dbGaP Study Accession: phs002708
NIH Institute/Center: NIEHS
RADx Data Program: RADx-UP
Release Date: 08/30/2023
DOI: 10.60773/nvkn-xv26
Study Description: UC San Diego's Superfund Research Center (SRC), supported by the NIEHS Superfund Research Program since 2000, was engaged in research and Public Health initiatives that examined the cumulative impacts of poor nutrition and other health disparities on the etiology of a variety of diseases. The ethnically diverse low-income communities in San Diego SRC engages are predominantly populated by people of color where poverty, pollution, inadequate infrastructure, and structural racism create unhealthy living conditions. These same communities are being ravaged by COVID-19, which is caused by infection by the SARS-CoV-2 virus. With California becoming one of the global pandemic epicenters in the US, coupled with the growing need for rapid COVID-19 testing, SRC partnered with expertise at UC San Diego to develop simple, rapid and inexpensive FDA-authorized COVID-19 testing that were offered using community-driven, contextually relevant strategies to accelerate broad testing uptake among underserved communities in San Diego. While all areas of San Diego County are seeing rising cases of COVID-19 infections, southern San Diego communities along the US-Mexico border, including Chula Vista, Otay Mesa and San Ysidro, are experiencing disproportionate increases in infections. Among these communities, San Ysidro stands out for several reasons. First, it represents one of the poorest communities in San Diego, a condition that drives health disparities. Second, San Ysidro has the highest incidence of COVID-19 cases in San Diego County, even with current (inadequate) levels of testing. Third, San Ysidro is located a significant distance from the major health centers in San Diego, such as UC San Diego Health, and access to adequate testing is problematic. Fourth, San Ysidro is home to San Ysidro Health (SYH), a federally qualified health center that is the largest healthcare delivery system serving San Ysidro residents, and which has a long-standing relationship with UC San Diego. This local health facility has struggled to access COVID-19 testing. Taken together, these factors make San Ysidro a good place to create a prototype two-year community-engaged testing research project. Further, regular prenatal and pediatric care visits were still being conducted to sustain their known positive impacts on pregnancy and child health outcomes; this creates an excellent opportunity to engage families in COVID-19 testing in an otherwise hard-to-reach population. The SYH Maternal and Child Health Center (MCHC) was a busy prenatal and pediatric care site located less than 2 miles from the US-Mexico border, and was the focus of this project. Through a multi-level community-engaged approach and in partnership with a diverse Community and Scientific Advisory Board (CSAB), a set of contextually relevant strategies were developed, implemented, and evaluated. These strategies accelerated the broad delivery and uptake of COVID-19 testing among pregnant women and children and support scaling across the entire San Ysidro community of 27,000 residents. It was hypothesized that the implementation of an extensive and rapid COVID-19 testing program would markedly decrease the disparities experienced by underserved communities in testing access and ultimately in morbidity and mortality from COVID-19.
Updated Date: 04/10/2024
Principal Investigator: Laurent, Louise
Has Data Files: Yes
Study Domain: Community Outreach Programs; Medical Device or Tool Development; Rapid Diagnostic Test (RDT); Social Determinants of Health
Data Collection Method: Survey
Keywords: Individual-Level Data; Nutrition; Remnant Samples from COVID-19 Testing
Study Design: Longitudinal Cohort
Multi-Center Study: No
Data Types: Questionnaire or Survey
Study Start Date: 06/23/2022
Study End Date: 03/31/2023
Species: Human
Estimated Cohort Size: 10000
Study Population Focus: Adults; African Americans; Children; Lower Socioeconomic Status (SES) Populations; Older Adults or Elderly; Pregnant or Nursing Women; Underserved or Vulnerable Populations
Publication URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9108217/; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9574473/; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9974043/
Acknowledgement Statement: This study was supported through funding, 3P42ES010337-20S1, for the National Institute of Environmental Health Sciences (NIEHS) as part of the RADx-UP program. The CO-CREATE projects has established partnerships with San Ysidro Health and The Global ARC to help guide recruitment methods as well as providing community feedback to ensure these methods of participant engagement and enrollment are tailored to the unique demographic of the San Ysidro community. UC San Diego Clinical Research Coordinators and San Ysidro Health Research Assistants have been on-site at the San Ysidro Maternal and Child Health Clinic in San Ysdiro on a weekly basis conducting COVID-19 testing and conducting participant surveys. CO-CREATE staff engage in weekly team meetings to support efforts and provide collaborative feedback to build upon weekly on-site learnings and adaptations. Approved users should acknowledge the provision of data access by dbGaP for accession phs002708.v1.p1, and the NIH RADx Data Hub. Approved users should also acknowledge the specific version(s) of the dataset(s) obtained from the NIH RADx Data Hub.
