Community Testing and SARS-CoV-2 Rates for Latinxs in Baltimore
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. In response to a disproportionately high SARS-CoV-2 positi...
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| Veröffentlicht in: | American journal of preventive medicine 2021-06, Vol.60 (6), p.e281-e286 |
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| container_title | American journal of preventive medicine |
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| creator | Bigelow, Benjamin F. Saxton, Ronald E. Flores-Miller, Alejandra Mostafa, Heba H. Loss, Manisha J. Phillips, Katherine H. Moore, Adrianna M. Hale, W. Daniel Tolson, Tina M. McCann, Nicki S. Catlett, Christina L. Golden, Sherita H. Clark, Jeanne M. Page, Kathleen Raquel |
| description | 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.
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.
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 |
| doi_str_mv | 10.1016/j.amepre.2021.01.005 |
| format | Article |
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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.
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).
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.</description><identifier>ISSN: 0749-3797</identifier><identifier>ISSN: 1873-2607</identifier><identifier>EISSN: 1873-2607</identifier><identifier>DOI: 10.1016/j.amepre.2021.01.005</identifier><identifier>PMID: 33775510</identifier><language>eng</language><publisher>Netherlands: Elsevier Inc</publisher><subject>Baltimore - epidemiology ; Black or African American ; Community health workers ; Competence ; COVID-19 ; COVID-19 diagnostic tests ; COVID-19 Testing ; Epidemiology ; Ethnicity ; Health insurance ; Hispanic people ; Household size ; Humans ; Immigrants ; Medical screening ; Non-English speakers ; Race ; Religious leaders ; SARS-CoV-2 ; Severe acute respiratory syndrome coronavirus 2 ; Stigma</subject><ispartof>American journal of preventive medicine, 2021-06, Vol.60 (6), p.e281-e286</ispartof><rights>2021</rights><rights>Copyright © 2021. Published by Elsevier Inc.</rights><rights>Copyright Elsevier Science Ltd. Jun 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c436t-1c243d8f64858e56e88fb47a87f2da170601b3d3284365bd465e41f487ddece73</citedby><cites>FETCH-LOGICAL-c436t-1c243d8f64858e56e88fb47a87f2da170601b3d3284365bd465e41f487ddece73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.amepre.2021.01.005$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,30999,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33775510$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bigelow, Benjamin F.</creatorcontrib><creatorcontrib>Saxton, Ronald E.</creatorcontrib><creatorcontrib>Flores-Miller, Alejandra</creatorcontrib><creatorcontrib>Mostafa, Heba H.</creatorcontrib><creatorcontrib>Loss, Manisha J.</creatorcontrib><creatorcontrib>Phillips, Katherine H.</creatorcontrib><creatorcontrib>Moore, Adrianna M.</creatorcontrib><creatorcontrib>Hale, W. Daniel</creatorcontrib><creatorcontrib>Tolson, Tina M.</creatorcontrib><creatorcontrib>McCann, Nicki S.</creatorcontrib><creatorcontrib>Catlett, Christina L.</creatorcontrib><creatorcontrib>Golden, Sherita H.</creatorcontrib><creatorcontrib>Clark, Jeanne M.</creatorcontrib><creatorcontrib>Page, Kathleen Raquel</creatorcontrib><title>Community Testing and SARS-CoV-2 Rates for Latinxs in Baltimore</title><title>American journal of preventive medicine</title><addtitle>Am J Prev Med</addtitle><description>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.
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.
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).
