Predictors of COVID-19 infection and hospitalization in group homes for individuals with intellectual and/or developmental disabilities

被引：0

作者：

Levison, Julie H. ^{[1
,2
,3
]}

Fung, Vicki ^{[1
,3
]}

Wilson, Anna ^{[1
]}

Cheng, David ^{[1
,3
,4
]}

Donelan, Karen ^{[1
,5
]}

Oreskovic, Nicolas M. ^{[3
,6
]}

Samuels, Ronita ^{[1
]}

Silverman, Paula ^{[7
]}

Batson, Joey ^{[7
]}

Fathi, Ahmed ^{[7
]}

Gamse, Stefanie ^{[7
]}

Holland, Sibyl ^{[7
]}

Becker, Jessica E. ^{[8
,9
]}

Freedberg, Kenneth A. ^{[1
,3
]}

Iezzoni, Lisa I. ^{[1
,3
]}

Donohue, Amy ^{[10
]}

Viron, Mark ^{[10
]}

Lubarsky, Carley ^{[11
]}

Keller, Terina ^{[11
]}

Reichman, Jean-Louise ^{[12
]}

Bastien, Bettina ^{[13
]}

Ryan, Elizabeth ^{[7
]}

Tsai, Alexander C. ^{[1
,3
]}

Hsu, John ^{[1
,14
,15
]}

Chau, Cindy ^{[1
]}

Krane, David ^{[1
]}

Trieu, Hao D. ^{[1
]}

Wolfe, Jessica ^{[7
]}

Shellenberger, Kim ^{[7
]}

Cella, Elizabeth ^{[7
]}

Bird, Bruce ^{[7
]}

Bartels, Stephen ^{[1
,2
,3
]}

Skotko, Brian G. ^{[3
]}

机构：

[1] Massachusetts Gen Hosp, Mongan Inst, 100 Cambridge St,Suite 1600, Boston, MA 02114 USA

[2] Massachusetts Gen Hosp, Dept Med, 55 Fruit St,Gray 7-730, Boston, MA 02114 USA

[3] Harvard Med Sch, 25 Shattuck St, Boston, MA 02115 USA

[4] Massachusetts Gen Hosp, Biostat Ctr, 50 Staniford St,Suite 560, Boston, MA 02114 USA

[5] Brandeis Univ, Heller Sch Social Policy & Management, 415 South St, Waltham, MA 02453 USA

[6] Massachusetts Gen Hosp, Dept Pediat, Syndrome Program, Div Med Genet & Metab, 125 Nashua St, Suite 821, Boston, MA 02114 USA

[7] Vinfen Corp, 950 Cambridge St, Cambridge, MA 02141 USA

[8] NYU, Dept Child & Adolescent Psychiat, Grossman Sch Med, 550 First Ave, New York, NY 10016 USA

[9] NYU, Dept Child & Adolescent Psychiat, Langone Hlth, 550 First Ave, New York, NY 10016 USA

[10] Advocates Inc, 1881 Worcester Rd, Framingham, MA 01701 USA

[11] Bay Cove Human Serv, 66 Canal St, Boston, MA 02114 USA

[12] North Suffolk Mental Hlth Assoc, 301 Broadway, Chelsea, MA 02150 USA

[13] Riverside Community Care, 270 Bridge St,Suite 301, Dedham, MA 02026 USA

[14] Harvard Med Sch, Dept Med, 25 Shattuck St, Boston, MA 02115 USA

[15] Harvard Med Sch, Dept Hlth Care Policy, 180 Longwood Ave, Boston, MA 02115 USA

来源：

DISABILITY AND HEALTH JOURNAL | 2024年 / 17卷 / 04期

基金：

美国医疗保健研究与质量局;

关键词：

COVID-19; SARS-CoV-2; Congregate living settings; Group homes; Disabilities;

D O I：

10.1016/j.dhjo.2024.101645

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Background: More than seven million people with intellectual and/or developmental disabilities (ID/DD) live in the US and may face an elevated risk for COVID-19. Objective: To identify correlates of COVID-19 and related hospitalizations among people with ID/DD in group homes in Massachusetts. Methods: We collected data during March 1, 2020-June 30, 2020 (wave 1) and July 1, 2020-March 31, 2021 (wave 2) from the Massachusetts Department of Public Health and six organizations administering 206 group homes for 1035 residents with ID/DD. The main outcomes were COVID-19 infections and related hospitalizations. We fit multilevel Cox proportional hazards models to estimate associations with observed predictors and assess contextual home- and organizational-level effects. Results: Compared with Massachusetts residents, group home residents had a higher age-adjusted rate of COVID19 in wave 1 (incidence rate ratio [IRR], 12.06; 95 % confidence interval [CI], 10.51-13.84) and wave 2 (IRR, 2.47; 95% CI, 2.12-2.88) and a higher age-adjusted rate of COVID-19 hospitalizations in wave 1 (IRR, 17.64; 95 % CI, 12.59-24.70) and wave 2 (IRR, 4.95; 95 % CI, 3.23-7.60). COVID-19 infections and hospitalizations were more likely among residents aged 65+ and in group homes with 6+ resident beds and recent infection among staff and residents. Conclusions: Aggressive efforts to decrease resident density, staff-to-resident ratios, and staff infections through efforts such as vaccination, in addition to ongoing access to personal protective equipment and COVID-19 testing, may reduce COVID-19 and related hospitalizations in people with ID/DD living in group homes.

引用

页数：11

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