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A Three-Year Evaluation of COVID-19 Vaccination and Testing Patterns Among Homebound Older Adults: Implications for
Karen E Skinner1, Anneliese Stoever1, John R Zakibe1
1Karen E. Skinner and Matthew W. Kreuter are with the Health Communication Research Laboratory, Washington University in St. Louis, St. Louis, MO. Anneliese Stoever and John R. Zakibe are with the St. Louis Area Agency on Aging, St. Louis City Department of Human Services. Carla Evans is with Five Star Center, Inc, St. Louis, MO. John Saunders Jr is with Wesley House Association, St. Louis, MO.
Abstract:
COVID-19 self-test kits were distributed to low-income, homebound older adults with their home-delivered meals annually (2022-2024). A convenience sample of recipients completed follow-up surveys in 2022 (n = 271), 2023 (n = 295), and 2024 (n = 285). In 2023, 28% had ever used a COVID-19 self-test, which increased to 39% in 2024 and is comparable to a national study (27%). Through partnerships with trusted meal-delivery providers, homebound older adults can achieve rates of COVID-19 self-testing comparable to those of the broader population. (Am J Public Health. 2026;116(4):427-430. https://doi.org/10.2105/AJPH.2025.308349).
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