Community-based SARS-CoV-2 testing in low-income neighbourhoods in Rotterdam : Results from a pilot study
Copyright © 2022 by the Journal of Global Health. All rights reserved..
Background: High incidence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and low testing uptake were reported in low-income neighbourhoods in Rotterdam. We aimed to improve willingness and access to testing by introducing community-based test facilities, and to evaluate the effectiveness of a rapid antigen detection test (RDT).
Methods: Two to eleven test facilities operated consecutively in three low-income neighbourhoods in Rotterdam, offering the options of walk-in or appointments. Background characteristics were collected at intake and one nasopharyngeal swab was taken and processed using both RDT and reverse transcription polymerase chain reaction (RT-PCR). Visitors were asked to join a survey for evaluation purposes.
Results: In total, 19 773 visitors were tested - 9662 (48.9%) without an appointment. Walk-in visitors were older, lived more often in the proximity of the test facilities, and reported coronavirus disease (COVID-19)-related symptoms less often than by-appointment visitors. For 67.7% of the visitors, this was the first time they got tested. A total of 1211 (6.1%) tested SARS-CoV-2-positive with RT-PCR, of whom 309 (25.5%) were asymptomatic. Test uptake increased among residents of the pilot neighbourhoods, especially in the older age groups, compared to people living in comparable neighbourhoods without community-based testing facilities. RDT detected asymptomatic individuals with 71.8% sensitivity, which was acceptable in this high prevalence setting. Visitors reported positive attitudes towards the test facilities and welcomed the easy access.
Conclusions: Offering community-based SARS-CoV-2 testing seems a promising approach for increasing testing uptake among specific populations in low-income neighbourhoods.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2022 |
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| Erschienen: |
2022 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:12 |
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| Enthalten in: |
Journal of global health - 12(2022) vom: 01. Okt., Seite 05042 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Vink, Martijn [VerfasserIn] |
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| Anmerkungen: |
Date Completed 04.10.2022 Date Revised 12.10.2022 published: Electronic Citation Status MEDLINE |
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| doi: |
10.7189/jogh.12.05042 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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NLM346972221 |
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| 500 | |a published: Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2022 by the Journal of Global Health. All rights reserved. | ||
| 520 | |a Background: High incidence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and low testing uptake were reported in low-income neighbourhoods in Rotterdam. We aimed to improve willingness and access to testing by introducing community-based test facilities, and to evaluate the effectiveness of a rapid antigen detection test (RDT) | ||
| 520 | |a Methods: Two to eleven test facilities operated consecutively in three low-income neighbourhoods in Rotterdam, offering the options of walk-in or appointments. Background characteristics were collected at intake and one nasopharyngeal swab was taken and processed using both RDT and reverse transcription polymerase chain reaction (RT-PCR). Visitors were asked to join a survey for evaluation purposes | ||
| 520 | |a Results: In total, 19 773 visitors were tested - 9662 (48.9%) without an appointment. Walk-in visitors were older, lived more often in the proximity of the test facilities, and reported coronavirus disease (COVID-19)-related symptoms less often than by-appointment visitors. For 67.7% of the visitors, this was the first time they got tested. A total of 1211 (6.1%) tested SARS-CoV-2-positive with RT-PCR, of whom 309 (25.5%) were asymptomatic. Test uptake increased among residents of the pilot neighbourhoods, especially in the older age groups, compared to people living in comparable neighbourhoods without community-based testing facilities. RDT detected asymptomatic individuals with 71.8% sensitivity, which was acceptable in this high prevalence setting. Visitors reported positive attitudes towards the test facilities and welcomed the easy access | ||
| 520 | |a Conclusions: Offering community-based SARS-CoV-2 testing seems a promising approach for increasing testing uptake among specific populations in low-income neighbourhoods | ||
| 650 | 4 | |a Journal Article | |
| 700 | 1 | |a Iglói, Zsófia |e verfasserin |4 aut | |
| 700 | 1 | |a Fanoy, Ewout B |e verfasserin |4 aut | |
| 700 | 1 | |a van Beek, Janko |e verfasserin |4 aut | |
| 700 | 1 | |a Boelsums, Timo |e verfasserin |4 aut | |
| 700 | 1 | |a de Graaf, Miranda |e verfasserin |4 aut | |
| 700 | 1 | |a Voeten, Helene A C M |e verfasserin |4 aut | |
| 700 | 1 | |a Molenkamp, Richard |e verfasserin |4 aut | |
| 700 | 1 | |a Koopmans, Marion Pg |e verfasserin |4 aut | |
| 700 | 1 | |a Mevissen, Fraukje Ef |e verfasserin |4 aut | |
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