TY - JOUR
T1 - Assessing community-level COVID-19 infection risk through three-generational household concentration in Nebraska, U.S.
T2 - An approach for COVID-19 prevention
AU - Liu, Dong
AU - Lin, Ge
AU - Liu, Han
AU - Su, Dejun
AU - Qu, Ming
AU - Du, Yi
N1 - Publisher Copyright:
© 2022
PY - 2022/4
Y1 - 2022/4
N2 - The three-generational household was a focal point of concern for school and community the Coronavirus Disease 2019 (COVID-19) transmission. The current study, using small area data and household variables, reported an approach to neighborhood-level COVID-19 mitigation for school reopening and communities returning to normalcy. The study started with an age-stratified Poisson regression to examine the association between the proportion of three-generational households and COVID-19 infection rates based on data from 74 census tracts in Lancaster County, Nebraska, U.S. from March 5, 2020 to August 22, 2020, followed by mapping the model-based risk score by census tract in the study area. We explored the feasibility of using COVID-19 infection rates and vaccination rates to inform decision-making on school opening from March 5, 2020 to February 3, 2021. The overall infection rate increased by 3% for every unit increased in the percentage of three-generational households after controlling for other covariates in the model. The census tracts were classified into low-, medium-, and high-priority neighborhoods for potential community-based interventions, such as targeted messages for household hygiene and isolation strategies.
AB - The three-generational household was a focal point of concern for school and community the Coronavirus Disease 2019 (COVID-19) transmission. The current study, using small area data and household variables, reported an approach to neighborhood-level COVID-19 mitigation for school reopening and communities returning to normalcy. The study started with an age-stratified Poisson regression to examine the association between the proportion of three-generational households and COVID-19 infection rates based on data from 74 census tracts in Lancaster County, Nebraska, U.S. from March 5, 2020 to August 22, 2020, followed by mapping the model-based risk score by census tract in the study area. We explored the feasibility of using COVID-19 infection rates and vaccination rates to inform decision-making on school opening from March 5, 2020 to February 3, 2021. The overall infection rate increased by 3% for every unit increased in the percentage of three-generational households after controlling for other covariates in the model. The census tracts were classified into low-, medium-, and high-priority neighborhoods for potential community-based interventions, such as targeted messages for household hygiene and isolation strategies.
KW - COVID-19
KW - Census tracts
KW - Community-level
KW - Three-generational household
UR - http://www.scopus.com/inward/record.url?scp=85123621476&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85123621476&partnerID=8YFLogxK
U2 - 10.1016/j.pmedr.2022.101705
DO - 10.1016/j.pmedr.2022.101705
M3 - Article
C2 - 35070646
AN - SCOPUS:85123621476
SN - 2211-3355
VL - 26
JO - Preventive Medicine Reports
JF - Preventive Medicine Reports
M1 - 101705
ER -