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Persons tested for SAR-CoV-2 at a military treatment facility in Hawaii

Health inequalities based on race are well-documented, and the COVID-19 pandemic is no exception. Despite the advances in modern medicine, access to health care remains a primary determinant of health outcomes, especially for communities of color. African-Americans and other minorities are dispropor...

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Autores principales: Barranco-Trabi, Javier, Morgan, Stephen, Singh, Seema, Hill, Jimmy, Kayatani, Alexander, Mank, Victoria, Nesmith, Holly, Omara, Heather, Tripoli, Louis, Lustik, Michael, Masel, Jennifer, Chi, Sharon, Ngauy, Viseth
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8815911/
https://www.ncbi.nlm.nih.gov/pubmed/35120186
http://dx.doi.org/10.1371/journal.pone.0263472
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author Barranco-Trabi, Javier
Morgan, Stephen
Singh, Seema
Hill, Jimmy
Kayatani, Alexander
Mank, Victoria
Nesmith, Holly
Omara, Heather
Tripoli, Louis
Lustik, Michael
Masel, Jennifer
Chi, Sharon
Ngauy, Viseth
author_facet Barranco-Trabi, Javier
Morgan, Stephen
Singh, Seema
Hill, Jimmy
Kayatani, Alexander
Mank, Victoria
Nesmith, Holly
Omara, Heather
Tripoli, Louis
Lustik, Michael
Masel, Jennifer
Chi, Sharon
Ngauy, Viseth
author_sort Barranco-Trabi, Javier
collection PubMed
description Health inequalities based on race are well-documented, and the COVID-19 pandemic is no exception. Despite the advances in modern medicine, access to health care remains a primary determinant of health outcomes, especially for communities of color. African-Americans and other minorities are disproportionately at risk for infection with COVID-19, but this problem extends beyond access alone. This study sought to identify trends in race-based disparities in COVID-19 in the setting of universal access to care. Tripler Army Medical Center (TAMC) is a Department of Defense Military Treatment Facility (DoD-MTF) that provides full access to healthcare to active duty military members, beneficiaries, and veterans. We evaluated the characteristics of individuals diagnosed with SARS-CoV-2 infection at TAMC in a retrospective, case-controlled (1:1) study. Most patients (69%) had received a COVID-19 test within 3 days of symptom onset. Multivariable logistic regression analyses were used to identify factors associated with testing positive and to estimate adjusted odds ratios. African-American patients and patients who identified as “Other” ethnicities were two times more likely to test positive for SARS-CoV-2 relative to Caucasian patients. Other factors associated with testing positive include: younger age, male gender, previous positive test, presenting with >3 symptoms, close contact with a COVID-19 positive patient, and being a member of the US Navy. African-Americans and patients who identify as “Other” ethnicities had disproportionately higher rates of positivity of COVID-19. Although other factors contribute to increased test positivity across all patient populations, access to care does not appear to itself explain this discrepancy with COVID-19.
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spelling pubmed-88159112022-02-05 Persons tested for SAR-CoV-2 at a military treatment facility in Hawaii Barranco-Trabi, Javier Morgan, Stephen Singh, Seema Hill, Jimmy Kayatani, Alexander Mank, Victoria Nesmith, Holly Omara, Heather Tripoli, Louis Lustik, Michael Masel, Jennifer Chi, Sharon Ngauy, Viseth PLoS One Research Article Health inequalities based on race are well-documented, and the COVID-19 pandemic is no exception. Despite the advances in modern medicine, access to health care remains a primary determinant of health outcomes, especially for communities of color. African-Americans and other minorities are disproportionately at risk for infection with COVID-19, but this problem extends beyond access alone. This study sought to identify trends in race-based disparities in COVID-19 in the setting of universal access to care. Tripler Army Medical Center (TAMC) is a Department of Defense Military Treatment Facility (DoD-MTF) that provides full access to healthcare to active duty military members, beneficiaries, and veterans. We evaluated the characteristics of individuals diagnosed with SARS-CoV-2 infection at TAMC in a retrospective, case-controlled (1:1) study. Most patients (69%) had received a COVID-19 test within 3 days of symptom onset. Multivariable logistic regression analyses were used to identify factors associated with testing positive and to estimate adjusted odds ratios. African-American patients and patients who identified as “Other” ethnicities were two times more likely to test positive for SARS-CoV-2 relative to Caucasian patients. Other factors associated with testing positive include: younger age, male gender, previous positive test, presenting with >3 symptoms, close contact with a COVID-19 positive patient, and being a member of the US Navy. African-Americans and patients who identify as “Other” ethnicities had disproportionately higher rates of positivity of COVID-19. Although other factors contribute to increased test positivity across all patient populations, access to care does not appear to itself explain this discrepancy with COVID-19. Public Library of Science 2022-02-04 /pmc/articles/PMC8815911/ /pubmed/35120186 http://dx.doi.org/10.1371/journal.pone.0263472 Text en https://creativecommons.org/publicdomain/zero/1.0/This is an open access article, free of all copyright, and may be freely reproduced, distributed, transmitted, modified, built upon, or otherwise used by anyone for any lawful purpose. The work is made available under the Creative Commons CC0 (https://creativecommons.org/publicdomain/zero/1.0/) public domain dedication.
spellingShingle Research Article
Barranco-Trabi, Javier
Morgan, Stephen
Singh, Seema
Hill, Jimmy
Kayatani, Alexander
Mank, Victoria
Nesmith, Holly
Omara, Heather
Tripoli, Louis
Lustik, Michael
Masel, Jennifer
Chi, Sharon
Ngauy, Viseth
Persons tested for SAR-CoV-2 at a military treatment facility in Hawaii
title Persons tested for SAR-CoV-2 at a military treatment facility in Hawaii
title_full Persons tested for SAR-CoV-2 at a military treatment facility in Hawaii
title_fullStr Persons tested for SAR-CoV-2 at a military treatment facility in Hawaii
title_full_unstemmed Persons tested for SAR-CoV-2 at a military treatment facility in Hawaii
title_short Persons tested for SAR-CoV-2 at a military treatment facility in Hawaii
title_sort persons tested for sar-cov-2 at a military treatment facility in hawaii
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8815911/
https://www.ncbi.nlm.nih.gov/pubmed/35120186
http://dx.doi.org/10.1371/journal.pone.0263472
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