![]() ![]() Persons were invited at random to participate in the COVID-19 survey following completion of an unrelated survey on the SurveyMonkey platform, which has a diverse user base of approximately 2 million daily respondents ¶¶ ( 8). This previously validated ( 8) COVID-19 survey is a collaboration between the OutbreaksNearMe (a participatory surveillance system) team, §§ and Momentive, the developers of the online survey platform SurveyMonkey. adults aged ≥18 years during August 23, 2021–March 12, 2022. Information regarding COVID-19 symptoms, testing practices, demographics, and geography were collected from an ongoing, prospective, nonprobability–based cross-sectional online survey †† among 418,279 U.S. ![]() Further, providing reliable and low-cost or free at-home test kits to underserved populations with otherwise limited access to COVID-19 testing could assist with continued prevention efforts. COVID-19 testing, including at-home tests, along with prevention measures, such as quarantine and isolation when warranted, wearing a well-fitted mask when recommended after a positive test or known exposure, and staying up to date with vaccination, ** can help reduce the spread of COVID-19. At-home test use differed by race (e.g., self-identified as White versus self-identified as Black ), age (adults aged 30–39 years versus adults aged ≥75 years ), household income (>$150,000 versus $50,000–$74,999 ), education (postgraduate degree versus high school or less ), and geography (New England division versus West South Central division ). The two most commonly reported reasons for testing among persons who used an at-home test were COVID-19 exposure (39.4%) and COVID-19–like symptoms (28.9%). From the Delta-predominant period (August 23–December 11, 2021) to the Omicron-predominant period (December 19, 2021–March 12, 2022) § ( 7), at-home test use among respondents with self-reported COVID-19–like illness ¶ more than tripled from 5.7% to 20.1%. adults aged ≥18 years were used to estimate self-reported at-home test use over time, and by demographic characteristics, geography, symptoms/syndromes, and reasons for testing. Data from a cross-sectional, nonprobability–based online survey (August 23, 2021–March 12, 2022) of U.S. ![]() Therefore, with increased COVID-19 at-home test use, laboratory-based reporting systems might increasingly underreport the actual incidence of infection. Mandated COVID-19 reporting requirements omit at-home tests, and there are no standard processes for test takers or manufacturers to share results with appropriate health officials ( 2). At-home tests are commonly used for school- or employer-mandated testing and for confirmation of SARS-CoV-2 infection in a COVID-19–like illness or following exposure ( 6). With the emergence of the SARS-CoV-2 B.1.617.2 (Delta) and B.1.1.529 (Omicron) variants in 2021, demand for at-home tests increased † ( 5). At-home rapid COVID-19 antigen tests (at-home tests) are a convenient and accessible alternative to laboratory-based diagnostic nucleic acid amplification tests (NAATs) for SARS-CoV-2, the virus that causes COVID-19 ( 2– 4). Go to /tests to order the free COVID-19 At-Home Test Kits without delay.COVID-19 testing provides information regarding exposure and transmission risks, guides preventative measures (e.g., if and when to start and end isolation and quarantine), identifies opportunities for appropriate treatments, and helps assess disease prevalence ( 1). ![]()
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