Community Testing and SARS-CoV-2 Rates for Latinxs in Baltimore
| Autor: | Heba H. Mostafa, Manisha J. Loss, Katherine Hartman Phillips, Benjamin F. Bigelow, Kathleen R. Page, Sherita Hill Golden, Nicki S. McCann, Adrianna M. Moore, Christina L. Catlett, Alejandra Flores-Miller, Jeanne M. Clark, Tina Tolson, Ronald E. Saxton, W. Daniel Hale |
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| Rok vydání: | 2020 |
| Předmět: |
Coronavirus disease 2019 (COVID-19)
Epidemiology media_common.quotation_subject Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) Immigration Ethnic group Patient characteristics Stigma (botany) Language barrier 01 natural sciences 03 medical and health sciences 0302 clinical medicine COVID-19 Testing Medicine Humans 030212 general & internal medicine 0101 mathematics media_common business.industry SARS-CoV-2 010102 general mathematics Public Health Environmental and Occupational Health COVID-19 Black or African American Limited English proficiency Baltimore business Demography |
| Zdroj: | American journal of preventive medicine. 60(6) |
| ISSN: | 1873-2607 |
| Popis: | 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 |
| Databáze: | OpenAIRE |
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