An Examination of Responses to COVID-19 Contact-Tracing Efforts in Black/African American and Hispanic/Latinx Communities of Los Angeles

• Published in: Health equity Vol. 8; no. 1; pp. 493 - 504
• Main Authors: Cobb, Sharon, Schrode, Katrina, Siddiq, Hafifa, Boyce, Shanika, Taylor, Kelly D., Vargas, Roberto, Harawa, Nina
• Format: Journal Article
• Language: English
• Published: Mary Ann Liebert, Inc., publishers 01-08-2024
• Subjects: Original Research; COVID-19; communicable diseases; contact tracing; Black or African American; public health; Hispanic or Latino
• ISSN: 2473-1242; 2473-1242
• DOI: 10.1089/heq.2023.0243

Objectives:
To investigate the experiences and perceptions of COVID-19 contact-tracing efforts among cases tested in under-resourced and predominately Latino and Black communities of South Los Angeles, California.
Methods:
Study involved a cross-sectional survey with 1,713 adults. Recruitment occurred between June and November 2021 with eligible individuals who had previously received a COVID-19 diagnosis through designated testing sites. The LA County Department of Public Health operated a culturally responsive program for contact tracing that included provision of education and service referrals to newly diagnosed cases through much of the pandemic.
Results:
Participants were majority female (63%), Hispanic/Latino/a/x (64%), ages 18–40 (69%), and surveyed in English (77%). Overall contact-tracing experiences were rated positively, regardless of demographics (average means of 3.1–3.2/4.0). Those surveyed in Spanish were more likely to endorse positive statements if their contact tracer also spoke Spanish. Although over 75% of participants shared a range of the different information types requested, 49–52% endorsed concerns about data security and uses of the solicited information.
Conclusions:
Despite eliciting some concerns, contact-tracing efforts were generally positively received.
Policy implications:
Investments in contact tracing in similar communities should consider language-concordant contact tracers, community-based health worker training in trust building, and addressing social and health needs.