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COVID-19 Testing Factors Among Great Plains American Indians
Sara J Purvis1, Alexander Soltoff2, Mary J Isaacson3
1Department of Medicine, Massachusetts General Hospital, 100 Cambridge Street, 16th Floor, Boston, MA, 02114, USA. spurvis@mgh.harvard.edu.
Journal of Racial and Ethnic Health Disparities
|October 22, 2022
Summary
American Indian and Alaska Native communities faced significant COVID-19 challenges. Understanding tribal member perspectives on testing access and cultural relevance is crucial for effective response and maximizing COVID-19 testing uptake.
Area of Science:
- Public Health
- Health Disparities
- Epidemiology
Background:
- COVID-19 disproportionately impacted vulnerable populations, including American Indians and Alaska Natives.
- Effective response necessitates understanding tribal perspectives on testing and integrating cultural values.
Purpose of the Study:
- To assess factors associated with COVID-19 testing uptake among Tribal members in the Great Plains.
- To identify barriers and facilitators for testing in Native American communities.
Main Methods:
- Cross-sectional anonymous survey of 679 Tribal members in three Great Plains Reservations.
- Multivariate logistic regression analysis to determine predictors of COVID-19 testing.
Main Results:
- Employment status, ability to isolate, and symptom-based testing beliefs significantly correlated with testing uptake.
- Unemployed individuals and those unable to isolate were half as likely to be tested.
- Belief that testing is only needed for symptoms was associated with lower testing rates.
Conclusions:
- Improving testing access for unemployed individuals and those unable to isolate is vital.
- Educating on the value of testing after exposure can increase uptake.
- Continued investment in free testing programs on Reservations is essential for maximizing COVID-19 testing.
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