Evidence map›Paper›PMID 35176622›Full record

ArticlePublic health2022

Low uptake of COVID-19 lateral flow testing among university students: a mixed methods evaluation.

C E French, S Denford, E Brooks-Pollock, H Wehling, M Hickman

Abstract read
In one paragraph

Article in Public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–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

7 citing papers in PubMed.

  1. Trial
  2. Article
  3. Review
  4. Article
  5. SARS-CoV-2 self-test uptake and factors associated with self-testing during Omicron BA.1 and BA.2 waves in France, January to May 2022.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2023
    Article
  6. Article
  7. Article
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

5 authors.

C E FrenchPopulation Health Sciences, Bristol Medical School, University of Bristol, Bristol BS8 1UD, UK; NIHR Health Protection Research Unit in Behavioural Science and Evaluation, University of Bristol, Bristol, UK.
S DenfordPopulation Health Sciences, Bristol Medical School, University of Bristol, Bristol BS8 1UD, UK; NIHR Health Protection Research Unit in Behavioural Science and Evaluation, University of Bristol, Bristol, UK; School of Psychological Science, University of Bristol, Bristol BS8 1TU, UK. Electronic address: sarah.denford@bristol.ac.uk.
E Brooks-PollockNIHR Health Protection Research Unit in Behavioural Science and Evaluation, University of Bristol, Bristol, UK; Bristol Veterinary School, University of Bristol, Langford BS40 5DU, UK.
H WehlingNIHR Health Protection Research Unit in Behavioural Science and Evaluation, University of Bristol, Bristol, UK; Behavioural Science & Insights Unit, UK Health Security Agency, Porton Down, Salisbury SP4 0JG, UK.
M HickmanPopulation Health Sciences, Bristol Medical School, University of Bristol, Bristol BS8 1UD, UK; NIHR Health Protection Research Unit in Behavioural Science and Evaluation, University of Bristol, Bristol, UK.

Funding

Medical Research Council MC_PC_19067Medical Research Council MC_PC_19067/2Medical Research Council MR/V038613/1
6 · The paper itself

Abstract

objectiveThis study aimed to evaluate COVID-19 lateral flow testing (LFT) among asymptomatic university students. STUDY

designThis study was a mixed methods evaluation of LFT among University of Bristol students.

methodsWe conducted (1) an analysis of testing uptake and exploration of demographic variations in uptake using logistic regression; (2) an online student survey about views on university testing; and (3) qualitative interviews to explore participants' experiences of testing and subsequent behaviour, analysed using a thematic approach.

resultsA total of 12,391 LFTs were conducted on 8025 of 36,054 (22.3%) students. Only one in 10 students had the recommended two tests. There were striking demographic disparities in uptake with those from ethnic minority groups having lower uptake (e.g. 3% of Chinese students were tested vs 30.7% of White students) and variations by level and year of study (ranging from 5.3% to 33.7%), place of residence (29.0%-35.6%) and faculty (15.2%-32.8%). Differences persisted in multivariable analyses. A total of 436 students completed the online survey, and 20 in-depth interviews were conducted. Barriers to engagement with testing included a lack of awareness, knowledge and understanding, and concerns about the accuracy and safety. Students understood the limitations of LFTs but requested further information about test accuracy. Tests were used to inform behavioural decisions, often in combination with other information, such as the potential for exposure to the virus and perceptions of vulnerability.

conclusionsThe low uptake of testing brings into question the role of mass LFT in university settings. Innovative strategies may be needed to increase LFT uptake among students.

Indexed as

COVID-19EthnicityHumansMinority GroupsStudentsUniversitiesCOVID-19EvaluationLateral flow testMixed methodsUptake

Identifiers

PMID35176622
PMCPMC8755476

What OpenQuestion holds

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Registered trials

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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.