dbGaP Study Accession: phs002651
NIH Institute/Center: NIDA; NIMHD
RADx Data Program: RADx-UP
DOI: 10.60773/gvj9-b203
Release Date: 08/31/2023
Study Description: The SARS-CoV-2, also known as COVID-19, pandemic has caused disastrous and unprecedented public health and economic consequences in the U.S., seriously affecting Americans' physical and mental health. Death rates attributable to COVID-19 among minority populations are several folds higher than among predominantly White counties. South Florida and specifically Miami-Dade County is an epicenter of the COVID-19 pandemic, where non-Hispanic Blacks and Latinos are overrepresented in COVID-19 related hospitalizations and deaths. Pervasive structural inequities and social determinants of health are the main cause of health disparities due to a complex interaction of multiple factors including individual and societal risk factors. Understanding the impacts of these factors on health and social consequences of the pandemic has broad policy implications, especially for the acceptance of testing and future vaccines. This research helps address the impact of COVID-19 on vulnerable minority populations and examined: (1) the barriers to testing and uptake of future vaccines, (2) effectiveness of community engagement to increase the uptake of COVID-19 testing in the underserved communities, (3) acceptability, sensitivity and specificity of using less invasive testing methods compared to nasopharyngeal swabs, and (4) assessment of barriers and potential strategies to engage community members and community organizations in COVID-19 testing and vaccine deployment. Community-engaged research studies (in collaboration with community-based partners) were conducted to: (a) determine barriers to testing, and uptake of future vaccines, including health literacy, stigma, drug use and financial burden associated with testing, follow-up care, feasibility of effective self-isolation if positive, and perceived effectiveness of testing and vaccination, (b) assessment of the acceptability of extensive community outreach and deployment of a mobile COVID-19 testing unit to geographical areas occupied by underserved and vulnerable populations in close proximity to a community partner, Borinquen Health Care Center (BHCC), and (c) compare the acceptability, sensitivity, and specificity of alternative approaches to obtain samples, including medically administered nasopharyngeal swabs and saliva. The goal was to improve understanding of COVID-19-related health disparities; enhance access, effectiveness, and implementation of COVID-19 testing in vulnerable and/or underserved populations; and to mobilize the community to develop culturally-appropriate strategies to mitigate the COVID-19 epidemic and increase acceptance of future vaccines. The potential for evidence-based approaches to address COVID-19 disparities was facilitated by community-based partners that have the resources to provide community engagement, follow-up care, and public health mitigation for cases who test positive; the PI who managed a CLIA-certified laboratory at the university and a research team experienced in recruiting and retaining >1,000 study participants from the same vulnerable and underserved populations.
Updated Date: 04/17/2024
Principal Investigator: Baum, Marianna K
Has Data Files: Yes
Study Domain: Community Outreach Programs; Mobile Unit Testing; Pandemic Perceptions or Decision-Making; Social Determinants of Health; Testing Rate or Uptake; Vaccination Rate or Uptake
Data Collection Method: Survey
Keywords: COVID-19-related Health Disparities; Testing Disparities
Study Design: Longitudinal Cohort
Multi-Center Study: No
Study Sites: FIU Research Clinic
Data Types: Questionnaire or Survey
Study Start Date: 09/30/2020
Study End Date: 08/31/2022
Species: Human
Estimated Cohort Size: 3034
Study Population Focus: Adults; African Americans; Hispanics or Latinos; Older Adults or Elderly; Racial or Ethnic Minorities
Publication URL: https://pubmed.ncbi.nlm.nih.gov/33675620/; https://pubmed.ncbi.nlm.nih.gov/34009479/; https://pubmed.ncbi.nlm.nih.gov/34998257/; https://pubmed.ncbi.nlm.nih.gov/35008706/; https://pubmed.ncbi.nlm.nih.gov/35331580/; https://pubmed.ncbi.nlm.nih.gov/35331581/; https://pubmed.ncbi.nlm.nih.gov/35779987/; https://pubmed.ncbi.nlm.nih.gov/35805866/; https://pubmed.ncbi.nlm.nih.gov/36123252/; https://pubmed.ncbi.nlm.nih.gov/36171158/; https://pubmed.ncbi.nlm.nih.gov/36266158/; https://pubmed.ncbi.nlm.nih.gov/36837890/; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8132028/; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8217089/; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8745607/; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8837482/; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8891146/; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9225925/; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9266638/; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9444299/; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9535877/; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9962547/
Acknowledgement Statement: This study was supported through funding, 3U01DA040381-05S2 and 5U01MD017423-02, for the National Institute on Drug Abuse (NIDA) and the National Institute on Minority Health and Health Disparities (NIMHD) as part of the RADx-UP program. We would like to acknowledge all the participants in the study, without whom advancement in the prevention and management of COVID-19 would not be possible. We also thank the FIU Neighborhood HELP and Borinquen Health Care Center, for their collaboration and provision of resources without which this study would not have been feasible. Approved users should acknowledge the provision of data access by dbGaP for accession phs002651.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: RFA-OD-21-008
