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If you build it, will they come? Social, economic, and psychological determinants of COVID-19 testing decisions

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  • Brea L Perry
  • Brian Aronson
  • Ashley F Railey
  • Christina Ludema

Abstract

Background: The efficacy of testing and tracing programs to reduce COVID-19 transmission hinges not only on widespread access to testing, but also on the public’s willingness to participate in them. To the extent that testing intentions are patterned by social determinants of health, this constitutes an understudied mechanism of disparities in COVID-19 morbidity and mortality. Design: Using data from a representative household probability sample, the Person to Person Health Interview Study (n = 935), sociodemographic, economic, and psychological determinants of testing considerations were evaluated across six domains: treatment affordability, ability to work if positive, hospital effectiveness, symptom severity, proximity to infected, and risk of transmitting to others. Results: Findings demonstrated significant differences in testing motivations across race/ethnicity, education level, socioeconomic status, and worry about self and loved ones. Notably, Black (p

Suggested Citation

  • Brea L Perry & Brian Aronson & Ashley F Railey & Christina Ludema, 2021. "If you build it, will they come? Social, economic, and psychological determinants of COVID-19 testing decisions," PLOS ONE, Public Library of Science, vol. 16(7), pages 1-13, July.
    • Handle: RePEc:plo:pone00:0252658
    DOI: 10.1371/journal.pone.0252658
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    References listed on IDEAS

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    1. Pedro Bordalo & Katherine B. Coffman & Nicola Gennaioli & Andrei Shleifer, 2020. "Older People are Less Pessimistic about the Health Risks of Covid-19," NBER Working Papers 27494, National Bureau of Economic Research, Inc.
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    1. Clemens, Jeffrey & Hoxie, Philip & Kearns, John & Veuger, Stan, 2023. "How did federal aid to states and localities affect testing and vaccine delivery?," Journal of Public Economics, Elsevier, vol. 225(C).

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