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使用 PRAPARE 工具检查社区卫生中心内新冠病毒检测呈阳性和正在检测的人群。

Using the PRAPARE Tool to Examine Those Tested and Testing Positive for COVID-19 at a Community Health Center.

机构信息

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.

出版信息

J Racial Ethn Health Disparities. 2022 Aug;9(4):1528-1535. doi: 10.1007/s40615-021-01091-8. Epub 2021 Jun 22.


DOI:10.1007/s40615-021-01091-8
PMID:34156629
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8218784/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/98f4/8218784/7d1295d3951f/40615_2021_1091_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/98f4/8218784/7d1295d3951f/40615_2021_1091_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/98f4/8218784/7d1295d3951f/40615_2021_1091_Fig1_HTML.jpg

相似文献

[1]
Using the PRAPARE Tool to Examine Those Tested and Testing Positive for COVID-19 at a Community Health Center.

J Racial Ethn Health Disparities. 2022-8

[2]
Social Risk of Pregnant Women at a Community Health Center: An Application of the PRAPARE Assessment Tool.

J Immigr Minor Health. 2023-12

[3]
Real-world integration of the protocol for responding to and assessing patients' assets, risks, and experiences tool to assess social determinants of health in the electronic medical record at an academic medical center.

Digit Health. 2023-5-22

[4]
Implementation of social needs screening in primary care: a qualitative study using the health equity implementation framework.

BMC Health Serv Res. 2021-9-17

[5]
Beyond the First Trimester: Social Determinants of Delayed Prenatal Care at a Community Health Center Using the PRAPARE Tool.

J Racial Ethn Health Disparities. 2024-6-27

[6]
Collecting Social Determinants of Health Data in the Clinical Setting: Findings from National PRAPARE Implementation.

J Health Care Poor Underserved. 2020

[7]
Health Center Testing for SARS-CoV-2 During the COVID-19 Pandemic - United States, June 5-October 2, 2020.

MMWR Morb Mortal Wkly Rep. 2020-12-18

[8]
Development of PRAPARE Social Determinants of Health Clusters and Correlation with Diabetes and Hypertension Outcomes.

J Am Board Fam Med. 2022

[9]
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[10]
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Trials. 2021-1-8

引用本文的文献

[1]
Beyond the First Trimester: Social Determinants of Delayed Prenatal Care at a Community Health Center Using the PRAPARE Tool.

J Racial Ethn Health Disparities. 2024-6-27

[2]
Assessing the Impact of Social Determinants of Health on HIV Care Engagement in the Southern United States: A Cross-Sectional Study.

J Int Assoc Provid AIDS Care. 2024

[3]
Social Determinants of Health are Associated with Coping of Informal Caregivers of Adults with Heart Failure.

Clin Nurs Res. 2024-6

[4]
Advantages and disadvantages of using theory-based versus data-driven models with social and behavioral determinants of health data.

J Am Med Inform Assoc. 2023-10-19

[5]
Covid-19 and alcohol associated liver disease.

Dig Liver Dis. 2022-11

本文引用的文献

[1]
A Blueprint for Community Health Center and Nursing Home Partnership: Testing for COVID-19 among Residents and Staff at Long-term Care Facilities.

J Health Care Poor Underserved. 2021

[2]
Collecting Social Determinants of Health Data in the Clinical Setting: Findings from National PRAPARE Implementation.

J Health Care Poor Underserved. 2020

[3]
Multidisciplinary Community-Based Investigation of a COVID-19 Outbreak Among Marshallese and Hispanic/Latino Communities - Benton and Washington Counties, Arkansas, March-June 2020.

MMWR Morb Mortal Wkly Rep. 2020-12-4

[4]
Optimizing preventive medicine to bridge the gap between clinical medicine and public health for disease control in China: A lesson from COVID-19.

Prev Med. 2021-2

[5]
Private/marketplace insurance in community health centers 5 years post-affordable care act in medicaid expansion and non-expansion states.

Prev Med. 2020-12

[6]
Expanding Paid Sick Leave as a Public Health Tool in the Covid-19 Pandemic.

J Occup Environ Med. 2020-10

[7]
COVID-19 Home Confinement Negatively Impacts Social Participation and Life Satisfaction: A Worldwide Multicenter Study.

Int J Environ Res Public Health. 2020-8-27

[8]
Masks, Politics, Culture and Health.

Issues Ment Health Nurs. 2020-9

[9]
Black-White Risk Differentials in COVID-19 (SARS-COV2) Transmission, Mortality and Case Fatality in the United States: Translational Epidemiologic Perspective and Challenges.

Int J Environ Res Public Health. 2020-6-17

[10]
Embracing the complexity of modifiable risk reduction: A registry of modifiable risks for 0-12 month infants.

Prev Med. 2020-8

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