Preventing within household transmission of Covid-19: is the provision of accommodation to support self-isolation feasible and acceptable?
Preventing within household transmission of Covid-19: is the provision of accommodation to support self-isolation feasible and acceptable?
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DOI：
10.1186/s12889-021-11666-z
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发表时间：
2021-09-08
影响因子：
4.5
通讯作者：
Yardley L
中科院分区：
文献类型：
--
作者：
Denford S;Morton K;Horwood J;de Garang R;Yardley L
Covid-19的家庭内部传播是造成大量感染的原因。需要努力保护面临风险的社区。本研究探讨了为风险人群提供住宿以支持自我隔离的可接受性，以防止Covid-19在脆弱家庭中传播。混合方法设计分为两个阶段。第一阶段：对545名同意就正在进行的感染控制研究项目进行联系的个人进行调查。第二阶段：对19名来自少数民族和低收入社区的参与者进行半结构化访谈。许多调查和访谈参与者认为，在某些情况下提供住宿是重要和必要的。在110名受访者中，85人（77%）表示他们无法在家中进行隔离。在这一群体中，24人（28%）表示会接受住宿，23人（27%）表示可能会接受。在那些无法在家中隔离，并且如果感染病毒（N = 36）或与高危人群（N = 18）生活在一起，风险很高的人中，19人（35%）表示他们会接受隔离，12人（22%）表示他们可能会接受住宿。影响入住的因素包括：1)家庭脆弱性；2)病毒暴露；3)缺乏居家隔离选择。接受住宿的障碍包括：1)能够在家里隔离；2)想和家人在一起；3)照顾的责任；4)心理健康的问题；5)生病时移动的问题；6)感染控制的问题。与会者提出了在提供住宿之前应该解决的问题，包括谁应该使用临时住宿以及何时使用以及如何管理临时住宿中的感染控制等问题。对于一些担心家中感染传播、无法在家中自我隔离或保持社交距离的人来说，提供住宿以防止Covid-19在家庭内传播被认为是可接受、可行和必要的。不同的家庭会有不同的需求，例如，那些有照顾责任的家庭，为了克服这些挑战，可能需要额外的支持，以便为那些最可能受益的人提供可行的住宿。在线版本包含补充材料，可在10.1186/s12889-021-11666-z获得。
Within-household transmission of Covid-19 is responsible for a significant number of infections. Efforts to protect at risk communities are needed. This study explored the acceptability of offering accommodation to support self-isolation among at risk populations, to prevent transmission of Covid-19 within vulnerable households. Mixed methods design structured in two phases. Phase 1: Survey of 545 individuals who had provided consent to be contacted about ongoing research projects into infection control. Phase 2: Semi-structured interviews with 19 participants from ethnic minority and low income communities. Many survey and interview participants viewed the provision of accommodation as important and necessary in certain contexts. Of the 110 survey respondents, 85 (77%) said that they were not able to isolate at home. Among this group, 24 (28%) said they would accept accommodation and 23 (27%) said that they would probably accept. Of those unable to isolate at home, and at high risk if they caught the virus (N = 36) or living with someone at high risk (N 18), 19 (35%) said that they would accept, and 12 (22%) said they would probably accept accommodation. Factors influencing uptake of accommodation included perceived 1) household vulnerability 2) virus exposure and 3) lack of isolation at home options. Barriers to accepting the accommodation offer included 1) able to isolate at home 2) wanting to be with family 3) caring responsibilities 4) mental wellbeing concerns 5) concerns about moving when ill and 6) infection control concerns. Participants raised issues that should be addressed before accommodation is offered, including questions regarding who should use temporary accommodation and when, and how infection control in temporary accommodation would be managed. The provision of accommodation to prevent within household transmission of Covid-19 is viewed as acceptable, feasible and necessary by some people who are concerned about infection transmission in the home and are unable to self-isolate or socially distance at home. Different households will have different requirements, e.g., those with caring responsibilities, and to overcome these challenges additional support may be needed for the provision of accommodation to be feasible to those who could benefit most. The online version contains supplementary material available at 10.1186/s12889-021-11666-z.
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