■关于急性呼吸系统疾病(ARI)如何影响行为的纵向数据,即学校或工作参与,在COVID-19大流行之前和期间,非药物干预(NPI)的使用是有限的。作者评估了ARIs和特定症状如何影响学校,工作,和健康相关的行为随着时间的推移。
■从2019年11月到2021年6月,金县有孩子的参与家庭,华盛顿,每周远程监测ARI症状。在ARIs之后,参与者报告了与疾病相关的影响对学校的影响,工作,和NPI使用。使用具有广义估计方程的逻辑回归,作者研究了症状和行为之间的关联.
■在1,861名参与者中,来自293个家庭的581个(31%)报告了884个ARI,并完成了为期一周的跟踪调查。与流行病前期相比,在大流行前COVID-19疫苗期间,ARI相关学校(56%对10%,p<0.001)旷工减少,掩蔽增加(3%vs28%,p<0.001)。在2020年12月疫苗授权后,更多的ARIs导致掩蔽(3%vs48%,p<0.001),避免与非家庭成员接触(26%对58%,p<0.001),呆在家里(37%对69%,p<0.001)与流行前期相比。发热等体质症状与工作中断有关(OR=1.91;95%CI=1.06,3.43),呆在家里(OR=1.55;95%CI=1.06,2.27),与非家庭成员的接触减少(OR=1.58;95%CI=1.05,2.36)。
这项远程家庭研究允许不间断地跟踪有孩子的家庭在COVID-19大流行之前和期间的行为变化,确定在生病时增加使用某些NPI,但没有其他与疾病相关的工作或学校中断。
UNASSIGNED: Longitudinal data on how acute respiratory illness (ARI) affects behavior, namely school or work participation, and nonpharmaceutical intervention (NPI) usage before and during the COVID-19 pandemic is limited. The authors assessed how ARIs and specific symptoms affected school, work, and health-related behaviors over time.
UNASSIGNED: From November 2019 to June 2021, participating households with children in King County, Washington, were remotely monitored for ARI symptoms weekly. Following ARIs, participants reported illness-related effects on school, work, and NPI use. Using logistic regression with generalized estimating equations, the authors examined associations between symptoms and behaviors.
UNASSIGNED: Of 1,861 participants, 581 (31%) from 293 households reported 884 ARIs and completed one-week follow-up surveys. Compared with the prepandemic period, during the period of the pandemic pre-COVID-19 vaccine, ARI-related school (56% vs 10%, p<0.001) absenteeism decreased and masking increased (3% vs 28%, p<0.001). After vaccine authorization in December 2020, more ARIs resulted in masking (3% vs 48%, p<0.001), avoiding contact with non-household members (26% vs 58%, p<0.001), and staying home (37% vs 69%, p<0.001) compared with the prepandemic period. Constitutional symptoms such as fever were associated with work disruptions (OR=1.91; 95% CI=1.06, 3.43), staying home (OR=1.55; 95% CI=1.06, 2.27), and decreased contact with non-household members (OR=1.58; 95% CI=1.05, 2.36).
UNASSIGNED: This remote household study permitted uninterrupted tracking of behavioral changes in families with children before and during the COVID-19 pandemic, identifying increased use of some NPIs when ill but no additional illness-associated work or school disruptions.