SARS-CoV-2 testing uptake and its determinants in six ethnic groups living in Amsterdam, the Netherlands: a registry-based study within the HELIUS cohort.

Diagnostic testing was key in preventing transmission of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in the pre-vaccination era of the coronavirus disease 2019 pandemic. This study compared SARS-CoV-2 polymerase chain reaction (PCR) testing uptake and its determinants across six eth...

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Publicado en:European Journal of Public Health Vol. 36; no. 4; pp. 1 - 8
Autores principales: Campman, Sophie L, Boyd, Anders, Wilgen, Nina van, Chilunga, Felix P, Coyer, Liza, Schinkel, Janke, Agyemang, Charles, Galenkamp, Henrike, Koopman, Anitra D M, Koopsen, Jelle
Formato: research tables/charts Journal Article
Publicado: Oxford University Press / USA Aug2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Aug2026
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      pub: Oxford University Press / USA
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        atl: SARS-CoV-2 testing uptake and its determinants in six ethnic groups living in Amsterdam, the Netherlands: a registry-based study within the HELIUS cohort.
      aug:
        au:
          Campman, Sophie L
          Boyd, Anders
          Wilgen, Nina van
          Chilunga, Felix P
          Coyer, Liza
          Schinkel, Janke
          Agyemang, Charles
          Galenkamp, Henrike
          Koopman, Anitra D M
          Koopsen, Jelle
        affil: Department of Infectious Diseases, Public Health Service of Amsterdam, Amsterdam, The NetherlandsDepartment of Infectious Diseases, Amsterdam UMC location University of Amsterdam, Amsterdam, The NetherlandsAmsterdam Institute for Immunology and Infectious Diseases, Amsterdam, The Netherlands
      sug:
        subj:
          SARS-CoV-2 Analysis
          COVID-19 Testing
          Social Determinants of Health Evaluation
          Ethnic Groups Netherlands
          Attitude to Health Evaluation
          Polymerase Chain Reaction
          Human
          Male
          Female
          Adult
          Middle Age
          Aged
          Netherlands
          Registries, Disease
          Record Review
          Comparative Studies
          COVID-19 Prevention and Control
          COVID-19 Transmission
          Logistic Regression
          Confidence Intervals
          Odds Ratio
          Turkish Persons
          Dutch Persons
          Descriptive Statistics
          Health Promotion
          Funding Source
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Diagnostic testing was key in preventing transmission of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in the pre-vaccination era of the coronavirus disease 2019 pandemic. This study compared SARS-CoV-2 polymerase chain reaction (PCR) testing uptake and its determinants across six ethnic groups in Amsterdam, the Netherlands. We analyzed data from the population-based Healthy Life in an Urban Setting cohort linked to SARS-CoV-2 testing registry data from the Public Health Service of Amsterdam. Testing uptake was defined as completing at least one SARS-CoV-2 PCR test before 6 September 2021. We examined the association between ethnicity and testing uptake, and assessed determinants of testing uptake per ethnic group, using logistic regression while correcting for ethnic-specific age and sex distributions in Amsterdam. We included 19 006 participants (median age 53 years; 57% female). Testing uptake ranged from 25.3% (95% confidence interval (CI) = 23.1%–27.5%) in the Ghanaian to 52.2% (95% CI = 50.3%–54.1%) in the Turkish group. Individuals of Turkish origin [adjusted odds ratio (aOR) = 1.12, 95% CI = 1.01–1.23] were more likely, while those of African Surinamese (aOR = 0.88, 95% CI = 0.79–0.97) and particularly Ghanaian (aOR = 0.35, 95% CI = 0.30–0.40) origin less likely to be tested compared to those of Dutch origin. Younger age and perceived work or home-related stress were associated with testing uptake across most ethnic groups. Other determinants were specific to certain groups. SARS-CoV-2 testing uptake varied slightly across most ethnic groups in Amsterdam with the highest uptake among individuals of Turkish origin but was remarkably lower among individuals of Ghanaian origin. Given the diversity of identified determinants, testing strategies should be tailored to the needs of specific groups.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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