Predictors of Adherence to a COVID-19 Serial Testing Program Among University Affiliates in the Deep South

作者：Aneeka Ratnayake, Susan E. Hassig, Hua He, Alyssa M. Lederer, Patricia Kissinger · 发表于：Journal of Public Health Management and Practice · 年份：2025 · DOI：10.1097/phh.0000000000002124 · 被引用次数：2 · 研究领域：SARS-CoV-2 detection and testing、SARS-CoV-2 and COVID-19 Research、Ethics in Clinical Research

OBJECTIVE: Serial testing programs were used at many US universities during the earlier stages of the COVID-19 pandemic to minimize the risk of SARS-CoV-2 transmission among affiliates, though the effectiveness of such programs was contingent on adherence. In this study, researchers sought to determine factors associated with testing adherence. DESIGN: Cross-sectional analyses were done in spring and fall of 2021. SETTING: This study took place at a medium size, private university in the Deep South. PARTICIPANTS: Participants included university affiliates, including faculty/staff and students. MAIN OUTCOME MEASURES: Adherence to a mandated but unenforced serial testing program was assessed. All variables were ascertained through university records. Logistic regression models were used to determine factors associated with testing during both semesters. RESULTS: In the spring 2021 semester, staff and faculty had 23% greater odds of being tested compared to students. Paradoxically, the odds of adherence to testing decreased by 4% per year of age. In the fall 2021 semester, the odds of being tested was 82% greater for staff and faculty compared to students and 27% higher for those who had a previous positive test compared to those who did not. Men had a 13% lower odds of testing than women. In both semesters, those who were unvaccinated had a significantly lower odds of testing compared to those who were vaccinated (86% and 92%, respectively), P < .001. CONCLUSIONS: Testing adhe...