Association of social distancing and face mask use with risk of COVID-19

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作者
Sohee Kwon
Amit D. Joshi
Chun-Han Lo
David A. Drew
Long H. Nguyen
Chuan-Guo Guo
Wenjie Ma
Raaj S. Mehta
Fatma Mohamed Shebl
Erica T. Warner
Christina M. Astley
Jordi Merino
Benjamin Murray
Jonathan Wolf
Sebastien Ourselin
Claire J. Steves
Tim D. Spector
Jaime E. Hart
Mingyang Song
Trang VoPham
Andrew T. Chan
机构
[1] Massachusetts General Hospital and Harvard Medical School,Clinical and Translational Epidemiology Unit
[2] Massachusetts General Hospital and Harvard Medical School,Division of Gastroenterology
[3] Harvard T.H. Chan School of Public Health,Department of Biostatistics
[4] University of Hong Kong,Department of Medicine, Li Ka Shing Faculty of Medicine
[5] Massachusetts General Hospital and Harvard Medical School,Medical Practice Evaluation Center
[6] Vulnerable Populations,Harvard/MGH Center on Genomics
[7] and Health Disparities,Division of Endocrinology and Computational Epidemiology
[8] Massachusetts General Hospital,Diabetes Unit, Center for Genomic Medicine
[9] Boston Children’s Hospital and Harvard Medical School,Programs in Metabolism and Medical & Population Genetics
[10] Broad Institute of MIT and Harvard,Department of Medicine
[11] Massachusetts General Hospital,School of Biomedical Engineering & Imaging Sciences
[12] Broad Institute of MIT and Harvard,Department of Twin Research and Genetic Epidemiology
[13] Harvard Medical School,Channing Division of Network Medicine, Department of Medicine
[14] King’s College London,Exposure, Epidemiology and Risk Program, Department of Environmental Health
[15] Zoe Limited,Department of Epidemiology
[16] King’s College London,Epidemiology Program, Division of Public Health Sciences
[17] Brigham and Hospital and Harvard Medical School,Department of Epidemiology
[18] Harvard T.H. Chan School of Public Health,Department of Immunology and Infectious Disease
[19] Harvard T.H. Chan School of Public Health,undefined
[20] Department of Nutrition,undefined
[21] Harvard T.H. Chan School of Public Health,undefined
[22] Fred Hutchinson Cancer Research Center,undefined
[23] University of Washington School of Public Health,undefined
[24] Harvard T.H. Chan School of Public Health,undefined
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摘要
Given the continued burden of COVID-19 worldwide, there is a high unmet need for data on the effect of social distancing and face mask use to mitigate the risk of COVID-19. We examined the association of community-level social distancing measures and individual face mask use with risk of predicted COVID-19 in a large prospective U.S. cohort study of 198,077 participants. Individuals living in communities with the greatest social distancing had a 31% lower risk of predicted COVID-19 compared with those living in communities with poor social distancing. Self-reported ‘always’ use of face mask was associated with a 62% reduced risk of predicted COVID-19 even among individuals living in a community with poor social distancing. These findings provide support for the efficacy of mask-wearing even in settings of poor social distancing in reducing COVID-19 transmission. Despite mass vaccination campaigns in many parts of the world, continued efforts at social distancing and face mask use remain critically important in reducing the spread of COVID-19.
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