Culturally targeted messaging and racial equity in SARS-CoV-2 antibody testing by multiplex salivary measurement: Protocol overview of a SeroNet investigation

Better understanding racial disparities observed during the COVID-19 pandemic can be aided by SARS-CoV-2 serology testing. However, racial minorities may be underrepresented in serosurveillance efforts not only due to lack of testing accessibility, but also due to hesitancy towards participating in...

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Main Authors: Todd Lucas, Christopher D. Heaney, Steve W. Granger, Kent D. Key, Maria Knight Lapinski, Nicole Jones, Nigel Paneth, Ahnalee M. Brincks, Anurag Dawadi, Leah Maschino, Lindsey Rose, Monicia Summers, Rachel Weisbrod, Nora Pisanic, Olivia Aspiras, Stefan M.M. Goetz, Douglas A. Granger
Format: Article
Language:English
Published: Elsevier 2025-07-01
Series:Brain, Behavior, & Immunity - Health
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Online Access:http://www.sciencedirect.com/science/article/pii/S2666354625000778
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author Todd Lucas
Christopher D. Heaney
Steve W. Granger
Kent D. Key
Maria Knight Lapinski
Nicole Jones
Nigel Paneth
Ahnalee M. Brincks
Anurag Dawadi
Leah Maschino
Lindsey Rose
Monicia Summers
Rachel Weisbrod
Nora Pisanic
Olivia Aspiras
Stefan M.M. Goetz
Douglas A. Granger
author_facet Todd Lucas
Christopher D. Heaney
Steve W. Granger
Kent D. Key
Maria Knight Lapinski
Nicole Jones
Nigel Paneth
Ahnalee M. Brincks
Anurag Dawadi
Leah Maschino
Lindsey Rose
Monicia Summers
Rachel Weisbrod
Nora Pisanic
Olivia Aspiras
Stefan M.M. Goetz
Douglas A. Granger
author_sort Todd Lucas
collection DOAJ
description Better understanding racial disparities observed during the COVID-19 pandemic can be aided by SARS-CoV-2 serology testing. However, racial minorities may be underrepresented in serosurveillance efforts not only due to lack of testing accessibility, but also due to hesitancy towards participating in antibody testing programs stemming from medical mistrust. We designed a randomized control trial to evaluate how non-invasive salivary antibody testing and culturally targeted communication might be used to promote racial equity in uptake of SARS-CoV-2 serology testing during the COVID-19 pandemic. To evaluate these approaches, we recruited African American and White American participants from Flint, Michigan. Participants viewed a novel, animated didactic video about SARS-CoV-2 antibody testing, with half of African Americans viewing a culturally targeted version. We measured cognitive and affective responses that indicated receptivity to SARS-CoV-2 serology testing. We also provided a non-invasive salivary antibody screening opportunity, and we measured screening uptake as a behavioral outcome. Finally, we measured baseline sociodemographic, psychological, and health factors that could affect these responses. In addition to evaluating health communication approaches, multiplex SARS-CoV-2 antibody profiles can be subsequently linked to prescreen measures, and to inflammatory markers that were concomitantly measured in whole saliva. Ultimately, we aim to reduce COVID-19 racial disparities and bolster future pandemic preparedness through promoting equity in understanding and uptake of serology testing.
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spelling doaj-art-37eb797b03454c8d8b66629f06239b212025-08-20T03:21:15ZengElsevierBrain, Behavior, & Immunity - Health2666-35462025-07-014610101910.1016/j.bbih.2025.101019Culturally targeted messaging and racial equity in SARS-CoV-2 antibody testing by multiplex salivary measurement: Protocol overview of a SeroNet investigationTodd Lucas0Christopher D. Heaney1Steve W. Granger2Kent D. Key3Maria Knight Lapinski4Nicole Jones5Nigel Paneth6Ahnalee M. Brincks7Anurag Dawadi8Leah Maschino9Lindsey Rose10Monicia Summers11Rachel Weisbrod12Nora Pisanic13Olivia Aspiras14Stefan M.M. Goetz15Douglas A. Granger16Charles Stewart Mott Department of Public Health, College of Human Medicine, Michigan State University, Flint, MI, USA; Corresponding author. Charles Stewart Mott Department of Public Health, College of Human Medicine, Michigan State University, 200 East 1st Street, Room 353, Flint, MI 48502, USA.Department of Environmental Health and Engineering, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA; Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA; Department of Epidemiology, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USASalimetrics LLC, Carlsbad, CA, USACharles Stewart Mott Department of Public Health, College of Human Medicine, Michigan State University, Flint, MI, USADepartment of Communication, Michigan AgBio Research, Michigan State University, East Lansing, MI, USACharles Stewart Mott Department of Public Health, College of Human Medicine, Michigan State University, Flint, MI, USA; Pediatric Public Health Initiative, Charles Stewart Mott Department of Public Health, College of Human Medicine, Michigan State University, Flint, MI, USADepartment