COVID-19 Self-Testing Preferences Linked to Political Perspectives: Social Determinants in the U.S. Pandemic.
COVID-19 Self-Testing Preferences Linked to Political Perspectives: Social Determinants in the U.S. Pandemic.
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DOI：
10.1016/j.amepre.2022.09.024
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发表时间：
2023-03
影响因子：
5.5
通讯作者：
Baik, Yeonsoo
中科院分区：
文献类型：
--
作者：
Fishman, Jessica;Bien-Gund, Cedric H.;Bisson, Gregory P.;Baik, Yeonsoo
方法Qualtrics主持了一项基于网络的调查。作者于2021年12月聘请Prolific招募未接种COVID-19疫苗的美国成年人（年龄≥ 18岁）的非概率样本，因为该人群的COVID-19死亡率和发病率风险较高。参与者报告了社会人口特征，并使用3个项目表示了他们的政治观点，每个项目有5分标准化量表，测量政党识别，对拜登总统的忠诚度，以及只有143名受访者（3.2%）喜欢在工作中进行测试。除此之外，绝大多数受访者（3，084/4，299; 71.7%）更喜欢在临床环境中进行检测（附录表1，在线提供）。在政治权利中，自我测试偏好的调整几率更高（强右翼OR= 1.57，95%CI = 1.25，1.97;偏右翼OR= 1.36，95%CI = 1.08，1.72）和政治中心群体（OR= 1.28，95%CI = 1.00，1.65）比那些在政治光谱的左边（1.11）那些与权利和中间政治更可能喜欢自我测试比那些与左政治。鉴于这种偏好，可以优先在保守的县提供自我检测试剂盒，因为那里的大多数成年人和青年人都没有接种疫苗。1，2相关地，倾向于自我检测的社区可能会出现COVID-19病例报告不足的情况。虽然大多数基于诊所的测试结果报告给公共卫生当局，但许多快速自检结果并没有。8
METHODSQualtrics hosted a web-based survey. The authors hired Prolific, in December 2021, to enroll a nonprobability sample of US adults (aged≥ 18 years) who were unvaccinated for COVID-19 because this population has higher COVID-19 mortality and morbidity risks. Participants reported sociodemographic characteristics and indicated their political perspectives using 3 items, each with 5-point, standardized scales measuring political party identification, favorability toward President Biden, andRESULTSOnly 143 respondents (3.2%) preferred testing at work. Otherwise, a significant majority of respondents (3,084/4,299; 71.7%) preferred testing in a clinical setting (Appendix Table 1, available online). The adjusted odds of self-testing preference were higher among the political right (OR= 1.57, 95% CI= 1.25, 1.97 for strong right and OR= 1.36, 95% CI= 1.08, 1.72 for lean right) and the political center groups (OR= 1.28, 95% CI= 1.00, 1.65) than among those on the left of the political spectrum (DISCUSSIONThose with right and center politics were more likely to prefer self-testing than those with left politics. Given such preferences, the availability of self-testing kits could be prioritized in conservative counties, where most adults and youth have been unvaccinated. 1, 2 Relatedly, communities that prefer self-testing may experience underreporting of COVID-19 cases. Although most clinic-based test results are reported to public health authorities, many rapid self-test results are not. 8
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发表时间：
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