Factors affecting the transmission of SARS-CoV-2 in school settings.
Factors affecting the transmission of SARS-CoV-2 in school settings.
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影响SARS-CoV-2在学校环境中传播的因素
DOI：
10.1111/irv.12968
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发表时间：
2022-07
影响因子：
4.4
通讯作者：
Yang, Wan
中科院分区：
文献类型：
--
作者：
Yuan, Haokun;Reynolds, Connor;Ng, Sydney;Yang, Wan
几项研究报告了学校中爆发的 SARS-CoV-2 疫情，二次发作率范围广泛（SAR；范围：0-100%）。我们的目的是检查关键风险因素，以更好地了解 SARS-CoV-2 在学校的传播。我们收集了 2020 年 1 月至 2021 年 7 月期间全球发布的 35 起 SARS-CoV-2 学校疫情记录，并汇编了有关假设风险因素的信息。我们利用有向无环图（DAG）来概念化风险机制，使用逻辑回归来检查每个风险因素组，并进一步建立多风险模型。最佳拟合模型显示，社区传播强度（调整后比值比 [aOR]：1.11，95% CI：1.06-1.16，每周每 10 万人中每增加 1 例）和个人主义（aOR：2.72，95% CI：1.50-4.95，高于平均值与低于平均值）与较高风险相关，而预防措施（aOR： 0.25，95% CI：0.19-0.32，疏散和掩蔽与无）和较高的群体免疫力（aOR：0.57，95% CI：0.46-0.71）与较低的 SARS-CoV-2 在学校传播风险相关。与高中学生相比，学前班学生的 aOR 为 0.47（95% CI：0.23-0.95），小学学生的 aOR 为 0.90（95% CI：0.76-1.08）。应采取学校预防措施（例如保持社交距离和戴口罩）以及社区努力降低传播和增加疫苗接种率（即疫苗诱导的人群免疫力），以共同减少传播并保护学校儿童。
Several studies have reported SARS‐CoV‐2 outbreaks in schools, with a wide range of secondary attack rate (SAR; range: 0–100%). We aimed to examine key risk factors to better understand SARS‐CoV‐2 transmission in schools. We collected records of 35 SARS‐CoV‐2 school outbreaks globally published from January 2020 to July 2021 and compiled information on hypothesized risk factors. We utilized the directed acyclic graph (DAG) to conceptualize risk mechanisms, used logistic regression to examine each risk‐factor group, and further built multirisk models. The best‐fit model showed that the intensity of community transmission (adjusted odds ratio [aOR]: 1.11, 95% CI: 1.06–1.16, for each increase of 1 case per 10 000 persons per week) and individualism (aOR: 2.72, 95% CI: 1.50–4.95, above vs. below the mean) was associated higher risk, whereas preventive measures (aOR: 0.25, 95% CI: 0.19–0.32, distancing and masking vs. none) and higher population immunity (aOR: 0.57, 95% CI: 0.46–0.71) were associated with lower risk of SARS‐CoV‐2 transmission in schools. Compared with students in high schools, the aOR was 0.47 (95% CI: 0.23–0.95) for students in preschools and 0.90 (95% CI: 0.76–1.08) for students in primary schools. Preventive measures in schools (e.g., social distancing and mask wearing) and communal efforts to lower transmission and increase vaccination uptake (i.e., vaccine‐induced population immunity) in the community should be taken to collectively reduce transmission and protect children in schools.
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影响因子：
2.7
作者：
Chen, Yiguang;Li, Tianhua;Pan, Jun
通讯作者：
Pan, Jun
影响因子：
4.2
作者：
Galanti, M.;Birger, R.;Shaman, J.
通讯作者：
Shaman, J.
影响因子：
19
作者：
Heavey, Laura;Casey, Geraldine;McDarby, Geraldine
通讯作者：
McDarby, Geraldine
DOI：
10.2807/1560-7917.es.2020.25.49.2001911
发表时间：
2020-12
期刊：
Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin
影响因子：
--
作者：
Larosa E;Djuric O;Cassinadri M;Cilloni S;Bisaccia E;Vicentini M;Venturelli F;Giorgi Rossi P;Pezzotti P;Bedeschi E;Reggio Emilia Covid-19 Working Group
通讯作者：
Reggio Emilia Covid-19 Working Group
影响因子：
36.4
作者：
Macartney, Kristine;Quinn, Helen E.;Wood, Nicholas
通讯作者：
Wood, Nicholas