Funding Opportunity Announcement (FOA) Number: PA-20-135
NIH Grant or Contract Number(s): 3P42ES010337-20S1
Consent/Data Use Limitations: General Research Use
Variable Name | Label |
---|---|
nih_record_id | User ID |
nih_race | What is your race? |
nih_ethnicity | Are you of Hispanic or Latino origin? May include Spanish origin. |
nih_age | What is your age? |
nih_sex | What is your biological sex assigned at birth? |
nih_education | What is the highest level of education you have achieved outside or in the United States? |
nih_zip | What is your zip code? |
nih_employment | Please specify your employment status. |
nih_insurance | What kind of health insurance do you have? |
nih_disability | Do you have a disability, including serious physical or mental conditions, that interfere with your ability to carry out daily activities? |
nih_vape_freq | Vaping Frequency: Do you now use electronic cigarettes every day, some days, rarely, or not at all? |
nih_cig_smoke_freq | Nicotine Frequency: Do you now smoke cigarettes? |
nih_smoking_yn | Do you use any tobacco/nicotine products (including cigarettes, cigars, e-cigarettes, etc)? |
nih_history_smoking | History of Smoking |
nih_lifetime_use_alcohol | In your entire life, have you had at least 1 drink of any kind of alcohol, not counting small tastes or sips? (Yes or No) |
nih_asthma | Asthma |
nih_cancer_past_yr | Cancer diagnosis and/or treatment within the past 12 months |
nih_cardiovascular_disease | Cardiovascular disease |
nih_chronic_kidney_disease | Chronic kidney disease |
nih_diabetes | Diabetes |
nih_hypertension | Hypertension |
nih_mental_health_disorder | Mental health disorder |
nih_sickle_cell_disease | Sickle cell disease |
nih_immunocompromised | Immunocompromised condition |
nih_autoimm | Autoimmune disease |
nih_copd | Chronic obstructive pulmonary disease (COPD) |
nih_chronic_lung | Other chronic lung disease |
nih_depression | Depression |
nih_alc_sub_abuse | Alcohol or substance use disorder |
nih_iv_drug_use | Intravenous drug use |
nih_other_chronic_cond | Other chronic condition |
nih_cough | Cough |
nih_fever_chills | Fever or Chills |
nih_diff_breath | Shortness of breath or difficulty breathing |
nih_headache | Headache |
nih_muscle_ache | Muscle ache |
nih_olfactory | New loss of taste or smell |
nih_fatigue | Excessive fatigue |
nih_nausea_vomiting_diarrhea | Nausea, vomiting, or diarrhea |
nih_abdom_pain | Abdominal pain |
nih_skin_rash | Skin rash |
nih_throat_congestion_nose | Sore throat, congestion or runny nose |
nih_other_symp | Other |
nih_health_status | Would you say that (your) health in general is excellent, very good, good, fair, or poor? |
nih_height | What is your height in inches? |
nih_weight | What is your weight in pounds? |
age_yrs | Age For babies less than 1 year old, do not write the age in months. Write 0 as the age. (Years) |
bio_sex_birth_2 | What was your sex assigned at birth on your birth certificate? |
cc_asthma_2 | Asthma |
cc_asud_2 | Alcohol or substance use disorder |
cc_autoimm_2 | Autoimmune disease |
cc_cancer_2 | Cancer diagnosis and/or treatment within the past 12 months |
cc_chronickd_2 | Chronic kidney disease (CKD) |
cc_clung_2 | Other chronic lung disease |
cc_copd_2 | Chronic obstructive pulmonary disease (COPD) |
cc_cvd_2 | Cardiovascular disease (CVD or heart disease) |
cc_depression_2 | Depression |
cc_diabetes_2 | Diabetes |
cc_hypertension_2 | Hypertension (HTN, high blood pressure) |
cc_imm_2 | Immunocompromised condition |
cc_intrav_2 | Intravenous drug use |