NIH Grant or Contract Number(s): 1U01MD017423-01; 3U01DA040381-05S2
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_deaf | Are you deaf or do you have serious difficulty hearing? |
nih_blind | Are you blind or do you have serious difficulty seeing, even when wearing glasses? |
nih_memory | Because of a physical, mental, or emotional condition, do you have serious difficulty concentrating, remembering, or making decisions? |
nih_walk_climb | Do you have serious difficulty walking or climbing stairs? |
nih_dress_bathe | Do you have difficulty dressing or bathing? |
nih_errand | Because of a physical, mental, or emotional condition, do you have difficulty doing errands alone such as visiting a doctor's office or shopping? |
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_alcohol_yn | Alcohol use (Yes or No) |
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_alcohol_frequency | How often did you have a drink containing alcohol ? |
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_pregnancy | Pregnancy status |
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? |
disability_blind_2 | Are you blind, or do you have serious difficulty seeing, even when wearing glasses? |
disability_deaf_2 | Are you deaf, or do you have serious difficulty hearing? |
disability_decisions_2 | Because of a physical, mental, or emotional condition, do you have serious difficulty concentrating, remembering, or making decisions? (5 years of age or older) |
disability_dress_2 | Do you have difficulty dressing or bathing? (5 years of age or older) |
disability_errands_2 | Because of a physical, mental, or emotional condition, do you have difficulty doing errands alone such as visiting a doctor's office or shopping? (15 years of age or older) |
disability_walking_2 | Do you have serious difficulty walking or climbing stairs? (5 years of age or older) |
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? |
pregnancy_status | Are you currently pregnant? |
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_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 | - |
alcohol_daysperweek | - |
alcohol_drinksperday | - |
cocaine_use_2 | - |
consentdt_mdy | - |
consent_given | - |
consent_ident | - |
consent_recontact | - |
consent_zip_2 | - |
covid_fatique_2 | - |
covid_pandemic_challenges_abod_2 | - |
covid_pandemic_challenges_food_2 | - |
covid_pandemic_challenges_wate_2 | - |
covid_test_approval | - |
covid_test_collect_datetime | - |
covid_test_collection_setting | - |
covid_test_date_mdy | - |
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___4 | - |
covid_test_tar_dis_stat_2___5 | - |
covid_test_tar_dis_stat_2___6 | - |
covid_test_tar_dis_stat_2___9 | - |
covid_test_type | - |
covid_vaccine | - |
covid_vaccine_course | - |
cov_pan_chal_hlth_2 | - |
cov_pan_chal_med_2 | - |
cov_pan_chlng_trans_2 | - |
cov_tst_mthd_2 | - |
data_source | - |
disability_date_mdy | - |
drg_date_mdy | - |
ecstasy_use | - |
edu_years_of_school | - |
employed_ew | - |
employed_healthcare_2 | - |
family_income | - |
fi_afford_balanced_meals | - |
fi_change_diet | - |
fi_change_diet_frequency | - |
fi_eat_less | - |
fi_food_money_frequency | - |
fi_high_quality_2 | - |
fi_hungry | - |
flu_vaccinehistind_2 | - |
flu_vaccine_season_3 | - |
gender_identity_term_2 | - |
hallu_use_2 | - |
heroin_use_2 | - |
hi_loss_covid | - |
hlthstat_date_mdy | - |
household_congregate_3 | - |
household_famgen_3 | - |
household_homeless | - |
housing_concerns | - |
housing_date_mdy | - |
iden_date_mdy | - |
idrug_use_2 | - |
index | - |
isolate_maintain_job | - |
jobloss_covid19_2 | - |
language_english | - |
language_english_2 | - |
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 | - |
mari_use_2 | - |
mari_use_smk_2 | - |
mari_use_vap_2 | - |
med_date_mdy | - |
med_hx_date_mdy | - |
meth_use_2 | - |
missed_procedure_2 | - |
pdrg_use_2 | - |
positivemonth_covidtest_2 | - |
positiveyear_covidtest_3 | - |
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___3 | - |
race_ethn_hispanic_detail_2___4 | - |
race_ethn_hispanic_detail_2___5 | - |
race_ethn_hispanic_detail_2___6 | - |
race_ethn_hispanic_detail_2___7 | - |
race_ethn_hispanic_detail_2___99 | - |
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_desc_2 | - |
sex_orient_id | - |
smoker_number | - |
smoke_years | - |
sociodem_date_mdy | - |
stable_housing | - |
sym_date_mdy | - |
take_presc_meds | - |
test_accesseasy_2 | - |
test_accesswhere_2 | - |
test_date_mdy | - |
tested_for_covid | - |
tested_positive_for_covid | - |
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_resneg_2___99 | - |
test_respos_2___1 | - |
test_respos_2___2 | - |
test_respos_2___3 | - |
test_respos_2___99 | - |
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_avail | - |
vaccine_concerns_3___1 | - |
vaccine_concerns_3___10 | - |
vaccine_concerns_3___2 | - |
vaccine_concerns_3___3 | - |
vaccine_concerns_3___4 | - |
vaccine_concerns_3___5 | - |
vaccine_concerns_3___6 | - |
vaccine_concerns_3___7 | - |
vaccine_concerns_3___8 | - |
vaccine_concerns_3___9 | - |
vaccine_concerns_3___96 | - |
vaccine_concerns_3___99 | - |
vaccine_dose | - |
vaccine_manufac_2 | - |
vaccine_reasons_3___1 | - |
vaccine_reasons_3___10 | - |
vaccine_reasons_3___11 | - |
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 | - |
vaccine_reasons_3___96 | - |
vaccine_reasons_3___99 | - |
vaper_years | - |
work_closecont_2 | - |
work_ppe_2 | - |
work_ppe_date_mdy | - |
work_wash_2 | - |