Incidence of COVID-19 Among Persons Experiencing Homelessness in the US From January 2020 to November 2021.
JAMA Netw Open
; 5(8): e2227248, 2022 08 01.
Article
in English
| MEDLINE | ID: covidwho-1990388
ABSTRACT
Importance A lack of timely and high-quality data is an ongoing challenge for public health responses to COVID-19 among people experiencing homelessness (PEH). Little is known about the total number of cases of COVID-19 among PEH. Objective:
To estimate the number of COVID-19 cases among PEH and compare the incidence rate among PEH with that in the general population. Design, Setting, andParticipants:
This cross-sectional study used data from a survey distributed by the Centers for Disease Control and Prevention to all US state, district, and territorial health departments that requested aggregated COVID-19 data among PEH from January 1, 2020, to September 30, 2021. Jurisdictions were encouraged to share the survey with local health departments. Main Outcomes andMeasures:
The primary study outcome was the number of cases of COVID-19 identified among PEH. COVID-19 cases and incidence rates among PEH were compared with those in the general population in the same geographic areas.Results:
Participants included a population-based sample of all 64 US jurisdictional health departments. Overall, 25 states, districts, and territories completed the survey, among which 18 states (72.0%) and 27 localities reported COVID-19 data among PEH. A total of 26â¯349 cases of COVID-19 among PEH were reported at the state level and 20â¯487 at the local level. The annual incidence rate of COVID-19 among PEH at the state level was 567.9 per 10â¯000 person-years (95% CI, 560.5-575.4 per 10â¯000 person-years) compared with 715.0 per 10â¯000 person-years (95% CI, 714.5-715.5 per 10â¯000 person-years) in the general population. At the local level, the incidence rate of COVID-19 among PEH was 799.2 per 10â¯000 person-years (95% CI, 765.5-834.0 per 10â¯000 person-years) vs 812.5 per 10â¯000 person-years (95% CI, 810.7-814.3 per 10â¯000 person-years) in the general population. Conclusions and Relevance These results provide an estimate of COVID-19 incidence rates among PEH in multiple US jurisdictions; however, a national estimate and the extent of under- or overestimation remain unknown. The findings suggest that opportunities exist for incorporating housing and homelessness status in infectious disease reporting to inform public health decision-making.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Ill-Housed Persons
/
COVID-19
Type of study:
Observational study
/
Prognostic study
/
Randomized controlled trials
Limits:
Humans
Language:
English
Journal:
JAMA Netw Open
Year:
2022
Document Type:
Article
Affiliation country:
Jamanetworkopen.2022.27248
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