A Three-Year Evaluation of COVID-19 Vaccination and Testing Patterns Among Homebound Older Adults: Implications for Future Preparedness.

COVID-19 self-test kits were distributed to low-income, homebound older adults with their home-delivered meals annually (2022-2024). A convenience sample of recipients completed follow-up surveys in 2022 (n = 271), 2023 (n = 295), and 2024 (n = 285). In 2023, 28% had ever used a COVID-19 self-test, which increased to 39% in 2024 and is comparable to a national study (27%). Through partnerships with trusted meal-delivery providers, homebound older adults can achieve rates of COVID-19 self-testing comparable to those of the broader population. (<i>Am J Public Health.</i> 2026;116(4):427-430. https://doi.org/10.2105/AJPH.2025.308349).