ArticlePublic health reports (Washington, D.C. : 1974)
Geographic Associations Between Social Factors and SARS-CoV-2 Testing Early in the COVID-19 Pandemic, February-June 2020, Massachusetts.
Article in Public health reports (Washington, D.C. : 1974). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.
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Who cites it
16 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- What Makes Urban Communities More Resilient to COVID-19? A Systematic Review of Current Evidence.International journal of environmental research and public health · 2022Pooled it
- Methods Used in the Spatial and Spatiotemporal Analysis of COVID-19 Epidemiology: A Systematic Review.International journal of environmental research and public health · 2022Pooled it
- Assessments of social vulnerability on central nervous system cancer disparities in the United States.Communications medicine · 2026Article
- The Role of Testing and Vaccination in Mediating Social Vulnerability and COVID-19 Prevalence in Southern Nevada.International journal of environmental research and public health · 2025Article
- Towards optimization of community vulnerability indices for COVID-19 prevalence.BMC public health · 2025Article
- Socioeconomic, racial-ethnic, household, and infrastructural disparities of hematologic cancer outcomes in the United States.Blood advances · 2025Article
- The association between neighborhood social vulnerability and community-based rehabilitation after stroke.BMC health services research · 2025Article
- Sliding down the socioeconomic health gradient of COVID-19 in New York City: multinomial regression analyses of disproportionate financial hardship for Black, Latino, and Asian residents and households with children.Frontiers in public health · 2025Article
- Social Determinants of Health and Health-Related Social Needs Among Adults With Chronic Diseases in the United States, Behavioral Risk Factor Surveillance System, 2022.Preventing chronic disease · 2024Article
- Assessment of Social Vulnerabilities of Care and Prognosis in Adult Ocular Melanomas in the US.Annals of surgical oncology · 2024Article
- Bayesian spatio-temporal analysis of the COVID-19 pandemic in Catalonia.Scientific reports · 2024Article
- A Census Tract-Level Examination of Diagnosed HIV Infection and Social Vulnerability Themes Among Black/African American, Hispanic/Latino, and White Adults, 2019-USA.Journal of racial and ethnic health disparities · 2024Article
- Assessment of Social Vulnerability in Pediatric Head and Neck Cancer Care and Prognosis in the United States.JAMA network open · 2023Article
- The association between non-English primary language and COVID-19 clinical trial eligibility and enrollment: A retrospective cohort study.Contemporary clinical trials · 2022Article
- Association Between In-Person vs Telehealth Follow-up and Rates of Repeated Hospital Visits Among Patients Seen in the Emergency Department.JAMA network open · 2022Article
- Community predictors of COVID-19 cases and deaths in Massachusetts: Evaluating changes over time using geospatially refined data.Influenza and other respiratory viruses · 2022Article
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
objectivesWidespread SARS-CoV-2 testing is critical to identify infected people and implement public health action to interrupt transmission. With SARS-CoV-2 testing supplies and laboratory capacity now widely available in the United States, understanding the spatial heterogeneity of associations between social determinants and the use of SARS-CoV-2 testing is essential to improve testing availability in populations disproportionately affected by SARS-CoV-2.
methodsWe assessed positive and negative results of SARS-CoV-2 molecular tests conducted from February 1 through June 17, 2020, from the Massachusetts Virtual Epidemiologic Network, an integrated web-based surveillance and case management system in Massachusetts. Using geographically weighted regression and Moran's
resultsMedian SARS-CoV-2 testing rates decreased with increasing percentages of residents with limited English proficiency (median relative risk [interquartile range] = 0.96 [0.95-0.99]), residents aged ≥65 (0.97 [0.87-0.98]), residents without health insurance (0.96 [0.95-1.04], and people residing in crowded housing conditions (0.89 [0.80-0.94]). These associations differed spatially across Massachusetts, and localized models improved the explainable variation in SARS-CoV-2 testing rates by 8% to 12%.
conclusionIndicators of social vulnerability are associated with variations in SARS-CoV-2 testing rates. Accounting for the spatial heterogeneity in these associations may improve the ability to explain and address the SARS-CoV-2 pandemic at substate levels.
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