Skip to main content
Journal cover image

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

Publication ,  Journal Article
D'Agostino, EM; Corbie, G; Kibbe, WA; Hornik, CP; Richmond, A; Dunston, A; Damman, A; Wruck, L; Alvarado, M; Cohen-Wolkowiez, M
Published in: Prev Med Rep
October 2022

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.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

Prev Med Rep

DOI

ISSN

2211-3355

Publication Date

October 2022

Volume

29

Start / End Page

101967

Location

United States

Related Subject Headings

  • 4206 Public health
  • 4203 Health services and systems
  • 4202 Epidemiology
  • 1117 Public Health and Health Services
 

Citation

APA
Chicago
ICMJE
MLA
NLM
D’Agostino, E. M., Corbie, G., Kibbe, W. A., Hornik, C. P., Richmond, A., Dunston, A., … Cohen-Wolkowiez, M. (2022). Increasing access and uptake of SARS-CoV-2 at-home tests using a community-engaged approach. Prev Med Rep, 29, 101967. https://doi.org/10.1016/j.pmedr.2022.101967
D’Agostino, Emily M., Giselle Corbie, Warren A. Kibbe, Christoph P. Hornik, Al Richmond, Angella Dunston, Allyn Damman, Lisa Wruck, Manuel Alvarado, and Michael Cohen-Wolkowiez. “Increasing access and uptake of SARS-CoV-2 at-home tests using a community-engaged approach.Prev Med Rep 29 (October 2022): 101967. https://doi.org/10.1016/j.pmedr.2022.101967.
D’Agostino EM, Corbie G, Kibbe WA, Hornik CP, Richmond A, Dunston A, et al. Increasing access and uptake of SARS-CoV-2 at-home tests using a community-engaged approach. Prev Med Rep. 2022 Oct;29:101967.
D’Agostino, Emily M., et al. “Increasing access and uptake of SARS-CoV-2 at-home tests using a community-engaged approach.Prev Med Rep, vol. 29, Oct. 2022, p. 101967. Pubmed, doi:10.1016/j.pmedr.2022.101967.
D’Agostino EM, Corbie G, Kibbe WA, Hornik CP, Richmond A, Dunston A, Damman A, Wruck L, Alvarado M, Cohen-Wolkowiez M. Increasing access and uptake of SARS-CoV-2 at-home tests using a community-engaged approach. Prev Med Rep. 2022 Oct;29:101967.
Journal cover image

Published In

Prev Med Rep

DOI

ISSN

2211-3355

Publication Date

October 2022

Volume

29

Start / End Page

101967

Location

United States

Related Subject Headings

  • 4206 Public health
  • 4203 Health services and systems
  • 4202 Epidemiology
  • 1117 Public Health and Health Services