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Study Information

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 Information
Total Variables: 275
Study Variables Information Table
Variable Name
Label
nih_record_idUser ID
nih_raceWhat is your race?
nih_ethnicityAre you of Hispanic or Latino origin? May include Spanish origin.
nih_ageWhat is your age?
nih_sexWhat is your biological sex assigned at birth?
nih_educationWhat is the highest level of education you have achieved outside or in the United States?
nih_zipWhat is your zip code?
nih_employmentPlease specify your employment status.
nih_insuranceWhat kind of health insurance do you have?
nih_disabilityDo you have a disability, including serious physical or mental conditions, that interfere with your ability to carry out daily activities?
nih_vape_freqVaping Frequency: Do you now use electronic cigarettes every day, some days, rarely, or not at all?
nih_cig_smoke_freqNicotine Frequency: Do you now smoke cigarettes?
nih_smoking_ynDo you use any tobacco/nicotine products (including cigarettes, cigars, e-cigarettes, etc)?
nih_history_smokingHistory of Smoking
nih_lifetime_use_alcoholIn 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_asthmaAsthma
nih_cancer_past_yrCancer diagnosis and/or treatment within the past 12 months
nih_cardiovascular_diseaseCardiovascular disease
nih_chronic_kidney_diseaseChronic kidney disease
nih_diabetesDiabetes
nih_hypertensionHypertension
nih_mental_health_disorderMental health disorder
nih_sickle_cell_diseaseSickle cell disease
nih_immunocompromisedImmunocompromised condition
nih_autoimmAutoimmune disease
nih_copdChronic obstructive pulmonary disease (COPD)
nih_chronic_lungOther chronic lung disease
nih_depressionDepression
nih_alc_sub_abuseAlcohol or substance use disorder
nih_iv_drug_useIntravenous drug use
nih_other_chronic_condOther chronic condition
nih_coughCough
nih_fever_chillsFever or Chills
nih_diff_breathShortness of breath or difficulty breathing
nih_headacheHeadache
nih_muscle_acheMuscle ache
nih_olfactoryNew loss of taste or smell
nih_fatigueExcessive fatigue
nih_nausea_vomiting_diarrheaNausea, vomiting, or diarrhea
nih_abdom_painAbdominal pain
nih_skin_rashSkin rash
nih_throat_congestion_noseSore throat, congestion or runny nose
nih_other_sympOther
nih_health_statusWould you say that (your) health in general is excellent, very good, good, fair, or poor?
nih_heightWhat is your height in inches?
nih_weightWhat is your weight in pounds?
age_yrsAge For babies less than 1 year old, do not write the age in months. Write 0 as the age. (Years)
bio_sex_birth_2What was your sex assigned at birth on your birth certificate?
cc_asthma_2Asthma
cc_asud_2Alcohol or substance use disorder
cc_autoimm_2Autoimmune disease
cc_cancer_2Cancer diagnosis and/or treatment within the past 12 months
cc_chronickd_2Chronic kidney disease (CKD)
cc_clung_2Other chronic lung disease
cc_copd_2Chronic obstructive pulmonary disease (COPD)
cc_cvd_2Cardiovascular disease (CVD or heart disease)
cc_depression_2Depression
cc_diabetes_2Diabetes
cc_hypertension_2Hypertension (HTN, high blood pressure)
cc_imm_2Immunocompromised condition
cc_intrav_2Intravenous drug use
cc_otherchroniccond_2Other chronic condition
cc_othermh_2Other mental health disorder
cc_sickle_2Sickle Cell Anemia
covid_abpain_2Abdominal Pain
covid_cough_2Cough
covid_diffbreath_2Shortness of breath or difficulty breathing
covid_fever_2Fever or chills
covid_headache_2Headache
covid_myalgia_2Muscle or body aches
covid_nausea_2Feeling sick to your stomach or vomiting, diarrhea
covid_olfactory_2New loss of taste or smell
covid_other_2Other
covid_runnynose_2Sore throat, congestion or runny nose
covid_skinrash_2Skin Rash
current_employment_statusWe 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_typeWhat 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_alcoholIn your entire life, have you had at least 1 drink of any kind of alcohol, not counting small tastes or sips?
race_ethn_hispanicAre you of Hispanic, Latino, or Spanish origin?
self_reported_disabilityDo 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_feetFeet
self_reported_height_inchesInches
self_reported_weight_kgsHow much do you weigh without clothes or shoes? If you are currently pregnant, how much did you weigh before your pregnancy?
self_reported_weight_lbsHow much do you weigh without clothes or shoes? If you are currently pregnant, how much did you weigh before your pregnancy?
smoker_cur_stat_2Do you now smoke cigarettes?
vaper_cur_statDo you now use electronic cigarettes every day, some days, rarely, or not at all?
zip_codeZip 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-
Study Documents
Study Documents Table
Document
Document Name
File Size
Download
Study Documentationphs002708_Project 7_Protocol_27MAR2023.pdf864.28 KB
READMEproject7_README.html275.05 KB
Data Files
Total Files: 6
Data Files: 2
Metadata Files: 2
Dictionary Files: 2
Study Datasets Table
File Name
File Type
File Format(s)
# of Records
# of Variables
Metadata
Dictionary
project7_DATA_transformcopy.csvTabular Data - Harmonizedcsv9450
project7_DATA_origcopy.csvTabular Data - Non-harmonizedcsv9450