Department of Health, Human Performance and Recreation, University of Arkansas, 308A HPER Building, Fayetteville, AR, 72701, USA.
St. Francis House NWA Inc. dba. Community Clinic, Springdale, AR, USA.
J Racial Ethn Health Disparities. 2022 Aug;9(4):1528-1535. doi: 10.1007/s40615-021-01091-8. Epub 2021 Jun 22.
The PRAPARE (Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences) tool is an instrument that has been used to assess social determinants of health within community health centers in the US. We sought to examine the association between PRAPARE scores and getting tested for and testing positive with the SARS-CoV-2 virus. We used medical record data collected from a community health center in the US between March-August 2020. Employing logistic regression analyzes, we explored the association between demographic factors, history of screening positive for depression, and PRAPARE scores and patients' odds of getting tested and testing positive for COVID-19. While variables such as ethnicity mirrored similar findings from other sources, we found the PRAPARE score to be associated with increased odds of being tested for COVID-19; however, it was not significantly associated with testing positive. These findings can help health care workers and health educators craft messages to explain screening protocols for communicable diseases, such as COVID-19, to best reach vulnerable populations.
PRAPARE（评估患者资产、风险和体验的方案）工具是一种在美国社区卫生中心用于评估健康社会决定因素的工具。我们试图研究 PRAPARE 评分与接受 SARS-CoV-2 病毒检测和检测呈阳性之间的关联。我们使用了 2020 年 3 月至 8 月期间从美国一家社区卫生中心收集的医疗记录数据。通过逻辑回归分析，我们探讨了人口统计学因素、抑郁筛查阳性史以及 PRAPARE 评分与患者接受 COVID-19 检测和检测呈阳性的几率之间的关联。虽然种族等变量反映了其他来源的类似发现，但我们发现 PRAPARE 评分与 COVID-19 检测几率增加有关；然而，它与检测呈阳性并没有显著关联。这些发现可以帮助医疗保健工作者和健康教育者制定信息，以解释 COVID-19 等传染病的筛查方案，以便最大限度地覆盖弱势群体。
