Is There a Temporal Relationship between COVID-19 Infections among Prison Staff, Incarcerated Persons and the Larger Community in the United States?
Is There a Temporal Relationship between COVID-19 Infections among Prison Staff, Incarcerated Persons and the Larger Community in the United States?
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DOI：
10.3390/ijerph18136873
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发表时间：
2021-06-26
影响因子：
--
通讯作者：
Nelson JR
中科院分区：
文献类型：
--
作者：
Wallace D;Eason JM;Walker J;Towers S;Grubesic TH;Nelson JR
背景资料：我们的目标是研究美国联邦监狱中监狱工作人员、被监禁个人和监狱所在县一般人群之间的COVID-19感染之间的时间关系。研究方法：我们使用联邦监狱局（BOP）2020年3月至12月63所监狱的数据，采用监狱固定效应的人群标准化回归来预测被监禁人员中的COVID-19活跃病例数。结果如下：工作人员中的COVID-19流行率，并通过他们，更大的社区，以及美国联邦监狱系统中被监禁者中的COVID-19流行率之间存在显著关系。当工作人员感染率较低或为零时，较大社区的COVID-19发病率继续与被监禁人员的COVID-19患病率相关，这表明工作人员可能存在症状前和无症状传播。尽管工作人员、社区和被监禁者之间的感染之间的关联仍然显著而强烈，但蒙面政策略微降低了被监禁者中的COVID-19患病率。结论：工作人员与被监禁人员之间的COVID-19感染关系表明，工作人员对感染控制至关重要，除被监禁人员外，惩教管理人员还应将感染控制工作重点放在工作人员身上。
Background: Our objective was to examine the temporal relationship between COVID-19 infections among prison staff, incarcerated individuals, and the general population in the county where the prison is located among federal prisons in the United States. Methods: We employed population-standardized regressions with fixed effects for prisons to predict the number of active cases of COVID-19 among incarcerated persons using data from the Federal Bureau of Prisons (BOP) for the months of March to December in 2020 for 63 prisons. Results: There is a significant relationship between the COVID-19 prevalence among staff, and through them, the larger community, and COVID-19 prevalence among incarcerated persons in the US federal prison system. When staff rates are low or at zero, COVID-19 incidence in the larger community continues to have an association with COVID-19 prevalence among incarcerated persons, suggesting possible pre-symptomatic and asymptomatic transmission by staff. Masking policies slightly reduced COVID-19 prevalence among incarcerated persons, though the association between infections among staff, the community, and incarcerated persons remained significant and strong. Conclusion: The relationship between COVID-19 infections among staff and incarcerated persons shows that staff is vital to infection control, and correctional administrators should also focus infection containment efforts on staff, in addition to incarcerated persons.
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