2020 至 2022 年加拿大急诊科接受评估的儿童中与 SARS-CoV-2 检测呈阳性相关的社交行为:一项横断面调查研究。

IF 3 3区 医学 Q1 PEDIATRICS Academic Pediatrics Pub Date : 2024-08-30 DOI:10.1016/j.acap.2024.08.016
Madeleine Sumner, Gillian A M Tarr, Jianling Xie, Ahmed Mater, Kathleen Winston, Jocelyn Gravel, Naveen Poonai, Brett Burstein, Simon Berthelot, Roger Zemek, Robert Porter, Bruce Wright, April Kam, Jason Emsley, Vikram Sabhaney, Darcy Beer, Gabrielle Freire, Anne Moffatt, Stephen B Freedman
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引用次数: 0

摘要

目的评估不同年龄段儿童的社会行为与 SARS-CoV-2 检测阳性率之间的关系:多中心、横断面研究,招募儿童:研究共招募了 7272 名儿童,其中 1457 名(20.0%)儿童的 SARS-CoV-2 检测呈阳性。参加社交聚会与 5 岁儿童 SARS-CoV-2 阳性的几率增加有关(aOR:1.64,95%CI:1.05,2.57)- 结论:参加社交聚会增加了儿童感染 SARS-CoV-2 的风险:参加社交聚会增加了 5- 6 岁儿童 SARS-CoV-2 检测呈阳性的风险。
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Social Behaviors Associated with SARS-CoV-2 Test Positivity Among Children Evaluated in Canadian Emergency Departments, 2020 to 2022: A Cross-Sectional Survey Study.

Objective: To evaluate how social behaviors relate to SARS-CoV-2 test positivity across pediatric age groups.

Methods: Multicenter, cross-sectional study recruiting children <18 years old tested for SARS-CoV-2 infection in emergency departments between 2020 and 2022. We used multivariate logistic regression to assess how self-reported social behaviors affect SARS-CoV-2 test positivity across four age groups. Causal mediation analysis quantified how mask-wearing and presence of an infected close contact mediated the SARS-CoV-2 risk of given behaviors.

Results: Seven thousand two hundred and seventy two children were enrolled and 1457 (20.0%) tested positive for SARS-CoV-2. Attending a social gathering was associated with increased odds (aOR 1.64, 95% CI: 1.05, 2.57) of SARS-CoV-2 positivity among children aged 5-<12 years. Those attending in-person school/daycare were less likely to test positive for SARS-CoV-2 across all age categories. Attending childcare was associated with 16.3% (95% CI: -21.0%, -11.2%) and 9.0% (95% CI: -11.6%, -6.5%) reductions in the probability of testing positive for SARS-CoV-2 infection, with 53.5% (95% CI: 39.2%, 73.9%) and 22.8% (95% CI: 9.7%, 36.2%) of the effects being mediated by the presence of a close contact among <1 year and 1-<5 year age groups, respectively. Masking in public mediated the association between childcare attendance and SARS-CoV-2 positivity in children aged <1 year.

Conclusions: Attending social gatherings increased the risk of SARS-CoV-2 test positivity in 5-<12-year-old children, but in-person daycare/school was associated with a reduced odds of testing positive across all ages. Settings with high public health adherence (ie, schools) reduced the risk of testing positive for SARS-CoV-2, possibly from reduced close contact with SARS-CoV-2 positive individuals.

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来源期刊
Academic Pediatrics
Academic Pediatrics PEDIATRICS-
CiteScore
4.60
自引率
12.90%
发文量
300
审稿时长
60 days
期刊介绍: Academic Pediatrics, the official journal of the Academic Pediatric Association, is a peer-reviewed publication whose purpose is to strengthen the research and educational base of academic general pediatrics. The journal provides leadership in pediatric education, research, patient care and advocacy. Content areas include pediatric education, emergency medicine, injury, abuse, behavioral pediatrics, holistic medicine, child health services and health policy,and the environment. The journal provides an active forum for the presentation of pediatric educational research in diverse settings, involving medical students, residents, fellows, and practicing professionals. The journal also emphasizes important research relating to the quality of child health care, health care policy, and the organization of child health services. It also includes systematic reviews of primary care interventions and important methodologic papers to aid research in child health and education.
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