cc_otherchroniccond_2 | Other chronic condition |
cc_othermh_2 | Other mental health disorder |
cc_sickle_2 | Sickle Cell Anemia |
covid_abpain_2 | Abdominal Pain |
covid_cough_2 | Cough |
covid_diffbreath_2 | Shortness of breath or difficulty breathing |
covid_fever_2 | Fever or chills |
covid_headache_2 | Headache |
covid_myalgia_2 | Muscle or body aches |
covid_nausea_2 | Feeling sick to your stomach or vomiting, diarrhea |
covid_olfactory_2 | New loss of taste or smell |
covid_other_2 | Other |
covid_runnynose_2 | Sore throat, congestion or runny nose |
covid_skinrash_2 | Skin Rash |
current_employment_status | We would like to know about what you do -- are you working now, looking for work, retired, keeping house, a student, or something else? |
hi_coverage_type | What is the primary kind of health insurance or health care plan that you have now? (Exclude plans that pay for only one type of Service (such as, nursing home care, accidents, family planning, or dental care) and plans that only provide extra cash when hospitalized. ) |
lifetime_use_alcohol | In your entire life, have you had at least 1 drink of any kind of alcohol, not counting small tastes or sips? |
race_ethn_hispanic | Are you of Hispanic, Latino, or Spanish origin? |
self_reported_disability | Do you have a disability that interferes with your ability to carry out daily activities? Examples of daily activities include walking, climbing stairs, shopping, balancing a checkbook, bathing or dressing. |
self_reported_height_feet | Feet |
self_reported_height_inches | Inches |
self_reported_weight_kgs | How much do you weigh without clothes or shoes? If you are currently pregnant, how much did you weigh before your pregnancy? |
self_reported_weight_lbs | How much do you weigh without clothes or shoes? If you are currently pregnant, how much did you weigh before your pregnancy? |
smoker_cur_stat_2 | Do you now smoke cigarettes? |
vaper_cur_stat | Do you now use electronic cigarettes every day, some days, rarely, or not at all? |
zip_code | Zip Code |
alcohol_date_mdy | - |
consentdt_mdy | - |
consent_given | - |
consent_recontact | - |
covid_barrier___1 | - |
covid_barrier___2 | - |
covid_barrier___3 | - |
covid_barrier___4 | - |
covid_barrier___5 | - |
covid_barrier___6 | - |
covid_barrier___7 | - |
covid_barrier___8 | - |
covid_barrier___9 | - |
covid_barrier___98 | - |
covid_barrier___99 | - |
covid_fatique_2 | - |
covid_had | - |
covid_pandemic_challenges_abod_2 | - |
covid_pandemic_challenges_food_2 | - |
covid_pandemic_challenges_wate_2 | - |
covid_pto | - |
covid_risk | - |
covid_test_approval | - |
covid_test_collect_datetime | - |
covid_test_collection_setting | - |
covid_test_date_mdy | - |
covid_tested_30 | - |
covid_test_performed_location | - |
covid_test_result | - |
covid_test_result_datetime | - |
covid_test_result_sent_datetime | - |
covid_test_specimen_collector | - |
covid_test_specimen_type | - |
covid_test_study_setting | - |
covid_test_tar_dis_stat_2___1 | - |
covid_test_tar_dis_stat_2___2 | - |
covid_test_tar_dis_stat_2___3 | - |
covid_test_tar_dis_stat_2___6 | - |
covid_test_type | - |
covid_tst_reas | - |
covid_vaccine | - |
covid_vaccine_course | - |
cov_pan_chal_hlth_2 | - |
cov_pan_chal_med_2 | - |
cov_pan_chlng_trans_2 | - |
cov_tst_mthd_2 | - |
edu_years_of_school | - |
employed_ew | - |
employed_healthcare_2 | - |
family_income | - |
flu_vaccinehistind_2 | - |
flu_vaccine_season_3 | - |
gender_identity_term_2 | - |
hi_loss_covid | - |
hlthstat_date_mdy | - |
household_congregate_3 | - |
household_famgen_3 | - |
