SARS-CoV-2 testing in North Carolina: Racial, ethnic, and geographic disparities.
Adolescent
Adult
Black or African American
/ statistics & numerical data
Age Distribution
Aged
COVID-19
/ diagnosis
COVID-19 Testing
/ statistics & numerical data
Child
Child, Preschool
Female
Health Services Accessibility
/ statistics & numerical data
Healthcare Disparities
/ statistics & numerical data
Hispanic or Latino
/ statistics & numerical data
Humans
Infant
Male
Middle Aged
North Carolina
Rural Population
SARS-CoV-2
/ isolation & purification
Urban Population
White People
/ statistics & numerical data
Young Adult
COVID-19
Healthcare disparity
North Carolina
Public health surveillance
Rural communities
SARS-CoV-2
Journal
Health & place
ISSN: 1873-2054
Titre abrégé: Health Place
Pays: England
ID NLM: 9510067
Informations de publication
Date de publication:
05 2021
05 2021
Historique:
received:
08
10
2020
revised:
07
04
2021
accepted:
09
04
2021
pubmed:
30
4
2021
medline:
22
6
2021
entrez:
29
4
2021
Statut:
ppublish
Résumé
SARS-CoV-2 testing data in North Carolina during the first three months of the state's COVID-19 pandemic were analyzed to determine if there were disparities among intersecting axes of identity including race, Latinx ethnicity, age, urban-rural residence, and residence in a medically underserved area. Demographic and residential data were used to reconstruct patterns of testing metrics (including tests per capita, positive tests per capita, and test positivity rate which is an indicator of sufficient testing) across race-ethnicity groups and urban-rural populations separately. Across the entire sample, 13.1% (38,750 of 295,642) of tests were positive. Within racial-ethnic groups, 11.5% of all tests were positive among non-Latinx (NL) Whites, 22.0% for NL Blacks, and 66.5% for people of Latinx ethnicity. The test positivity rate was higher among people living in rural areas across all racial-ethnic groups. These results suggest that in the first three months of the COVID-19 pandemic, access to COVID-19 testing in North Carolina was not evenly distributed across racial-ethnic groups, especially in Latinx, NL Black and other historically marginalized populations, and further disparities existed within these groups by gender, age, urban-rural status, and residence in a medically underserved area.
Identifiants
pubmed: 33915376
pii: S1353-8292(21)00072-1
doi: 10.1016/j.healthplace.2021.102576
pmc: PMC8212571
mid: NIHMS1703078
pii:
doi:
Types de publication
Comparative Study
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Pagination
102576Subventions
Organisme : NICHD NIH HHS
ID : P2C HD050924
Pays : United States
Organisme : NIEHS NIH HHS
ID : P30 ES010126
Pays : United States
Organisme : NIEHS NIH HHS
ID : T32 ES007018
Pays : United States
Organisme : NICHD NIH HHS
ID : T32 HD091058
Pays : United States
Informations de copyright
Copyright © 2021 The Authors. Published by Elsevier Ltd.. All rights reserved.
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