Robust Testing in Outpatient Settings to Explore COVID-19 Epidemiology: Disparities in Race/Ethnicity and Age, Salt Lake County, Utah, 2020

Objective US-based descriptions of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection have focused on patients with severe disease. Our objective was to describe characteristics of a predominantly outpatient population tested for SARS-CoV-2 in an area receiving comprehensive test...

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Bibliographic Details
Published in:Public health reports (1974) 2021-05, Vol.136 (3), p.345-353
Main Authors: Ahmed, Sharia M., Shah, Rashmee U., Fernandez, Valerie, Grineski, Sara, Brintz, Benjamin, Samore, Matthew H., Ferrari, Matthew J., Leung, Daniel T., Keegan, Lindsay T.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Adults
Age
Age Distribution
Aged
Aged, 80 and over
Child
Child, Preschool
Clinics
Cohort Studies
Coronaviridae
Coronaviruses
COVID-19
COVID-19 - diagnosis
COVID-19 - epidemiology
COVID-19 Testing - statistics & numerical data
Data
Demographics
Epidemiology
Ethnicity
Female
Health Status Disparities
Hospitalization - statistics & numerical data
Humans
Infant
Male
Middle Aged
Minority & ethnic groups
Outpatients - statistics & numerical data
Pandemics
Patients
Public health
Race
Race Factors
Registries
Respiratory diseases
Risk analysis
Risk factors
SARS-CoV-2
Severe acute respiratory syndrome coronavirus 2
Signs and symptoms
Utah - epidemiology
Viral diseases
Young Adult
Young adults
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Summary:Objective US-based descriptions of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection have focused on patients with severe disease. Our objective was to describe characteristics of a predominantly outpatient population tested for SARS-CoV-2 in an area receiving comprehensive testing. Methods We extracted data on demographic characteristics and clinical data for all patients (91% outpatient) tested for SARS-CoV-2 at University of Utah Health clinics in Salt Lake County, Utah, from March 10 through April 24, 2020. We manually extracted data on symptoms and exposures from a subset of patients, and we calculated the adjusted odds of receiving a positive test result by demographic characteristics and clinical risk factors. Results Of 17 662 people tested, 1006 (5.7%) received a positive test result for SARS-CoV-2. Hispanic/Latinx people were twice as likely as non-Hispanic White people to receive a positive test result (adjusted odds ratio [aOR] = 2.0; 95% CI, 1.3-3.1), although the severity at presentation did not explain this discrepancy. Young people aged 0-19 years had the lowest rates of receiving a positive test result for SARS-CoV-2 (
ISSN:0033-3549
1468-2877
DOI:10.1177/0033354920988612