household_homeless | - |
housing_date_mdy | - |
iden_date_mdy | - |
index | - |
isolate_maintain_job | - |
jobloss_covid19_2 | - |
language_english | - |
language_home___1 | - |
language_home___2 | - |
language_home___3 | - |
language_home___4 | - |
language_home___5 | - |
language_home___6 | - |
language_home___7 | - |
language_home___8 | - |
language_home___9 | - |
language_home___90 | - |
language_home___99 | - |
med_hx_date_mdy | - |
missed_procedure_2 | - |
preferred_contact_method_2 | - |
quarantine_maintain_job | - |
race_ethn_asian_detail_3___1 | - |
race_ethn_asian_detail_3___2 | - |
race_ethn_asian_detail_3___3 | - |
race_ethn_asian_detail_3___4 | - |
race_ethn_asian_detail_3___5 | - |
race_ethn_asian_detail_3___99 | - |
race_ethn_hispanic_detail_2___1 | - |
race_ethn_hispanic_detail_2___2 | - |
race_ethn_hispanic_detail_2___4 | - |
race_ethn_islander_detail_2___1 | - |
race_ethn_islander_detail_2___10 | - |
race_ethn_islander_detail_2___11 | - |
race_ethn_islander_detail_2___12 | - |
race_ethn_islander_detail_2___13 | - |
race_ethn_islander_detail_2___14 | - |
race_ethn_islander_detail_2___2 | - |
race_ethn_islander_detail_2___3 | - |
race_ethn_islander_detail_2___4 | - |
race_ethn_islander_detail_2___5 | - |
race_ethn_islander_detail_2___6 | - |
race_ethn_islander_detail_2___7 | - |
race_ethn_islander_detail_2___8 | - |
race_ethn_islander_detail_2___9 | - |
race_ethn_islander_detail_2___99 | - |
race_ethn_race___1 | - |
race_ethn_race___15 | - |
race_ethn_race___2 | - |
race_ethn_race___3 | - |
race_ethn_race___4 | - |
race_ethn_race___5 | - |
race_ethn_race___99 | - |
recentmonth_covidtest_2 | - |
recentresult_covidtest | - |
recentyear_covidtest_3 | - |
redcap_event_name | - |
redcap_repeat_instance | - |
redcap_repeat_instrument | - |
self_reported_health_status_assessment | - |
self_reported_height_coded | - |
self_reported_weight_units_2 | - |
sex_orient_id | - |
sociodem_date_mdy | - |
survey_language | - |
sym_date_mdy | - |
test_accesseasy_2 | - |
test_accesswhere_2 | - |
test_date_mdy | - |
tested_for_covid | - |
tested_positive_for_covid | - |
testing_comm_2___1 | - |
testing_comm_2___2 | - |
testing_comm_2___3 | - |
testing_comm_2___4 | - |
testing_died | - |
testing_hosp | - |
testing_sick | - |
testing_wait_2 | - |
test_intent_2 | - |
test_pbenearound_2 | - |
test_pbeneexposed_2 | - |
test_pbenepos_2 | - |
test_pbenesafe_2 | - |
test_pbenework_2 | - |
test_pbeneworry_2 | - |
test_percvaccuneg_2 | - |
test_percvaccupos_2 | - |
test_priskcontact_2 | - |
test_priskhlthcare_2 | - |
test_priskknow_2 | - |
test_prisklater_2 | - |
test_prisknohelp_2 | - |
test_prisknosymp_2 | - |
test_priskouch_2 | - |
test_resneg_2___1 | - |
test_resneg_2___2 | - |
test_resneg_2___3 | - |
test_resneg_2___4 | - |
test_respos_2___1 | - |
test_respos_2___2 | - |
test_respos_2___3 | - |
trust_coll_2 | - |
trust_cortf_2 | - |
trust_doc_2 | - |
trust_fam_2 | - |
trust_flead_2 | - |
trust_news_2 | - |
trust_social_2 | - |
trust_usgov_2 | - |
vacc_date_mdy | - |
vaccine_concerns_3___1 | - |
vaccine_concerns_3___2 | - |
vaccine_concerns_3___4 | - |
vaccine_concerns_3___5 | - |
vaccine_concerns_3___6 | - |
vaccine_concerns_3___7 | - |
vaccine_concerns_3___8 | - |
vaccine_reasons_3___1 | - |
vaccine_reasons_3___2 | - |
vaccine_reasons_3___3 | - |
vaccine_reasons_3___4 | - |
vaccine_reasons_3___5 | - |
vaccine_reasons_3___6 | - |
vaccine_reasons_3___7 | - |
vaccine_reasons_3___8 | - |
vaccine_reasons_3___9 | - |
work_closecont_2 | - |
work_ppe_2 | - |
work_ppe_date_mdy | - |
work_wash_2 | - |