-income, majority-Latino communities in Northern California.
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DOI：
10.1371/journal.pone.0276257
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发表时间：
2022
期刊：
影响因子：
3.7
通讯作者：
Marquez, Carina
中科院分区：
文献类型：
--
作者：
Chamie, Gabriel;Prado, Patric;Oviedo, Yolanda;Vizcaino, Tatiana;Arechiga, Carina;Marson, Kara;Carrera, Omar;Alvarado, Manuel J.;Corchado, Claudia G.;Gomez, Monica;Mochel, Marilyn;de Leon, Irene;Garibay, Kesia K.;Durazo, Arturo;Young, Maria-Elena De Trinidad;Yen, Irene H.;Sauceda, John;Rojas, Susana;DeRisi, Joe;Petersen, Maya;Havlir, Diane, V;Marquez, Carina
评估社区参与方法在低收入、以拉丁裔为主的社区扩大新冠肺炎大规模测试的实施情况。2021年1月，我们与来自加利福尼亚州三个县(马林/默塞德/旧金山)以拉丁裔为主的低收入社区的居民、领导人和社区组织(CBO)成立了社区学术合作项目“拉美裔新冠肺炎”。该合作小组每月开会讨论新冠肺炎测试的障碍/促进者，并计划大规模测试活动，借鉴旧金山的Unidos en Salud“测试和响应”模式，在两个美国人口普查地区提供基于社区的新冠肺炎测试和测试后支持：卡纳尔(马林)和普兰达德(默塞德)。我们使用RE-AIM框架对实现进行了评估。为了进一步评估测试障碍，我们对没有参加活动的居民进行了随机抽样。55名居民和CBO工作人员参加了拉丁裔合作。被确定为增加测试的主要促进者是延长基于社区的测试时间和隔离期间的财政支持。2021年3月至4月，1217人参加了为期13天的大规模检测活动：运河和普兰达德的新冠肺炎阳性率分别为3%和1%。RE-AIM评估发现：人口普查区域检测覆盖率分别为4.2%和6.3%；90%的活动参与者是拉丁裔，89%的家庭年收入为50,000美元，44%的首次检测者(REACH)，在早期诊断有症状病例(中位隔离时间：7天)和无症状新冠肺炎(确诊时为41%)方面的有效性，两县CBO的高采用率，实施快速检测(中位数：17.5分钟)和披露，以及事件后维护以社区为基础的检测。在接受调查的265名不参加者中，114人(43%)报告他们知道这一事件：114人中没有出席的原因是时间不足(32%)、无法离开工作(24%)、认为接种疫苗后检测是不必要的(24%)或在没有症状时(25%)。社区参与的大规模“测试和响应”活动提供了一种可重复使用的方法，可以在低收入的拉丁裔社区迅速增加新冠肺炎测试的机会。
To evaluate implementation of a community-engaged approach to scale up COVID-19 mass testing in low-income, majority-Latino communities. In January 2021, we formed a community-academic “Latino COVID-19 Collaborative” with residents, leaders, and community-based organizations (CBOs) from majority-Latinx, low-income communities in three California counties (Marin/Merced/San Francisco). The collaborative met monthly to discuss barriers/facilitators for COVID-19 testing, and plan mass testing events informed by San Francisco’s Unidos en Salud “test and respond” model, offering community-based COVID-19 testing and post-test support in two US-census tracts: Canal (Marin) and Planada (Merced). We evaluated implementation using the RE-AIM framework. To further assess testing barriers, we surveyed a random sample of residents who did not attend the events. Fifty-five residents and CBO staff participated in the Latino collaborative. Leading facilitators identified to increase testing were extended hours of community-based testing and financial support during isolation. In March-April 2021, 1,217 people attended mass-testing events over 13 days: COVID-19 positivity was 3% and 1% in Canal and Planada, respectively. The RE-AIM evaluation found: census tract testing coverage of 4.2% and 6.3%, respectively; 90% of event attendees were Latino, 89% had household income <$50,000/year, and 44% first-time testers (reach), effectiveness in diagnosing symptomatic cases early (median isolation time: 7 days) and asymptomatic COVID-19 (41% at diagnosis), high adoption by CBOs in both counties, implementation of rapid testing (median: 17.5 minutes) and disclosure, and post-event maintenance of community-based testing. Among 265 non-attendees surveyed, 114 (43%) reported they were aware of the event: reasons for non-attendance among the 114 were insufficient time (32%), inability to leave work (24%), and perceptions that testing was unnecessary post-vaccination (24%) or when asymptomatic (25%). Community-engaged mass “test and respond” events offer a reproducible approach to rapidly increase COVID-19 testing access in low-income, Latinx communities.
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影响因子：
6.4
作者：
Gil, Raul Macias;Marcelin, Jasmine R.;Piggott, Damani A.
通讯作者：
Piggott, Damani A.
影响因子：
12.7
作者：
Glasgow, RE;Vogt, TM;Boles, SM
通讯作者：
Boles, SM
DOI：
10.1093/cid/ciaa1418
发表时间：
2021-11-02
期刊：
Clinical infectious diseases : an official publication of the Infectious Diseases Society of America
影响因子：
--
作者：
Neilan AM;Losina E;Bangs AC;Flanagan C;Panella C;Eskibozkurt GE;Mohareb A;Hyle EP;Scott JA;Weinstein MC;Siedner MJ;Reddy KP;Harling G;Freedberg KA;Shebl FM;Kazemian P;Ciaranello AL
通讯作者：
Ciaranello AL
影响因子：
4.6
作者：
Hill J;Rodriguez DX;McDaniel PN
通讯作者：
McDaniel PN
影响因子：
3.7
作者：
Kerkhoff AD;Sachdev D;Mizany S;Rojas S;Gandhi M;Peng J;Black D;Jones D;Rojas S;Jacobo J;Tulier-Laiwa V;Petersen M;Martinez J;Chamie G;Havlir DV;Marquez C
通讯作者：
Marquez C