Evidence map›Paper›PMID 33915376›Full record

ArticleHealth & place2021

SARS-CoV-2 testing in North Carolina: Racial, ethnic, and geographic disparities.

Katerina Brandt, Varun Goel, Corinna Keeler, Griffin J Bell, Allison E Aiello, Giselle Corbie-Smith, Erica Wilson, Aaron Fleischauer, Michael Emch, Ross M Boyce

Abstract readComparative Study
In one paragraph

Article in Health & place, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Observational
  8. Article
  9. Using wastewater to overcome health disparities among rural residents.Geoforum; journal of physical, human, and regional geosciences · 2023
    Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Temporal Geospatial Analysis of COVID-19 Pre-Infection Determinants of Risk in South Carolina.International journal of environmental research and public health · 2021
    Article
  19. Spatial Disparities of COVID-19 Cases and Fatalities in United States Counties.International journal of environmental research and public health · 2021
    Article
  20. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Katerina BrandtUNC Department of Geography, Chapel Hill, NC, USA; Carolina Population Center, Chapel Hill, NC, USA.
Varun GoelUNC Department of Geography, Chapel Hill, NC, USA; Carolina Population Center, Chapel Hill, NC, USA.
Corinna KeelerUNC Department of Epidemiology, Chapel Hill, NC, USA.
Griffin J BellUNC Department of Epidemiology, Chapel Hill, NC, USA.
Allison E AielloCarolina Population Center, Chapel Hill, NC, USA; UNC Department of Epidemiology, Chapel Hill, NC, USA.
Giselle Corbie-SmithDivision of Infectious Diseases, UNC School of Medicine, Chapel Hill, NC, USA.
Erica WilsonNorth Carolina Department of Health and Human Services, Raleigh, NC, USA.
Aaron FleischauerNorth Carolina Department of Health and Human Services, Raleigh, NC, USA.
Michael EmchUNC Department of Geography, Chapel Hill, NC, USA; Carolina Population Center, Chapel Hill, NC, USA; UNC Department of Epidemiology, Chapel Hill, NC, USA. Electronic address: emch@unc.edu.
Ross M BoyceDivision of Infectious Diseases, UNC School of Medicine, Chapel Hill, NC, USA. Electronic address: roboyce@med.unc.edu.

Funding

UNC-CH CENTER FOR ENVIRONMENTAL HEALTH &SUSCEPTIBILITYP30ES010126 · NIEHS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Hazel B Nichols · 2001 to 2026
$36.3M
Biostatstics for Research in Environmental HealthT32ES007018 · NIEHS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Stephanie Engel, Rebecca Fry · 1985 to 2026
$31.3M
Research Services CoreP2CHD050924 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI KAREN B GUZZO · 2015 to 2026
$9.6M
From Biological to Social Processes: Interdisciplinary Training in Life Course ResearchT32HD091058 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI ROBERT A HUMMER, Amanda L Thompson · 2017 to 2026
$4.3M
NICHD NIH HHS P2C HD050924NICHD NIH HHS T32 HD091058NIEHS NIH HHS P30 ES010126NIEHS NIH HHS T32 ES007018
6 · The paper itself

Abstract

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.

Indexed as

AdolescentAdultAgedAge DistributionBlack or African AmericanChildChild, PreschoolCOVID-19COVID-19 TestingFemaleHealthcare DisparitiesHealth Services AccessibilityHispanic or LatinoHumansInfantMaleCOVID-19Healthcare disparityNorth CarolinaPublic health surveillanceRural communitiesSARS-CoV-2

Identifiers

PMID33915376
PMCPMC8212571

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.