Jobs, Housing, and Mask Wearing: Cross-Sectional Study of Risk Factors for COVID-19.
JMIR Public Health Surveill
; 7(1): e24320, 2021 01 11.
Article
in English
| MEDLINE | ID: covidwho-2141293
ABSTRACT
BACKGROUND:
Many studies have focused on the characteristics of symptomatic patients with COVID-19 and clinical risk factors. This study reports the prevalence of COVID-19 in an asymptomatic population of a hospital service area (HSA) and identifies factors that affect exposure to the virus.OBJECTIVE:
The aim of this study is to measure the prevalence of COVID-19 in an HSA, identify factors that may increase or decrease the risk of infection, and analyze factors that increase the number of daily contacts.METHODS:
This study surveyed 1694 patients between April 30 and May 13, 2020, about their work and living situations, income, behavior, sociodemographic characteristics, and prepandemic health characteristics. This data was linked to testing data for 454 of these patients, including polymerase chain reaction test results and two different serologic assays. Positivity rate was used to calculate approximate prevalence, hospitalization rate, and infection fatality rate (IFR). Survey data was used to analyze risk factors, including the number of contacts reported by study participants. The data was also used to identify factors increasing the number of daily contacts, such as mask wearing and living environment.RESULTS:
We found a positivity rate of 2.2%, a hospitalization rate of 1.2%, and an adjusted IFR of 0.55%. A higher number of daily contacts with adults and older adults increases the probability of becoming infected. Occupation, living in an apartment versus a house, and wearing a face mask outside work increased the number of daily contacts.CONCLUSIONS:
Studying prevalence in an asymptomatic population revealed estimates of unreported COVID-19 cases. Occupational, living situation, and behavioral data about COVID-19-protective behaviors such as wearing a mask may aid in the identification of nonclinical factors affecting the number of daily contacts, which may increase SARS-CoV-2 exposure.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Infection Control
/
Employment
/
Asymptomatic Diseases
/
COVID-19
/
Housing
/
Masks
Type of study:
Observational study
/
Prognostic study
/
Randomized controlled trials
Limits:
Humans
Language:
English
Journal:
JMIR Public Health Surveill
Year:
2021
Document Type:
Article
Affiliation country:
24320
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