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Community- Versus Health Care Organization-Based Approaches to Expanding At-Home COVID-19 Testing in Black and Latino
Emily S Barrett1, Tracy R Andrews1, Jason Roy1
1Emily S. Barrett, Tracy R. Andrews, Jason Roy, Patricia Greenberg, Zorimar Rivera-Núñez, Mark Budolfsen, and Panos Georgopoulos are with the Rutgers School of Public Health, Piscataway, NJ. Jeanne M. Ferrante, Daniel B. Horton, Marsha Gordon, Maria B. Pellerano, Alfred F. Tallia, Manuel E. Jimenez, and Shawna V. Hudson are with the Rutgers Robert Wood Johnson Medical School, Piscataway, NJ. Dorothy Reed is with Sister2Sister Inc, Somerset, NJ. Beverly Lynn is with Programs for Parents Inc, Newark, NJ. Robert Rosati is with the Connected Health Institute, Visiting Nurse Association Health Group, Holmdel, NJ. Manuel Castañeda is with New Brunswick Tomorrow, New Brunswick, NJ. Francis Dixon is with New Hope NOW Community Development Corporation, Newark, NJ. Chris Pernell is with University Hospital, Newark, NJ. Diane Hill is with Rutgers University-Newark, Newark, NJ. Martin J. Blaser is with the Center for Advanced Biotechnology and Medicine, Rutgers University, Piscataway, NJ. Reynold Panettieri Jr. is with the Rutgers Institute for Translational Medicine and Science, New Brunswick, NJ.
Abstract:
At-home COVID-19 testing offers convenience and safety advantages. We evaluated at-home testing in Black and Latino communities through an intervention comparing community-based organization (CBO) and health care organization (HCO) outreach. From May through December 2021, 1100 participants were recruited, 94% through CBOs. The odds of COVID-19 test requests and completions were significantly higher in the HCO arm. The results showed disparities in test requests and completions related to age, race, language, insurance, comorbidities, and pandemic-related challenges. Despite the popularity of at-home testing, barriers exist in underresourced communities. (Am J Public Health. 2022;112(S9):S918-S922. https://doi.org/10.2105/AJPH.2022.306989).
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