通过社区卫生中心分发 COVID-19 家庭检测:COVID CoNOce MÁS 研究结果。

IF 3 Q1 PRIMARY HEALTH CARE
Jesse N Nodora, Maria Elena Martinez, Corinne McDaniels-Davidson, Jian Shen, Amy M Sitapati, Francesca Torriani, Jess Mandel, Linda Hill
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引用次数: 0

摘要

目的评估在社区卫生中心(CHC)就诊的个人及其家庭成员对 COVID-19 居家快速检测和报告检测结果的接受程度和可行性:方法: 在门诊或社区活动期间从 2 个社区卫生中心招募参与者。向参与者分发非处方 COVID-19 检测试剂盒,用于自我检测并向家庭成员提供检测服务。我们分别进行了调查,以收集研究参与者的基线信息以及研究参与者和家庭成员的检测结果。我们计算了同意完成 COVID 家庭检测的人数比例、报告检测结果的人数比例以及检测阳性率。对于家庭成员,我们计算了完成检测并报告结果的比例和阳性率。我们评估了接受 COVID-19 检测的原因以及报告检测结果呈阳性的参与者所采取的行动:社区健康中心的工作人员共接触了2189人,其中1013人(46.3%)同意参与。在 959 名拥有完整社会人口数据的参与者中,88% 为西班牙裔,82.6% 为女性。提供检测结果的比例为 36.2%,检测阳性率为 4.2%。在 1927 份检测报告中,35.3% 为指数参与者,64.4% 为家庭成员。指数参与者的检测结果所占比例最大(35.3%),其次是参与者的子女(32.1%),然后是父母(16.9%)和配偶/伴侣(13.2%)。最常见的两个检测原因是症状(29%)和参加家庭聚会(26%)。在检测呈阳性者(n = 80)中,大多数人(83.3%)指出他们进行了隔离,但只有 16.3% 的人打电话给医疗服务提供者,1.3% 的人去了诊所:我们的研究结果表明,随着大流行进入流行阶段,人们对在家中对多名家庭成员进行 COVID-19 检测产生了兴趣。然而,检测结果的报告率并不高,在检测呈阳性的人群中,向医疗服务提供者报告检测结果的比例非常低。这些结果凸显了接受 COVID-19 居家检测的人群在报告和遵循指南方面所面临的挑战,这可能会对未来的大流行产生影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Distribution of COVID-19 Home Testing Through Community Health Centers: Results of the COVID CoNOce MÁS Study.

Objective: To assess acceptability and feasibility of rapid at-home COVID-19 testing and reporting of test results among individuals seeking care at community health centers (CHCs) and their household members.

Methods: Participants were recruited from 2 Community Health Centers during a clinic visit or a community event. Over-the-counter COVID-19 tests were distributed to participants for self-testing and to offer testing to household members. Separate surveys were administered to collect baseline information on the study participant and to collect test results on the study participant and household members. We calculated the proportion of individuals who agreed to complete COVID home testing, those who reported test results, and the test positivity. For household members, we calculated the proportion who completed and reported results and the positivity rate. We assessed reasons for undergoing COVID-19 testing and the action taken by participants who reported positive tests.

Results: A total of 2189 individuals were approached by CHC staff for participation and 1013 (46.3%) agreed to participate. Among the 959 participants with complete sociodemographic data, 88% were Hispanic and 82.6% were female. The proportion providing test results was 36.2% and the test positivity was 4.2%. Among the 1927 test reports, 35.3% for the index participant and 64.4% were for household members. The largest proportion of test results were for index participants (35.3%) and the second largest was for the participant's children (32.1%), followed by parents (16.9%), and spouse/partner (13.2%). The 2 most common reasons for testing were symptoms (29%) and attending family gatherings (26%). Among test-positive individuals (n = 80), most (83.3%) noted that they isolated but only 16.3% called their provider and 1.3% visited a clinic.

Conclusion: Our results show interest in at-home COVID-19 testing of multiple household members, as we headed into the endemic phase of the pandemic. However, reporting of test results was modest and among test-positive individuals, reporting results to a provider was very low. These results underscore the challenges with reporting and following guidelines among people undergoing home testing for COVID-19, which may have implications for future pandemics.

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CiteScore
4.80
自引率
2.80%
发文量
183
审稿时长
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