دورية أكاديمية
Sociodemographic characteristics and COVID-19 testing rates:spatiotemporal patterns and impact of test accessibility in Sweden
| العنوان: | Sociodemographic characteristics and COVID-19 testing rates:spatiotemporal patterns and impact of test accessibility in Sweden |
|---|---|
| المؤلفون: | Kennedy, Beatrice, Varotsis, Georgios, Hammar, Ulf, Nguyen, Diem, Carrasquilla, Germán D, van Zoest, Vera, Kristiansson, Robert S, Fitipaldi, Hugo, Dekkers, Koen F, Daivadanam, Meena, Martinell, Mats, Björk, Jonas, Fall, Tove |
| المصدر: | Kennedy , B , Varotsis , G , Hammar , U , Nguyen , D , Carrasquilla , G D , van Zoest , V , Kristiansson , R S , Fitipaldi , H , Dekkers , K F , Daivadanam , M , Martinell , M , Björk , J & Fall , T 2024 , ' Sociodemographic characteristics and COVID-19 testing rates : spatiotemporal patterns and impact of test accessibility in Sweden ' , European Journal of Public Health , vol. 34 , no. 1 , pp. 14-21 . https://doi.org/10.1093/eurpub/ckad209Test |
| سنة النشر: | 2024 |
| المجموعة: | University of Copenhagen: Research / Forskning ved Københavns Universitet |
| الوصف: | BACKGROUND: Diagnostic testing is essential for disease surveillance and test-trace-isolate efforts. We aimed to investigate if residential area sociodemographic characteristics and test accessibility were associated with Coronavirus Disease 2019 (COVID-19) testing rates. METHODS: We included 426 224 patient-initiated COVID-19 polymerase chain reaction tests from Uppsala County in Sweden from 24 June 2020 to 9 February 2022. Using Poisson regression analyses, we investigated if postal code area Care Need Index (CNI; median 1.0, IQR 0.8-1.4), a composite measure of sociodemographic factors used in Sweden to allocate primary healthcare resources, was associated with COVID-19 daily testing rates after adjustments for community transmission. We assessed if the distance to testing station influenced testing, and performed a difference-in-difference-analysis of a new testing station targeting a disadvantaged neighbourhood. RESULTS: We observed that CNI, i.e. primary healthcare need, was negatively associated with COVID-19 testing rates in inhabitants 5-69 years. More pronounced differences were noted across younger age groups and in Uppsala City, with test rate ratios in children (5-14 years) ranging from 0.56 (95% CI 0.47-0.67) to 0.87 (95% CI 0.80-0.93) across three pandemic waves. Longer distance to the nearest testing station was linked to lower testing rates, e.g. every additional 10 km was associated with a 10-18% decrease in inhabitants 15-29 years in Uppsala County. The opening of the targeted testing station was associated with increased testing, including twice as high testing rates in individuals aged 70-105, supporting an intervention effect. CONCLUSIONS: Ensuring accessible testing across all residential areas constitutes a promising tool to decrease inequalities in testing. |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | application/pdf |
| اللغة: | English |
| DOI: | 10.1093/eurpub/ckad209 |
| الإتاحة: | https://doi.org/10.1093/eurpub/ckad209Test https://curis.ku.dk/portal/da/publications/sociodemographic-characteristics-and-covid19-testing-ratesTest(20ac30fb-e109-4d8c-97a9-ef358b6491db).html https://curis.ku.dk/ws/files/383786424/ckad209.pdfTest |
| حقوق: | info:eu-repo/semantics/openAccess |
| رقم الانضمام: | edsbas.8647BBBA |
| قاعدة البيانات: | BASE |
| DOI: | 10.1093/eurpub/ckad209 |
|---|