Mapping community-level determinants of COVID-19 transmission in nursing homes: A multi-scale approach.
In: Science of the Total Environment, Jg. 752 (2021-01-15), S. N.PAG
academicJournal
Zugriff:
Deaths from the COVID-19 pandemic have disproportionately affected older adults and residents in nursing homes. Although emerging research has identified place-based risk factors for the general population, little research has been conducted for nursing home populations. This GIS-based spatial modeling study aimed to determine the association between nursing home-level metrics and county-level, place-based variables with COVID-19 confirmed cases in nursing homes across the United States. A cross-sectional research design linked data from Centers for Medicare & Medicaid Services, American Community Survey, the 2010 Census, and COVID-19 cases among the general population and nursing homes. Spatial cluster analysis identified specific regions with statistically higher COVID-19 cases and deaths among residents. Multivariate analysis identified risk factors at the nursing home level including, total count of fines, total staffing levels, and LPN staffing levels. County-level or place-based factors like per-capita income, average household size, population density, and minority composition were significant predictors of COVID-19 cases in the nursing home. These results provide a framework for examining further COVID-19 cases in nursing homes and highlight the need to include other community-level variables when considering risk of COVID-19 transmission and outbreaks in nursing homes. Unlabelled Image • Nursing home COVID-19 cases are clustered in the Northeast and Southeast US. • Community-level factors had the strongest association with nursing home cases. • Nursing home quality did not predict COVID-19 cases. [ABSTRACT FROM AUTHOR]
Titel: |
Mapping community-level determinants of COVID-19 transmission in nursing homes: A multi-scale approach.
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Autor/in / Beteiligte Person: | Sugg, Margaret M. ; Spaulding, Trent J. ; Lane, Sandi J. ; Runkle, Jennifer D. ; Harden, Stella R. ; Hege, Adam ; Iyer, Lakshmi S. |
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Zeitschrift: | Science of the Total Environment, Jg. 752 (2021-01-15), S. N.PAG |
Veröffentlichung: | 2021 |
Medientyp: | academicJournal |
ISSN: | 0048-9697 (print) |
DOI: | 10.1016/j.scitotenv.2020.141946 |
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