Who is engaging with lateral flow testing for COVID-19 in the UK? The COVID-19 Rapid Survey of Adherence to Interventions and Responses (CORSAIR) study

Objectives To investigate uptake of lateral flow testing, reporting of test results and psychological, contextual and socio-demographic factors associated with testing.Design A series of four fortnightly online cross-sectional surveys.Setting Data collected from 19 April 2021 to 2 June 2021.Particip...

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Main Authors: Nicola T Fear, Susan Michie, Richard Amlot, G James Rubin, Louise E Smith, Henry WW Potts
Format: Article
Language:English
Published: BMJ Publishing Group 2022-02-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/12/2/e058060.full
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author Nicola T Fear
Susan Michie
Richard Amlot
G James Rubin
Louise E Smith
Henry WW Potts
author_facet Nicola T Fear
Susan Michie
Richard Amlot
G James Rubin
Louise E Smith
Henry WW Potts
author_sort Nicola T Fear
collection DOAJ
description Objectives To investigate uptake of lateral flow testing, reporting of test results and psychological, contextual and socio-demographic factors associated with testing.Design A series of four fortnightly online cross-sectional surveys.Setting Data collected from 19 April 2021 to 2 June 2021.Participants People living in England and Scotland, aged 18 years or over, excluding those who reported their most recent test was a polymerase chain reaction (PCR) test (n=6646, n≈1600 per survey).Main outcome measures Having completed at least one lateral flow test (LFT) in the last 7 days.Results We used binary logistic regressions to investigate factors associated with having taken at least one LFT. Increased uptake of testing was associated with being vaccinated (adjusted ORs (aORs)=1.52–2.45, 95% CI 1.25 to 3.07, analysed separately by vaccine dose), employed (aOR=1.94, 95% CI 1.63 to 2.32), having been out to work in the last week (aOR=2.30, 95% CI 1.94 to 2.73) and working in a sector that adopted LFT early (aOR=2.54, 95% CI 2.14 to 3.02) . Uptake was higher in people who reported cardinal COVID-19 symptoms in the last week (aOR=1.89, 95% CI 1.34 to 2.66). People who had heard more about LFTs (aOR=2.28, 95% CI 2.06 to 2.51) and knew they were eligible to receive regular LFTs (aOR=2.98, 95% CI 2.35 to 3.78) were also more likely to have tested. Factors associated with not taking a test included agreeing that you do not need to test for COVID-19 unless you have come into contact with a case (aOR=0.51, 95% CI 0.47 to 0.55).Conclusions Uptake of lateral flow testing is low. Encouraging testing through workplaces and places of study is likely to increase uptake, although care should be taken not to pressurise employees and students. Increasing knowledge that everyone is eligible for regular asymptomatic testing and addressing common misconceptions may drive uptake.
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spelling doaj-art-e4395f2cc4ae43bd812b5d83a772376c2025-01-24T07:30:09ZengBMJ Publishing GroupBMJ Open2044-60552022-02-0112210.1136/bmjopen-2021-058060Who is engaging with lateral flow testing for COVID-19 in the UK? The COVID-19 Rapid Survey of Adherence to Interventions and Responses (CORSAIR) studyNicola T Fear0Susan Michie1Richard Amlot2G James Rubin3Louise E Smith4Henry WW Potts5Academic Department for Military Mental Health, King`s College London, London, UKResearch Department of Clinical, Educational and Health Psychology, University College London, Sheffield, UKNIHR Health Protection Research Unit in Emergency Preparedness and Response, London, UKNIHR Health Protection Research Unit in Emergency Preparedness and Response, London, UKNIHR Health Protection Research Unit in Emergency Preparedness and Response, London, UKInstitute of Health Informatics, University College London, London, UKObjectives To investigate uptake of lateral flow testing, reporting of test results and psychological, contextual and socio-demographic factors associated with testing.Design A series of four fortnightly online cross-sectional surveys.Setting Data collected from 19 April 2021 to 2 June 2021.Participants People living in England and Scotland, aged 18 years or over, excluding those who reported their most recent test was a polymerase chain reaction (PCR) test (n=6646, n≈1600 per survey).Main outcome measures Having completed at least one lateral flow test (LFT) in the last 7 days.Results We used binary logistic regressions to investigate factors associated with having taken at least one LFT. Increased uptake of testing was associated with being vaccinated (adjusted ORs (aORs)=1.52–2.45, 95% CI 1.25 to 3.07, analysed separately by vaccine dose), employed (aOR=1.94, 95% CI 1.63 to 2.32), having been out to work in the last week (aOR=2.30, 95% CI 1.94 to 2.73) and working in a sector that adopted LFT early (aOR=2.54, 95% CI 2.14 to 3.02) . Uptake was higher in people who reported cardinal COVID-19 symptoms in the last week (aOR=1.89, 95% CI 1.34 to 2.66). People who had heard more about LFTs (aOR=2.28, 95% CI 2.06 to 2.51) and knew they were eligible to receive regular LFTs (aOR=2.98, 95% CI 2.35 to 3.78) were also more likely to have tested. Factors associated with not taking a test included agreeing that you do not need to test for COVID-19 unless you have come into contact with a case (aOR=0.51, 95% CI 0.47 to 0.55).Conclusions Uptake of lateral flow testing is low. Encouraging testing through workplaces and places of study is likely to increase uptake, although care should be taken not to pressurise employees and students. Increasing knowledge that everyone is eligible for regular asymptomatic testing and addressing common misconceptions may drive uptake.https://bmjopen.bmj.com/content/12/2/e058060.full
spellingShingle Nicola T Fear
Susan Michie
Richard Amlot
G James Rubin
Louise E Smith
Henry WW Potts
Who is engaging with lateral flow testing for COVID-19 in the UK? The COVID-19 Rapid Survey of Adherence to Interventions and Responses (CORSAIR) study
BMJ Open
title Who is engaging with lateral flow testing for COVID-19 in the UK? The COVID-19 Rapid Survey of Adherence to Interventions and Responses (CORSAIR) study
title_full Who is engaging with lateral flow testing for COVID-19 in the UK? The COVID-19 Rapid Survey of Adherence to Interventions and Responses (CORSAIR) study
title_fullStr Who is engaging with lateral flow testing for COVID-19 in the UK? The COVID-19 Rapid Survey of Adherence to Interventions and Responses (CORSAIR) study
title_full_unstemmed Who is engaging with lateral flow testing for COVID-19 in the UK? The COVID-19 Rapid Survey of Adherence to Interventions and Responses (CORSAIR) study
title_short Who is engaging with lateral flow testing for COVID-19 in the UK? The COVID-19 Rapid Survey of Adherence to Interventions and Responses (CORSAIR) study
title_sort who is engaging with lateral flow testing for covid 19 in the uk the covid 19 rapid survey of adherence to interventions and responses corsair study
url https://bmjopen.bmj.com/content/12/2/e058060.full
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