The Importance of Community-Based and Community-Partnered COVID-19 Testing for Reducing Disparities Among African American Populations

Background: Health inequalities in African American communities have been further exacerbated by COVID-19. Public health departments and other safety-net providers across the United States have partnered with community-based organizations to address barriers to COVID-19 testing in disproportionately...

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Main Authors: Chavon Hamilton-Burgess, Jannette Berkley-Patton, Jenifer Allsworth, Carole Bowe Thompson, Frank E. Thompson, Tacia Burgin, Eric D. Williams, Kathryn P. Derose
Format: Article
Language:English
Published: Mary Ann Liebert 2024-12-01
Series:Health Equity
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Online Access:https://www.liebertpub.com/doi/10.1089/heq.2022.0185
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author Chavon Hamilton-Burgess
Jannette Berkley-Patton
Jenifer Allsworth
Carole Bowe Thompson
Frank E. Thompson
Tacia Burgin
Eric D. Williams
Kathryn P. Derose
author_facet Chavon Hamilton-Burgess
Jannette Berkley-Patton
Jenifer Allsworth
Carole Bowe Thompson
Frank E. Thompson
Tacia Burgin
Eric D. Williams
Kathryn P. Derose
author_sort Chavon Hamilton-Burgess
collection DOAJ
description Background: Health inequalities in African American communities have been further exacerbated by COVID-19. Public health departments and other safety-net providers across the United States have partnered with community-based organizations to address barriers to COVID-19 testing in disproportionately impacted communities. This narrative review summarizes lessons learned from published examples of these community-based COVID-19 testing efforts. Methods: We searched online databases for peer-reviewed articles on community-based COVID-19 testing interventions in the United States aimed at increasing COVID-19 testing among African American populations. We abstracted information about each example and synthesized the primary lessons learned and key aspects that contributed to their success. Results: Seven examples of community-based COVID-19 testing aimed at increasing testing among African Americans and other underserved populations were identified and described, across various U.S. locations and involving multiple types of partners (1) St. Paul, MN (faith, health centers, Mayo Clinic); (2) Chicago, IL (university hospital and health centers); (3) NC (health centers, Community Advisory Board); (4) Baltimore, MD (hospitals, community clinic, mobile clinic); (5) Marion County, FL (health department and community partners); (6) New Orleans, LA (health department and health system); and (7) New York City, NY health and hospital system, mobile clinic). Discussion: Several key aspects of the COVID-19 testing models included the following: (1) close proximity of the testing site to affected communities and availability of walk-up and drive-through testing options; (2) partnerships between safety-net providers and broad community networks, which facilitated outreach and trust; (3) increased resources for safety-net providers; and (4) the use of data to identify areas of need and track impact. The merging of resources and relationships among well-equipped, safety-net providers and other health care institutions and culture-rich, community-centered organizations, to jointly address structural and systemic inequities, is key to cultivating health equity in the distribution of COVID-19 testing and other essential public health services.
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spelling doaj-art-94f0a9f653ee47ef8e125e88ad3bd1052025-08-20T02:58:58ZengMary Ann LiebertHealth Equity2473-12422024-12-018114715610.1089/heq.2022.0185The Importance of Community-Based and Community-Partnered COVID-19 Testing for Reducing Disparities Among African American PopulationsChavon Hamilton-Burgess0Jannette Berkley-Patton1Jenifer Allsworth2Carole Bowe Thompson3Frank E. Thompson4Tacia Burgin5Eric D. Williams6Kathryn P. Derose7Department of Health Promotion and Policy, University of Massachusetts Amherst, Amherst, Massachusetts, USA.Department of Biomedical and Health Informatics, University of Missouri Kansas City (UMKC) School of Medicine, Kansas City, Missouri, USA.Department of Biomedical and Health Informatics, University of Missouri Kansas City (UMKC) School of Medicine, Kansas City, Missouri, USA.Department of Biomedical and Health Informatics, University of Missouri Kansas City (UMKC) School of Medicine, Kansas City, Missouri, USA.Kansas City MO Health Department, Kansas City, Missouri, USA.Department of Psychology, University of Missouri Kansas City (UMKC), Kansas City, Missouri, USA.Calvary Temple Baptist Church, Calvary Community Outreach Network, Kansas City, Missouri, USA.Department of Health Promotion and Policy, University of Massachusetts Amherst, Amherst, Massachusetts, USA.Background: Health inequalities in African American communities have been further exacerbated by COVID-19. Public health departments and other safety-net providers across the United States have partnered with community-based organizations to address barriers to COVID-19 testing in disproportionately impacted communities. This narrative review summarizes lessons learned from published examples of these community-based COVID-19 testing efforts. Methods: We searched online databases for peer-reviewed articles on community-based COVID-19 testing interventions in the United States aimed at increasing COVID-19 testing among African American populations. We abstracted information about each example and synthesized the primary lessons learned and key aspects that contributed to their success. Results: Seven examples of community-based COVID-19 testing aimed at increasing testing among African Americans and other underserved populations were identified and described, across various U.S. locations and involving multiple types of partners (1) St. Paul, MN (faith, health centers, Mayo Clinic); (2) Chicago, IL (university hospital and health centers); (3) NC (health centers, Community Advisory Board); (4) Baltimore, MD (hospitals, community clinic, mobile clinic); (5) Marion County, FL (health department and community partners); (6) New Orleans, LA (health department and health system); and (7) New York City, NY health and hospital system, mobile clinic). Discussion: Several key aspects of the COVID-19 testing models included the following: (1) close proximity of the testing site to affected communities and availability of walk-up and drive-through testing options; (2) partnerships between safety-net providers and broad community networks, which facilitated outreach and trust; (3) increased resources for safety-net providers; and (4) the use of data to identify areas of need and track impact. The merging of resources and relationships among well-equipped, safety-net providers and other health care institutions and culture-rich, community-centered organizations, to jointly address structural and systemic inequities, is key to cultivating health equity in the distribution of COVID-19 testing and other essential public health services.https://www.liebertpub.com/doi/10.1089/heq.2022.0185COVID-19 testingAfrican Americancommunity networkshealth equity
spellingShingle Chavon Hamilton-Burgess
Jannette Berkley-Patton
Jenifer Allsworth
Carole Bowe Thompson
Frank E. Thompson
Tacia Burgin
Eric D. Williams
Kathryn P. Derose
The Importance of Community-Based and Community-Partnered COVID-19 Testing for Reducing Disparities Among African American Populations
Health Equity
COVID-19 testing
African American
community networks
health equity
title The Importance of Community-Based and Community-Partnered COVID-19 Testing for Reducing Disparities Among African American Populations
title_full The Importance of Community-Based and Community-Partnered COVID-19 Testing for Reducing Disparities Among African American Populations
title_fullStr The Importance of Community-Based and Community-Partnered COVID-19 Testing for Reducing Disparities Among African American Populations
title_full_unstemmed The Importance of Community-Based and Community-Partnered COVID-19 Testing for Reducing Disparities Among African American Populations
title_short The Importance of Community-Based and Community-Partnered COVID-19 Testing for Reducing Disparities Among African American Populations
title_sort importance of community based and community partnered covid 19 testing for reducing disparities among african american populations
topic COVID-19 testing
African American
community networks
health equity
url https://www.liebertpub.com/doi/10.1089/heq.2022.0185
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