African Americans views of COVID-19 contact tracing and testing

Kas-Osoka, Chioma; Moss, Jamal; Alexander, Leah; Davis, Jamaine; Parham, Imari; Barré, Iman; Cunningham-Erves, Jennifer

doi:10.1016/j.ajic.2022.02.032

Cited by 5 publications

(4 citation statements)

References 12 publications

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“…This benefit may be particularly valuable among Black people, whose limited access to COVID-19 testing has been documented throughout the pandemic. 3 Parents also supported TTS because it allowed their children to remain in school, which in turn enabled parents to go to work. [11][12][13] Informants highlighted the health and social benefits of having students attend school in person, including having access to free or reduced-price meal programs, school services, and extracurricular activities, which are especially beneficial among communities that may not have access to these services outside the school setting.…”

Section: Discussionmentioning

confidence: 99%

“…Public Health Reports 138 (3) Additionally, Black or African American people (hereinafter, Black) and other racial and ethnic minority groups are disproportionately affected by unintended disparities (eg, lack of access to testing) caused by COVID-19 prevention strategies. 1,3,4 Test to Stay (TTS) is a prevention strategy that regularly tests asymptomatic people exposed to SARS-CoV-2 and allows them to remain in school if test results are negative. When layered with other prevention strategies, such as wearing face masks, TTS limits the spread of SARS-CoV-2 while maintaining safe in-person learning.…”

mentioning

confidence: 99%

“…2 Additionally, Black or African American people (hereinafter, Black) and other racial and ethnic minority groups are disproportionately affected by unintended disparities (eg, lack of access to testing) caused by COVID-19 prevention strategies. 1,3,4…”

mentioning

confidence: 99%

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Perceived Benefits and Barriers of a COVID-19 Test to Stay Program in a School District Serving Black or African American People With Low Income, December 2021

et al. 2023

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Objectives: Quarantine after exposure to COVID-19 has resulted in substantial loss of in-person learning in schools from prekindergarten through grade 12. Test to Stay (TTS), a strategy that limits the spread of SARS-CoV-2 while prioritizing in-person learning, requires substantial investment in resources. The objective of this study was to assess the perceived benefits, barriers, and facilitators of implementing TTS in an urban school district in the Midwest serving primarily Black or African American people with low income. Methods: In December 2021, we used a concurrent mixed-methods approach to understand perceived benefits, barriers, and facilitators of implementing TTS by combining quantitative analysis of telephone surveys conducted with parents (n = 124) and a qualitative inquiry involving key informants from the school district and local health department (n = 22). We analyzed quantitative data using descriptive statistics. We used thematic analysis to analyze qualitative data. Results: Quantitative findings showed that parents supported TTS because it was convenient (n = 83, 97%) and effective (n = 82, 95%) in keeping students learning in person (n = 82, 95%) and preventing the spread of COVID-19 (n = 80, 93%). Qualitative interviews with informants found that having a clear protocol and assigning staff to specified tasks allowed for successful TTS implementation. However, insufficient staffing and testing resources, parent mistrust of testing, and lack of communication from schools were perceived barriers. Conclusion: The school community strongly supported TTS despite the many implementation challenges faced. This study emphasized the importance of ensuring resources for equitable implementation of COVID-19 prevention strategies and the critical role of communication.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Perceived Benefits and Barriers of a COVID-19 Test to Stay Program in a School District Serving Black or African American People With Low Income, December 2021

et al. 2023

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“…Furthermore, reported strategies to increase testing included providing incentives, clear information from trusted sources, convenient testing locations, and free tests. Another qualitative study among 62 Black Americans from Tennessee identified medical and government mistrust, poor communication, lack of access, stigma associated with positive tests, and costs as major barriers to testing ( Kas-Osoka et al, 2022 ). Additionally, a qualitative study conducted among 26 Black Americans living in Washington, DC identified several barriers to testing, including uncertainty about test accuracy and safety, stigma of positive test results, and concerns about racial bias in health care ( Schaffer DeRoo et al, 2021 ).…”

Section: Discussionmentioning

confidence: 99%

Exploring barriers to SARS‐CoV‐2 testing uptake in underserved black communities in Louisiana

Katzmarzyk

Myers

Nelson

et al. 2023

American J Hum Biol

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Objective: To collect qualitative data on approaches that can potentially reduce barriers to, and create strategies for, increasing SARS-CoV-2 testing uptake in underserved Black communities in Louisiana. Methods: A series of eight focus groups, including 41 participants, were conducted in primarily Black communities. The Nominal Group Technique (NGT) was used to determine perceptions of COVID-19 as a disease, access to testing, and barriers limiting testing uptake.Results: Common barriers to SARS-CoV-2 testing were identified as lack of transportation, misinformation/lack of information, lack of time/long wait times, fear of the test being uncomfortable and/or testing positive, the cost of testing, and lack of computer/smartphone/internet. The most impactful approaches identified to increase testing uptake included providing testing within the local communities; testing specifically in heavily traveled areas such as supermarkets, churches, schools, and so forth; providing incentives; engaging local celebrities; and providing information to the community through health fairs, or through churches and schools. The strategies that were deemed to be the easiest to implement revolved around communication about testing, with suggested strategies involving churches, local celebrities or expert leaders, social media, text messages, public service announcements, post cards, or putting up signs in neighborhoods. Providing transportation to testing sites, providing incentives, and bringing the testing to neighborhoods and schools were also identified as easy to implement strategies. Conclusions: Several strategies to increase testing uptake were identified in this population. These strategies need to be tested for effectiveness in realworld settings using experimental and observational study designs.

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Hesitancy in using COVID-19 prevention behaviors among African Americans: Strategies to build confidence

Cunningham-Erves,

Davis,

Stewart

et al. 2024

Linking Neuroscience and Behavior in COVID-19

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African Americans views of COVID-19 contact tracing and testing

Cited by 5 publications

References 12 publications

Perceived Benefits and Barriers of a COVID-19 Test to Stay Program in a School District Serving Black or African American People With Low Income, December 2021

Perceived Benefits and Barriers of a COVID-19 Test to Stay Program in a School District Serving Black or African American People With Low Income, December 2021

Exploring barriers to SARS‐CoV‐2 testing uptake in underserved black communities in Louisiana

Hesitancy in using COVID-19 prevention behaviors among African Americans: Strategies to build confidence

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