A longitudinal analysis of COVID-19 prevention strategies implemented among US K-12 public schools during the 2021-2022 school year.

Autor: Conklin S; ICF, Atlanta, Georgia. Electronic address: Sarah.Conklin@icf.com., McConnell L; ICF, Atlanta, Georgia., Murray C; ICF, Atlanta, Georgia., Pampati S; Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Division of Adolescent and School Health, USA., Rasberry CN; Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Division of Adolescent and School Health, USA., Stephens R; ICF, Atlanta, Georgia., Rose I; ICF, Atlanta, Georgia., Barrios LC; Centers for Disease Control and Prevention, Office of Readiness and Response, Division of Readiness and Response Science, USA., Cramer NK; Centers for Disease Control and Prevention, National Center for Emerging and Zoonotic Infectious Diseases, Division of Healthcare Quality Promotion., Lee S; Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Division of Adolescent and School Health, USA.
Jazyk: angličtina
Zdroj: Annals of epidemiology [Ann Epidemiol] 2024 Aug; Vol. 96, pp. 40-47. Date of Electronic Publication: 2024 May 31.
DOI: 10.1016/j.annepidem.2024.05.011
Abstrakt: Purpose: Examine how school-based COVID-19 prevention strategy implementation varied over time, including by local characteristics.
Methods: School administrators (n = 335) from a nationally representative sample of K-12 public schools completed four surveys assessing COVID-19 prevention strategies at two-month intervals between October 2021 and June 2022. We calculated weighted prevalence estimates by survey wave. Generalized estimating equations (GEE) were used to model longitudinal changes in strategy implementation, accounting for school and county covariates.
Results: Opening doors/windows, daily cleaning, and diagnostic testing were reported by ≥ 50 % of schools at each survey wave. Several strategies were consistently implemented across the 2021-2022 school year (i.e., daily cleaning, opening doors and windows, diagnostic testing) while other strategies increased initially and then declined (i.e., contact tracing, screening testing, on-campus vaccination) or declined consistently throughout the school year (i.e., mask requirement, classroom distancing, quarantine). Although longitudinal changes in strategy implementation did not vary by school characteristics, strategy implementation varied by urban-rural classification and school level throughout the school year.
Conclusions: Strategies that were consistently implemented throughout the school year were also reported by a majority of schools, speaking toward their feasibility for school-based infection control and prevention and potential utility in future public health emergencies.
Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2024 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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