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Assessing community-level COVID-19 infection risk through three-generational household concentration in Nebraska, U.S.: An approach for COVID-19 prevention.


ABSTRACT: The three-generational household was a focal point of concern for school and community the Coronavirus Disease 2019 (COVID-19) transmission. The current study, using small area data and household variables, reported an approach to neighborhood-level COVID-19 mitigation for school reopening and communities returning to normalcy. The study started with an age-stratified Poisson regression to examine the association between the proportion of three-generational households and COVID-19 infection rates based on data from 74 census tracts in Lancaster County, Nebraska, U.S. from March 5, 2020 to August 22, 2020, followed by mapping the model-based risk score by census tract in the study area. We explored the feasibility of using COVID-19 infection rates and vaccination rates to inform decision-making on school opening from March 5, 2020 to February 3, 2021. The overall infection rate increased by 3% for every unit increased in the percentage of three-generational households after controlling for other covariates in the model. The census tracts were classified into low-, medium-, and high-priority neighborhoods for potential community-based interventions, such as targeted messages for household hygiene and isolation strategies.

SUBMITTER: Liu D 

PROVIDER: S-EPMC8767931 | biostudies-literature | 2022 Apr

REPOSITORIES: biostudies-literature

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Assessing community-level COVID-19 infection risk through three-generational household concentration in Nebraska, U.S.: An approach for COVID-19 prevention.

Liu Dong D   Lin Ge G   Liu Han H   Su Dejun D   Qu Ming M   Du Yi Y  

Preventive medicine reports 20220119


The three-generational household was a focal point of concern for school and community the Coronavirus Disease 2019 (COVID-19) transmission. The current study, using small area data and household variables, reported an approach to neighborhood-level COVID-19 mitigation for school reopening and communities returning to normalcy. The study started with an age-stratified Poisson regression to examine the association between the proportion of three-generational households and COVID-19 infection rate  ...[more]

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