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Predictors of COVID-19 infection and hospitalization in group homes for individuals with intellectual and/or developmental disabilities.
Levison, Julie H; Fung, Vicki; Wilson, Anna; Cheng, David; Donelan, Karen; Oreskovic, Nicolas M; Samuels, Ronita; Silverman, Paula; Batson, Joey; Fathi, Ahmed; Gamse, Stefanie; Holland, Sibyl; Becker, Jessica E; Freedberg, Kenneth A; Iezzoni, Lisa I; Donohue, Amy; Viron, Mark; Lubarsky, Carley; Keller, Terina; Reichman, Jean-Louise; Bastien, Bettina; Ryan, Elizabeth; Tsai, Alexander C; Hsu, John; Chau, Cindy; Krane, David; Trieu, Hao D; Wolfe, Jessica; Shellenberger, Kim; Cella, Elizabeth; Bird, Bruce; Bartels, Stephen; Skotko, Brian G.
Afiliación
  • Levison JH; Massachusetts General Hospital, Mongan Institute, 100 Cambridge St, Suite 1600, Boston, MA, 02114, USA; Massachusetts General Hospital, Department of Medicine, 55 Fruit St, Gray 7-730, Boston, MA, 02114, USA; Harvard Medical School, 25 Shattuck St, Boston, MA, 02115, USA. Electronic address: jleviso
  • Fung V; Massachusetts General Hospital, Mongan Institute, 100 Cambridge St, Suite 1600, Boston, MA, 02114, USA; Harvard Medical School, 25 Shattuck St, Boston, MA, 02115, USA.
  • Wilson A; Massachusetts General Hospital, Mongan Institute, 100 Cambridge St, Suite 1600, Boston, MA, 02114, USA.
  • Cheng D; Massachusetts General Hospital, Mongan Institute, 100 Cambridge St, Suite 1600, Boston, MA, 02114, USA; Harvard Medical School, 25 Shattuck St, Boston, MA, 02115, USA; Massachusetts General Hospital, Biostatistics Center, 50 Staniford Street, Suite 560, Boston, MA, 02114, USA.
  • Donelan K; Massachusetts General Hospital, Mongan Institute, 100 Cambridge St, Suite 1600, Boston, MA, 02114, USA; Heller School for Social Policy and Management, Brandeis University, 415 South St, Waltham, MA, 02453, USA.
  • Oreskovic NM; Harvard Medical School, 25 Shattuck St, Boston, MA, 02115, USA; Massachusetts General Hospital, Department of Pediatrics, Division of Medical Genetics and Metabolism, Down Syndrome Program, 125 Nashua Street, Suite 821, Boston, MA, 02114, USA.
  • Samuels R; Massachusetts General Hospital, Mongan Institute, 100 Cambridge St, Suite 1600, Boston, MA, 02114, USA.
  • Silverman P; Vinfen Corporation, 950 Cambridge Street, Cambridge, MA, 02141, USA.
  • Batson J; Vinfen Corporation, 950 Cambridge Street, Cambridge, MA, 02141, USA.
  • Fathi A; Vinfen Corporation, 950 Cambridge Street, Cambridge, MA, 02141, USA.
  • Gamse S; Vinfen Corporation, 950 Cambridge Street, Cambridge, MA, 02141, USA.
  • Holland S; Vinfen Corporation, 950 Cambridge Street, Cambridge, MA, 02141, USA.
  • Becker JE; NYU Grossman School of Medicine and NYU Langone Health, Department of Child and Adolescent Psychiatry, 550 First Avenue, New York, NY, 10016, USA.
  • Freedberg KA; Massachusetts General Hospital, Mongan Institute, 100 Cambridge St, Suite 1600, Boston, MA, 02114, USA; Massachusetts General Hospital, Department of Medicine, 55 Fruit St, Gray 7-730, Boston, MA, 02114, USA; Harvard Medical School, 25 Shattuck St, Boston, MA, 02115, USA.
  • Iezzoni LI; Massachusetts General Hospital, Mongan Institute, 100 Cambridge St, Suite 1600, Boston, MA, 02114, USA; Harvard Medical School, 25 Shattuck St, Boston, MA, 02115, USA.
  • Donohue A; Advocates, Inc. 1881 Worcester Rd, Framingham, MA, 01701, USA.
  • Viron M; Advocates, Inc. 1881 Worcester Rd, Framingham, MA, 01701, USA.
  • Lubarsky C; Bay Cove Human Services, 66 Canal Street, Boston, MA, 02114, USA.
  • Keller T; Bay Cove Human Services, 66 Canal Street, Boston, MA, 02114, USA.
  • Reichman JL; North Suffolk Mental Health Association, 301 Broadway, Chelsea, MA, 02150, USA.
  • Bastien B; Riverside Community Care, 270 Bridge Street, Suite 301, Dedham, MA, 02026, USA.
  • Ryan E; Vinfen Corporation, 950 Cambridge Street, Cambridge, MA, 02141, USA.
  • Tsai AC; Massachusetts General Hospital, Mongan Institute, 100 Cambridge St, Suite 1600, Boston, MA, 02114, USA; Harvard Medical School, 25 Shattuck St, Boston, MA, 02115, USA.
  • Hsu J; Massachusetts General Hospital, Mongan Institute, 100 Cambridge St, Suite 1600, Boston, MA, 02114, USA; Harvard Medical School, Department of Medicine, 25 Shattuck Street, Boston, MA, 02115, USA; Harvard Medical School, Department of Health Care Policy, 180 Longwood Avenue, Boston, MA, 02115, USA.
  • Chau C; Massachusetts General Hospital, Mongan Institute, 100 Cambridge St, Suite 1600, Boston, MA, 02114, USA.
  • Krane D; Massachusetts General Hospital, Mongan Institute, 100 Cambridge St, Suite 1600, Boston, MA, 02114, USA.
  • Trieu HD; Massachusetts General Hospital, Mongan Institute, 100 Cambridge St, Suite 1600, Boston, MA, 02114, USA.
  • Wolfe J; Vinfen Corporation, 950 Cambridge Street, Cambridge, MA, 02141, USA.
  • Shellenberger K; Vinfen Corporation, 950 Cambridge Street, Cambridge, MA, 02141, USA.
  • Cella E; Vinfen Corporation, 950 Cambridge Street, Cambridge, MA, 02141, USA.
  • Bird B; Vinfen Corporation, 950 Cambridge Street, Cambridge, MA, 02141, USA.
  • Bartels S; Massachusetts General Hospital, Mongan Institute, 100 Cambridge St, Suite 1600, Boston, MA, 02114, USA; Massachusetts General Hospital, Department of Medicine, 55 Fruit St, Gray 7-730, Boston, MA, 02114, USA; Harvard Medical School, 25 Shattuck St, Boston, MA, 02115, USA.
  • Skotko BG; Harvard Medical School, 25 Shattuck St, Boston, MA, 02115, USA; Massachusetts General Hospital, Department of Pediatrics, Division of Medical Genetics and Metabolism, Down Syndrome Program, 125 Nashua Street, Suite 821, Boston, MA, 02114, USA.
Disabil Health J ; 17(4): 101645, 2024 Oct.
Article en En | MEDLINE | ID: mdl-38879412
ABSTRACT

