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suck abstract from ncbi


10.1136/bmjopen-2020-043925

http://scihub22266oqcxt.onion/10.1136/bmjopen-2020-043925
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33455939!7813337!33455939
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suck abstract from ncbi


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pmid33455939      BMJ+Open 2021 ; 11 (1): e043925
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  • Public s understanding of swab test results for SARS-CoV-2: an online behavioural experiment during the April 2020 lockdown #MMPMID33455939
  • Pighin S; Tentori K
  • BMJ Open 2021[Jan]; 11 (1): e043925 PMID33455939show ga
  • OBJECTIVE: Although widespread testing for SARS-CoV-2 is in place, little is known about how well the public understands these results. We aimed to provide a comprehensive overview of the general public's grasp of the accuracy and significance of the results of the swab test. DESIGN: Web-based behavioural experiment. SETTING: Italy during the April 2020 lockdown. PARTICIPANTS: 566 Italian residents. MAIN OUTCOME MEASURES: Participants' estimates of the SARS-CoV-2 prevalence; the predictive and diagnostic accuracy of the test; the behavioural impact of (positive vs negative) test results; the perceived usefulness of a short-term repetition of the test following positive or negative results; and rankings of causes for false positives and false negatives. RESULTS: Most participants considered the swab test useful (89.6%) and provided predictive values consistent with their estimates of test diagnostic accuracy and infection prevalence (67.0%). Participants acknowledged the effects of symptomatic status and geographical location on prevalence (all p<0.001) but failed to take this information into account when estimating the positive or negative predictive value. Overall, test specificity was underestimated (91.5%, 95% CI 90.2% to 92.8%); test sensitivity was overestimated (89.7%, 95% CI 88.3% to 91.0%). Positive results were evaluated as more informative than negative ones (91.6, 95% CI 90.2 to 93.1 and 41.0, 95% CI 37.9 to 44.0, respectively, p<0.001); a short-term repetition of the test was considered more useful after a positive than a negative result (62.7, 95% CI 59.6 to 65.7 and 47.2, 95% CI 44.4 to 50.0, respectively, p=0.013). Human error and technical characteristics were assessed as more likely to be the causes of false positives (p<0.001); the level of the viral load as the cause of false negatives (p<0.001). CONCLUSIONS: While some aspects of the swab for SARS-CoV-2 are well grasped, others are not and may have a strong bearing on the general public's health and well-being. The obtained findings provide policymakers with a detailed picture that can guide the design and implementation of interventions for improving efficient communication with the general public as well as adherence to precautionary behaviour.
  • |Adolescent[MESH]
  • |Adult[MESH]
  • |Aged[MESH]
  • |COVID-19 Testing[MESH]
  • |COVID-19/*diagnosis/epidemiology[MESH]
  • |Clinical Laboratory Techniques/*methods[MESH]
  • |False Negative Reactions[MESH]
  • |False Positive Reactions[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Italy/epidemiology[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Nasopharynx/*virology[MESH]
  • |Predictive Value of Tests[MESH]
  • |Prevalence[MESH]
  • |SARS-CoV-2/*genetics[MESH]
  • |Social Isolation[MESH]
  • |Specimen Handling/methods[MESH]


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  • suck abstract from ncbi

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