Community Testing and SARS-CoV-2 Rates for Latinxs in Baltimore
Copyright © 2021. Published by Elsevier Inc..
INTRODUCTION: Latinxs have been disproportionately impacted by COVID-19. Latinx immigrants, in particular, face significant barriers to SARS-CoV-2 testing, including lack of insurance, language barriers, stigma, work conflicts, and limited transportation.
METHODS: In response to a disproportionately high SARS-CoV-2 positivity rate among Latinxs at the Johns Hopkins Health System, investigators implemented free community-based testing by partnering with religious leaders and leveraging the skill of trusted community health workers. Data were extracted from the electronic health record and a Research Electronic Data Capture database. SARS-CoV-2 positivity was evaluated per event stratified by race/ethnicity. Total rates of SARS-CoV-2 positivity and categorical patient characteristics were compared between groups using chi-square tests.
RESULTS: Between June 25, 2020 and October 15, 2020, a total of 1,786 patients (57.5% Latinx, 31.2% non-Hispanic White, 5.9% non-Hispanic Black, and 5.3% non-Hispanic other) were tested for SARS-CoV-2 in 18 testing events. Among them, 355 (19.9%) tested positive. The positivity rate was 31.5% for Latinxs, 7.6% for non-Hispanic Blacks, 3.4% for non-Hispanic Whites, and 5.3% for patients of other races/ethnicities. Compared with Latinxs who tested negative, Latinxs who tested positive were more likely to report Spanish as their preferred language (91.6% vs 81.7%, p<0.001), be younger (30.4 vs 33.4 years, p<0.008), and have a larger household size (4.8 vs 4.3 members, p<0.002).
CONCLUSIONS: Community-based testing identified high levels of ongoing SARS-CoV-2 transmission among primarily Latinxs with limited English proficiency. During this period, the overall positivity rate at this community testing site was almost 10 times higher among Latinxs than among non-Hispanic Whites.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2021 |
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| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:60 |
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| Enthalten in: |
American journal of preventive medicine - 60(2021), 6 vom: 01. Juni, Seite e281-e286 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Bigelow, Benjamin F [VerfasserIn] |
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| Anmerkungen: |
Date Completed 23.06.2021 Date Revised 23.08.2023 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1016/j.amepre.2021.01.005 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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NLM323313558 |
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| 100 | 1 | |a Bigelow, Benjamin F |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Community Testing and SARS-CoV-2 Rates for Latinxs in Baltimore |
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| 500 | |a Date Revised 23.08.2023 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2021. Published by Elsevier Inc. | ||
| 520 | |a INTRODUCTION: Latinxs have been disproportionately impacted by COVID-19. Latinx immigrants, in particular, face significant barriers to SARS-CoV-2 testing, including lack of insurance, language barriers, stigma, work conflicts, and limited transportation | ||
| 520 | |a METHODS: In response to a disproportionately high SARS-CoV-2 positivity rate among Latinxs at the Johns Hopkins Health System, investigators implemented free community-based testing by partnering with religious leaders and leveraging the skill of trusted community health workers. Data were extracted from the electronic health record and a Research Electronic Data Capture database. SARS-CoV-2 positivity was evaluated per event stratified by race/ethnicity. Total rates of SARS-CoV-2 positivity and categorical patient characteristics were compared between groups using chi-square tests | ||
| 520 | |a RESULTS: Between June 25, 2020 and October 15, 2020, a total of 1,786 patients (57.5% Latinx, 31.2% non-Hispanic White, 5.9% non-Hispanic Black, and 5.3% non-Hispanic other) were tested for SARS-CoV-2 in 18 testing events. Among them, 355 (19.9%) tested positive. The positivity rate was 31.5% for Latinxs, 7.6% for non-Hispanic Blacks, 3.4% for non-Hispanic Whites, and 5.3% for patients of other races/ethnicities. Compared with Latinxs who tested negative, Latinxs who tested positive were more likely to report Spanish as their preferred language (91.6% vs 81.7%, p<0.001), be younger (30.4 vs 33.4 years, p<0.008), and have a larger household size (4.8 vs 4.3 members, p<0.002) | ||
| 520 | |a CONCLUSIONS: Community-based testing identified high levels of ongoing SARS-CoV-2 transmission among primarily Latinxs with limited English proficiency. During this period, the overall positivity rate at this community testing site was almost 10 times higher among Latinxs than among non-Hispanic Whites | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Research Support, N.I.H., Extramural | |
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| 700 | 1 | |a Flores-Miller, Alejandra |e verfasserin |4 aut | |
| 700 | 1 | |a Mostafa, Heba H |e verfasserin |4 aut | |
| 700 | 1 | |a Loss, Manisha J |e verfasserin |4 aut | |
| 700 | 1 | |a Phillips, Katherine H |e verfasserin |4 aut | |
| 700 | 1 | |a Moore, Adrianna M |e verfasserin |4 aut | |
| 700 | 1 | |a Hale, W Daniel |e verfasserin |4 aut | |
| 700 | 1 | |a Tolson, Tina M |e verfasserin |4 aut | |
| 700 | 1 | |a McCann, Nicki S |e verfasserin |4 aut | |
| 700 | 1 | |a Catlett, Christina L |e verfasserin |4 aut | |
| 700 | 1 | |a Golden, Sherita H |e verfasserin |4 aut | |
| 700 | 1 | |a Clark, Jeanne M |e verfasserin |4 aut | |
| 700 | 1 | |a Page, Kathleen Raquel |e verfasserin |4 aut | |
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