BACKGROUND:

More than seven million people with intellectual and/or developmental disabilities (ID/DD) live in the US and may face an elevated risk for COVID-19.

OBJECTIVE:

To identify correlates of COVID-19 and related hospitalizations among people with ID/DD in group homes in Massachusetts.

METHODS:

We collected data during March 1, 2020-June 30, 2020 (wave 1) and July 1, 2020-March 31, 2021 (wave 2) from the Massachusetts Department of Public Health and six organizations administering 206 group homes for 1035 residents with ID/DD. The main outcomes were COVID-19 infections and related hospitalizations. We fit multilevel Cox proportional hazards models to estimate associations with observed predictors and assess contextual home- and organizational-level effects.

RESULTS:

Compared with Massachusetts residents, group home residents had a higher age-adjusted rate of COVID-19 in wave 1 (incidence rate ratio [IRR], 12.06; 95 % confidence interval [CI], 10.51-13.84) and wave 2 (IRR, 2.47; 95 % CI, 2.12-2.88) and a higher age-adjusted rate of COVID-19 hospitalizations in wave 1 (IRR, 17.64; 95 % CI, 12.59-24.70) and wave 2 (IRR, 4.95; 95 % CI, 3.23-7.60). COVID-19 infections and hospitalizations were more likely among residents aged 65+ and in group homes with 6+ resident beds and recent infection among staff and residents.

CONCLUSIONS:

Aggressive efforts to decrease resident density, staff-to-resident ratios, and staff infections through efforts such as vaccination, in addition to ongoing access to personal protective equipment and COVID-19 testing, may reduce COVID-19 and related hospitalizations in people with ID/DD living in group homes.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Discapacidades del Desarrollo / Hogares para Grupos / COVID-19 / Hospitalización / Discapacidad Intelectual Límite: Adolescent / Adult / Aged / Female / Humans / Male / Middle aged País/Región como asunto: America do norte Idioma: En Revista: Disabil Health J Asunto de la revista: REABILITACAO / SAUDE PUBLICA / SERVICOS DE SAUDE Año: 2024 Tipo del documento: Article
Texto completo
Añadir a Mi BVS
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XML
PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Discapacidades del Desarrollo / Hogares para Grupos / COVID-19 / Hospitalización / Discapacidad Intelectual Límite: Adolescent / Adult / Aged / Female / Humans / Male / Middle aged País/Región como asunto: America do norte Idioma: En Revista: Disabil Health J Asunto de la revista: REABILITACAO / SAUDE PUBLICA / SERVICOS DE SAUDE Año: 2024 Tipo del documento: Article