SARS-CoV-2: An Empirical Investigation of Rose’s Population-based Logic
| Autor: | Parvati Singh, Tim A. Bruckner, Abhery Das, Bernadette Boden-Albala |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Adult
medicine.medical_specialty Logic Epidemiology Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) MEDLINE Sample (statistics) Population based Asymptomatic Risk Factors medicine asymptomatic Humans SARS-CoV-2 pandemic Public health Counterintuitive COVID-19 low risk Prevention paradox Infectious Diseases risk behaviors ComputingMethodologies_DOCUMENTANDTEXTPROCESSING medicine.symptom Psychology Demography |
| Zdroj: | Epidemiology (Cambridge, Mass.) |
| ISSN: | 1044-3983 |
| Popis: | Supplemental Digital Content is available in the text. Background: Geoffrey Rose’s paper “Sick Individuals, Sick Populations” highlights the counterintuitive finding that the largest share of morbidity arises from populations engaging in low- to moderate-risk behavior. Scholars refer to this finding as the prevention paradox. We examine whether this logic applies to SARS-CoV-2 infected persons considered low to moderate risk. Methods: We conducted a population-representative survey and sero-surveillance study for SARS-CoV-2 among adults in Orange County, California. Participants answered questions about health behaviors and provided a finger-pin-prick sample from 10 July to 16 August 2020. Results: Of the 2979 adults, those reporting low- and moderate-risk behavior accounted for between 78% and 92% of SARS-CoV-2 infections. Asymptomatic individuals, as well as persons with low and moderate scores for self-reported likelihood of having had SARS-CoV-2, accounted for the majority of infections. Conclusions: Our findings support Rose’s logic, which encourages public health measures among persons who self-identify as unlikely to have SARS-CoV-2. See video abstract at, http://links.lww.com/EDE/B860. |
| Databáze: | OpenAIRE |
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