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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...
Autores principales: | , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2022
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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. |
format | Online Article Text |
id | pubmed-8815911 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
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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