of Epidemiology and Biostatistics, College of Human Medicine, Michigan State University, East Lansing, MI, USA; Department of Pediatrics and Human Development, College of Human Medicine, Michigan State University, East Lansing, MI, USADepartment of Human Development and Family Studies, Michigan State University, East Lansing, MI, USACharles Stewart Mott Department of Public Health, College of Human Medicine, Michigan State University, Flint, MI, USACharles Stewart Mott Department of Public Health, College of Human Medicine, Michigan State University, Flint, MI, USACharles Stewart Mott Department of Public Health, College of Human Medicine, Michigan State University, Flint, MI, USACharles Stewart Mott Department of Public Health, College of Human Medicine, Michigan State University, Flint, MI, USACharles Stewart Mott Department of Public Health, College of Human Medicine, Michigan State University, Flint, MI, USADepartment of Environmental Health and Engineering, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USACharles Stewart Mott Department of Public Health, College of Human Medicine, Michigan State University, Flint, MI, USACharles Stewart Mott Department of Public Health, College of Human Medicine, Michigan State University, Flint, MI, USASalimetrics LLC, Carlsbad, CA, USA; Institute for Interdisciplinary Salivary Bioscience Research, University of California, Irvine, CA, USA; Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD, USABetter understanding racial disparities observed during the COVID-19 pandemic can be aided by SARS-CoV-2 serology testing. However, racial minorities may be underrepresented in serosurveillance efforts not only due to lack of testing accessibility, but also due to hesitancy towards participating in antibody testing programs stemming from medical mistrust. We designed a randomized control trial to evaluate how non-invasive salivary antibody testing and culturally targeted communication might be used to promote racial equity in uptake of SARS-CoV-2 serology testing during the COVID-19 pandemic. To evaluate these approaches, we recruited African American and White American participants from Flint, Michigan. Participants viewed a novel, animated didactic video about SARS-CoV-2 antibody testing, with half of African Americans viewing a culturally targeted version. We measured cognitive and affective responses that indicated receptivity to SARS-CoV-2 serology testing. We also provided a non-invasive salivary antibody screening opportunity, and we measured screening uptake as a behavioral outcome. Finally, we measured baseline sociodemographic, psychological, and health factors that could affect these responses. In addition to evaluating health communication approaches, multiplex SARS-CoV-2 antibody profiles can be subsequently linked to prescreen measures, and to inflammatory markers that were concomitantly measured in whole saliva. Ultimately, we aim to reduce COVID-19 racial disparities and bolster future pandemic preparedness through promoting equity in understanding and uptake of serology testing.http://www.sciencedirect.com/science/article/pii/S2666354625000778COVID-19SARS-CoV-2Serology testingSeroNetHealth disparitiesCulturally targeted
spellingShingle Todd Lucas
Christopher D. Heaney
Steve W. Granger
Kent D. Key
Maria Knight Lapinski
Nicole Jones
Nigel Paneth
Ahnalee M. Brincks
Anurag Dawadi
Leah Maschino
Lindsey Rose
Monicia Summers
Rachel Weisbrod
Nora Pisanic
Olivia Aspiras
Stefan M.M. Goetz
Douglas A. Granger
Culturally targeted messaging and racial equity in SARS-CoV-2 antibody testing by multiplex salivary measurement: Protocol overview of a SeroNet investigation
Brain, Behavior, & Immunity - Health
COVID-19
SARS-CoV-2
Serology testing
SeroNet
Health disparities
Culturally targeted
title Culturally targeted messaging and racial equity in SARS-CoV-2 antibody testing by multiplex salivary measurement: Protocol overview of a SeroNet investigation
title_full Culturally targeted messaging and racial equity in SARS-CoV-2 antibody testing by multiplex salivary measurement: Protocol overview of a SeroNet investigation
title_fullStr Culturally targeted messaging and racial equity in SARS-CoV-2 antibody testing by multiplex salivary measurement: Protocol overview of a SeroNet investigation
title_full_unstemmed Culturally targeted messaging and racial equity in SARS-CoV-2 antibody testing by multiplex salivary measurement: Protocol overview of a SeroNet investigation
title_short Culturally targeted messaging and racial equity in SARS-CoV-2 antibody testing by multiplex salivary measurement: Protocol overview of a SeroNet investigation
title_sort culturally targeted messaging and racial equity in sars cov 2 antibody testing by multiplex salivary measurement protocol overview of a seronet investigation
topic COVID-19
SARS-CoV-2
Serology testing
SeroNet
Health disparities
Culturally targeted
url http://www.sciencedirect.com/science/article/pii/S2666354625000778
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