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.</description><subject>Baltimore - epidemiology</subject><subject>Black or African American</subject><subject>Community health workers</subject><subject>Competence</subject><subject>COVID-19</subject><subject>COVID-19 diagnostic tests</subject><subject>COVID-19 Testing</subject><subject>Epidemiology</subject><subject>Ethnicity</subject><subject>Health insurance</subject><subject>Hispanic people</subject><subject>Household size</subject><subject>Humans</subject><subject>Immigrants</subject><subject>Medical screening</subject><subject>Non-English speakers</subject><subject>Race</subject><subject>Religious leaders</subject><subject>SARS-CoV-2</subject><subject>Severe acute respiratory syndrome coronavirus 2</subject><subject>Stigma</subject><issn>0749-3797</issn><issn>1873-2607</issn><issn>1873-2607</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNp9kE1rGzEQhkVJaZyk_6CEhVxyWXf0LV8SEpMmBUPBTnoV8mq2yHhXrrQbmn9fGac95BB4hznomdHwEPKFwpQCVV83U9fhLuGUAaNTKAH5gUyo0bxmCvQRmYAWs5rrmT4mJzlvAEAbOvtEjjnXWkoKE3I9j1039mF4qR4xD6H_VbneV6ub5aqex581q5ZuwFy1MVULV97_5Cr01a3bDqGLCc_Ix9ZtM35-7afk6dvd4_yhXvy4_z6_WdSN4GqoacME96ZVwkiDUqEx7VpoZ3TLvKMaFNA195yZgsu1F0qioK0w2ntsUPNTcnnYu0vx91gutV3IDW63rsc4ZsskqJJSBb14g27imPpyXaE401opuqfEgWpSzDlha3cpdC69WAp2L9hu7EGw3Qu2UAKyjJ2_Lh_XHfr_Q_-MFuDqAGCx8Rww2dwE7Bv0IWEzWB_D-z_8BWE_irM</recordid><startdate>202106</startdate><enddate>202106</enddate><creator>Bigelow, Benjamin F.</creator><creator>Saxton, Ronald E.</creator><creator>Flores-Miller, Alejandra</creator><creator>Mostafa, Heba H.</creator><creator>Loss, Manisha J.</creator><creator>Phillips, Katherine H.</creator><creator>Moore, Adrianna M.</creator><creator>Hale, W. Daniel</creator><creator>Tolson, Tina M.</creator><creator>McCann, Nicki S.</creator><creator>Catlett, Christina L.</creator><creator>Golden, Sherita H.</creator><creator>Clark, Jeanne M.</creator><creator>Page, Kathleen Raquel</creator><general>Elsevier Inc</general><general>Elsevier Science Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7X8</scope></search><sort><creationdate>202106</creationdate><title>Community Testing and SARS-CoV-2 Rates for Latinxs in Baltimore</title><author>Bigelow, Benjamin F. ; Saxton, Ronald E. ; Flores-Miller, Alejandra ; Mostafa, Heba H. ; Loss, Manisha J. ; Phillips, Katherine H. ; Moore, Adrianna M. ; Hale, W. 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Daniel</creatorcontrib><creatorcontrib>Tolson, Tina M.</creatorcontrib><creatorcontrib>McCann, Nicki S.</creatorcontrib><creatorcontrib>Catlett, Christina L.</creatorcontrib><creatorcontrib>Golden, Sherita H.</creatorcontrib><creatorcontrib>Clark, Jeanne M.</creatorcontrib><creatorcontrib>Page, Kathleen Raquel</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of preventive medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bigelow, Benjamin F.</au><au>Saxton, Ronald E.</au><au>Flores-Miller, Alejandra</au><au>Mostafa, Heba H.</au><au>Loss, Manisha J.</au><au>Phillips, Katherine H.</au><au>Moore, Adrianna M.</au><au>Hale, W. Daniel</au><au>Tolson, Tina M.</au><au>McCann, Nicki S.</au><au>Catlett, Christina L.</au><au>Golden, Sherita H.</au><au>Clark, Jeanne M.</au><au>Page, Kathleen Raquel</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Community Testing and SARS-CoV-2 Rates for Latinxs in Baltimore</atitle><jtitle>American journal of preventive medicine</jtitle><addtitle>Am J Prev Med</addtitle><date>2021-06</date><risdate>2021</risdate><volume>60</volume><issue>6</issue><spage>e281</spage><epage>e286</epage><pages>e281-e286</pages><issn>0749-3797</issn><issn>1873-2607</issn><eissn>1873-2607</eissn><abstract>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.
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.
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).
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.</abstract><cop>Netherlands</cop><pub>Elsevier Inc</pub><pmid>33775510</pmid><doi>10.1016/j.amepre.2021.01.005</doi><oa>free_for_read</oa></addata></record> |
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| ispartof | American journal of preventive medicine, 2021-06, Vol.60 (6), p.e281-e286 |
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| source | MEDLINE; Applied Social Sciences Index & Abstracts (ASSIA); Access via ScienceDirect (Elsevier) |
| subjects | Baltimore - epidemiology Black or African American Community health workers Competence COVID-19 COVID-19 diagnostic tests COVID-19 Testing Epidemiology Ethnicity Health insurance Hispanic people Household size Humans Immigrants Medical screening Non-English speakers Race Religious leaders SARS-CoV-2 Severe acute respiratory syndrome coronavirus 2 Stigma |
| title | Community Testing and SARS-CoV-2 Rates for Latinxs in Baltimore |
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