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10.1016/j.scitotenv.2020.141946

http://scihub22266oqcxt.onion/10.1016/j.scitotenv.2020.141946
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suck abstract from ncbi


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pmid32889290      Sci+Total+Environ 2021 ; 752 (ä): 141946
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  • Mapping community-level determinants of COVID-19 transmission in nursing homes: A multi-scale approach #MMPMID32889290
  • Sugg MM; Spaulding TJ; Lane SJ; Runkle JD; Harden SR; Hege A; Iyer LS
  • Sci Total Environ 2021[Jan]; 752 (ä): 141946 PMID32889290show ga
  • 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.
  • |*Coronavirus Infections/epidemiology[MESH]
  • |*Medicare[MESH]
  • |*Nursing Homes[MESH]
  • |*Pandemics[MESH]
  • |*Pneumonia, Viral/epidemiology[MESH]
  • |Aged[MESH]
  • |Betacoronavirus[MESH]
  • |COVID-19[MESH]
  • |Cross-Sectional Studies[MESH]
  • |Humans[MESH]
  • |Income[MESH]
  • |Population Density[MESH]
  • |Risk Factors[MESH]
  • |SARS-CoV-2[MESH]
  • |United States[MESH]


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