Workers at long-term care facilities and their risk for severe COVID-19 illness.
Workers at long-term care facilities and their risk for severe COVID-19 illness.
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DOI：
10.1016/j.ypmed.2020.106328
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发表时间：
2021-03
影响因子：
5.1
通讯作者：
Gibson DM
中科院分区：
文献类型：
--
作者：
Greene J;Gibson DM
鉴于美国长期护理机构中新冠肺炎病例的高度集中，在这些机构工作的个人接触SARS-CoV-2的风险更高。利用具有全国代表性的2017年和2018年国民健康访谈调查数据，对报告在长期护理设施工作的成年人进行调查，这项研究考察了长期护理工作人员患新冠肺炎严重疾病(包括住院、插管或死亡)的风险增加或潜在风险增加的程度。我们使用了疾病控制和预防中心的条件清单，将个人尽可能地置于这些风险类别中。我们还按职业和新冠肺炎疾病严重程度危险状态检查了长期TC工人的社会人口学特征。1%(52159名加权NHIS样本中的552名)在LTC设施中工作。LTC工厂的工人不成比例地是黑人、女性和低收入。一半(50%)的长期TC员工患严重疾病的风险增加，另有19.6%的人可能面临更高的风险。风险人群之间的人口统计特征几乎没有显著差异，尽管风险增加的人群受教育程度较低，最近难以负担处方药。尽管长期受灾的居民和工人对新冠肺炎的严重疾病都有很高的脆弱性，但许多长期受灾设施仍然缺乏个人防护装备和新冠肺炎检测。鉴于新冠肺炎疫情导致的州预算赤字限制了州政府采取行动的可能性，联邦政府需要加大努力，保护长期监禁的居民和工作人员免受新冠肺炎的影响。
Given the high concentration of COVID-19 cases in long-term care (LTC) facilities in the United States, individuals working in these facilities are at heightened risk of SARS-CoV-2 exposure. Using data from the nationally-representative 2017 and 2018 National Health Interview Surveys on adults who reported working in LTC facilities, this study examines the extent to which LTC workers are also at increased risk or potentially at increased risk for severe illness from COVID-19 including hospitalization, intubation, or death. We used the Centers for Disease Control and Prevention's list of conditions placing individuals in these risk categories to the extent possible. We also examined the sociodemographic characteristics of LTC workers by occupation and COVID-19 illness severity risk status. One percent (552 out of 52,159) of the weighted NHIS sample worked in LTC facilities. Workers in LTC facilities were disproportionately Black, female, and low income. Half of LTC workers (50%) were at increased risk of severe illness from COVID-19 and another 19.6% were potentially at increased risk. There were few significant differences in demographic characteristics between risk groups, though those at increased risk had lower educational attainment and recent trouble affording prescription medications. Despite the high degree of vulnerability of both LTC residents and workers to severe illness from COVID-19, many LTC facilities still have inadequate supplies of personal protective equipment and COVID-19 tests. Given that state budget deficits due to the COVID-19 pandemic limit the potential for state actions, enhanced federal efforts are needed to protect LTC residents and staff from COVID-19.
影响因子：
6.3
作者：
Gibson, Diane M.;Greene, Jessica
通讯作者：
Greene, Jessica
影响因子：
6.3
作者：
通讯作者：
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DOI：
10.1377/hlthaff.2020.01269
发表时间：
2020-10
期刊：
Health affairs (Project Hope)
影响因子：
--
作者：
McGarry BE;Grabowski DC;Barnett ML
通讯作者：
Barnett ML