Public knowledge of SARS-CoV-2 serological and viral lineage laboratory testing and result interpretation : A GENCOV study cross-sectional survey

Copyright © 2023 The Canadian Society of Clinical Chemists. Published by Elsevier Inc. All rights reserved..

OBJECTIVES: Concepts related to SARS-CoV-2 laboratory testing and result interpretation can be challenging to understand. A cross-sectional survey of COVID-19 positive adults residing in Ontario, Canada was conducted to explore how well people understand SARS-CoV-2 laboratory tests and their associated results.

DESIGN AND METHODS: Participants were recruited through fliers or by prospective recruitment of outpatients and hospitalized inpatients with COVID-19. Enrolled participants included consenting adults with a positive SARS-CoV-2 polymerase chain reaction test result. An 11-item questionnaire was developed by researchers, nurses, and physicians in the study team and was administered online between April 2021 to May 2022 upon enrolment into the study.

RESULTS: Responses were obtained from 940 of 1106 eligible participants (85% participation rate). Most respondents understood 1) that antibody results should not influence adherence to social distancing measures (n = 602/888, 68%), 2) asymptomatic SARS-CoV-2 infection following test positivity (n = 698/888, 79%), 3) serological test sensitivity in relation to post-infection timeline (n = 540/891, 61%), and 4) limitations of experts' knowledge related to SARS-CoV-2 serology (n = 693/887, 78%). Conversely, respondents demonstrated challenges understanding 1) conflicting molecular and serological test results and their relationship with immune protection (n = 162/893, 18%) and 2) the impact of SARS-CoV-2 variants on vaccine effectiveness (n = 235/891, 26%). Analysis of responses stratified by sociodemographic variables identified that respondents who were either: 1) female, 2) more educated, 3) aged 18-44, 4) from a high-income household, or 5) healthcare workers responded expectedly more often.

CONCLUSIONS: We have highlighted concepts related to SARS-CoV-2 laboratory tests and associated results which may be challenging to understand. The findings of this study enable us to identify 1) misconceptions related to various SARS-CoV-2 test results, 2) groups of individuals at risk, and 3) strategies to improve people's understanding of their test results.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:118

Enthalten in:

Clinical biochemistry - 118(2023) vom: 15. Aug., Seite 110607

Sprache:

Englisch

Beteiligte Personen:

Morgan, Gregory [VerfasserIn]
Briollais, Laurent [VerfasserIn]
Clausen, Marc [VerfasserIn]
Casalino, Selina [VerfasserIn]
Mighton, Chloe [VerfasserIn]
Chowdhary, Sunakshi [VerfasserIn]
Frangione, Erika [VerfasserIn]
Fung, Chun Yiu Jordan [VerfasserIn]
Arnoldo, Saranya [VerfasserIn]
Bearss, Erin [VerfasserIn]
Binnie, Alexandra [VerfasserIn]
Borgundvaag, Bjug [VerfasserIn]
Dagher, Marc [VerfasserIn]
Devine, Luke [VerfasserIn]
Friedman, Steven M [VerfasserIn]
Khan, Zeeshan [VerfasserIn]
McGeer, Allison [VerfasserIn]
McLeod, Shelley L [VerfasserIn]
Richardson, David [VerfasserIn]
Stern, Seth [VerfasserIn]
Taher, Ahmed [VerfasserIn]
Wong, Iris [VerfasserIn]
Zarei, Natasha [VerfasserIn]
Bombard, Yvonne [VerfasserIn]
Lerner-Ellis, Jordan [VerfasserIn]
Taher, Jennifer [VerfasserIn]

Links:

Volltext

Themen:

COVID-19
Journal Article
Result interpretation
Serological testing
Viral lineage

Anmerkungen:

Date Completed 07.08.2023

Date Revised 07.08.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.clinbiochem.2023.110607

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM359078672