Risk Profile of Thanksgiving Gatherers and Subsequent SARS-CoV2 Testing and Diagnosis
Risk Profile of Thanksgiving Gatherers and Subsequent SARS-CoV2 Testing and Diagnosis
ABSTRACT BackgroundDuring Fall 2020 in the United States (U.S.), despite high COVID-19 case numbers and recommendations from public health officials not to travel and gather with individuals outside one’s household, millions of people gathered for Thanksgiving. The objective of this study was to understand if individuals’ behaviors and risk perceptions influenced their decision to gather, and if they did gather, their subsequent test seeking and diagnoses. MethodsParticipants were part of the CHASING COVID Cohort study - a U.S. national prospective cohort. The study sample consisted of participants who completed routine questionnaires before and after Thanksgiving. Non-pharmaceutical interventions (NPIs) use informed behavioral risk scores and a score of perceived risk of COVID-19 were assigned to each participant. Multinomial logistic regression models were used to assess the association between higher risk behaviors and gathering with other households, and the association of gathering with subsequent testing and test positivity. ResultsA total of 1,932 (40.5%) cohort participants spent Thanksgiving with individuals from at least one other household. Participants with higher behavioral risk scores had greater odds of gathering with one other household (aOR: 2.35, 95% CI: 2.0, 2.7), two other households (aOR: 4.54, 95% CI: 3.7, 5.6), and three or more other households (aOR: 5.44, 95% CI: 4.1, 7.2). Participants perceiving COVID-19 as a low-risk to themselves and others had greater odds of gathering with one other household (aOR: 1.12, 95% CI: 0.97, 1.3), two other households (aOR: 1.39, 95% CI: 1.1, 1.7), and three or more other households (aOR: 1.86, 95% CI: 1.4, 2.4). Those who spent Thanksgiving with one or more other households had 1.23 times greater odds (95% CI: 1.1, 1.4) of having a COVID-19 test afterward. There was no association between gathering for Thanksgiving and subsequent COVID-19 test positivity or developing COVID-19 symptoms. ConclusionsThose who gathered with other households for Thanksgiving tended to engage in higher-risk activities. Thanksgiving gathering with other households was not associated with subsequently testing positive for COVID-19, but only a small proportion obtained post-travel testing. Public health messaging should emphasize behavior change strategies that promote safer gathering.
Westmoreland Drew、Nash Denis、You William、Berry Amanda、Kulkarni Sarah、Grov Christian、Kochhar Shivani、Rane Madhura、Maroko Andrew、Mirzayi Chloe、Parcesepe Angela、Chang Mindy、Zimba Rebecca
Institute for Implementation Science in Population Health (ISPH), City University of New York (CUNY)Institute for Implementation Science in Population Health (ISPH), City University of New York (CUNY)||Department of Epidemiology and Biostatistics, Graduate School of Public Health and Health Policy, City University of New York (CUNY)Institute for Implementation Science in Population Health (ISPH), City University of New York (CUNY)Institute for Implementation Science in Population Health (ISPH), City University of New York (CUNY)Institute for Implementation Science in Population Health (ISPH), City University of New York (CUNY)Institute for Implementation Science in Population Health (ISPH), City University of New York (CUNY)||Department of Community Health and Social Sciences, Graduate School of Public Health and Health Policy, City University of New York (CUNY)Institute for Implementation Science in Population Health (ISPH), City University of New York (CUNY)Institute for Implementation Science in Population Health (ISPH), City University of New York (CUNY)Institute for Implementation Science in Population Health (ISPH), City University of New York (CUNY)||Department of Environmental, Occupational, and Geospatial Health Sciences, Graduate School of Public Health and Health Policy, City University of New York (CUNY)Institute for Implementation Science in Population Health (ISPH), City University of New York (CUNY)||Department of Epidemiology and Biostatistics, Graduate School of Public Health and Health Policy, City University of New York (CUNY)Institute for Implementation Science in Population Health (ISPH), City University of New York (CUNY)||Department of Maternal and Child Health, Gillings School of Public Health, University of North Carolina||Carolina Population Center, University of North Carolina at Chapel HillInstitute for Implementation Science in Population Health (ISPH), City University of New York (CUNY)Institute for Implementation Science in Population Health (ISPH), City University of New York (CUNY)
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Westmoreland Drew,Nash Denis,You William,Berry Amanda,Kulkarni Sarah,Grov Christian,Kochhar Shivani,Rane Madhura,Maroko Andrew,Mirzayi Chloe,Parcesepe Angela,Chang Mindy,Zimba Rebecca.Risk Profile of Thanksgiving Gatherers and Subsequent SARS-CoV2 Testing and Diagnosis[EB/OL].(2025-03-28)[2025-05-05].https://www.medrxiv.org/content/10.1101/2021.04.22.21255631.点此复制
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