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Risk-Factors for Exposure Associated With SARS-CoV-2 Detection After Recent Known or Potential COVID-19 Exposures Among Patients Seeking Medical Care at a Large Urban, Public Hospital in Fulton County, Georgia — A Cross-Sectional Investigation

Authors :
Sarah E. Smith-Jeffcoat
Sadia Sleweon
Mitsuki Koh
George M. Khalil
Marcos C. Schechter
Paulina A. Rebolledo
Vyjayanti Kasinathan
Adam Hoffman
Rebecca Rossetti
Talya Shragai
Kevin O'Laughlin
Catherine C. Espinosa
Bettina Bankamp
Michael D. Bowen
Ashley Paulick
Amy S. Gargis
Jennifer M. Folster
Juliana da Silva
Caitlin Biedron
Rebekah J. Stewart
Yun F. Wang
Hannah L. Kirking
Jacqueline E. Tate
CDC COVID-19 Emergency Response GA-10 Field
Halie K. Miller
AdeSubomi O. Adeyemo
Anne C. Moorman
Brenda L. Bauman
Kahaliah Joseph
Michelle O'Hegarty
Nazia Kamal
Mila Cohen
Amadea Britton
Courtney T. Callahan
Jamila Fonseka
Elfriede Agyemang
Miriam J. Lawson
Molly Deutsch-Feldman
Tejpratap S. P. Tiwari
Samira Sami
Hong Tao
Source :
Frontiers in Public Health, Vol 10 (2022)
Publication Year :
2022
Publisher :
Frontiers Media S.A., 2022.

Abstract

We aimed to describe frequency of COVID-19 exposure risk factors among patients presenting for medical care at an urban, public hospital serving mostly uninsured/Medicare/Medicaid clients and risk factors associated with SARS-CoV-2 infection. Consenting, adult patients seeking care at a public hospital from August to November 2020 were enrolled in this cross-sectional investigation. Saliva, anterior nasal and nasopharyngeal swabs were collected and tested for SARS-CoV-2 using RT-PCR. Participant demographics, close contact, and activities ≤14 days prior to enrollment were collected through interview. Logistic regression was used to identify risk factors associated with testing positive for SARS-CoV-2. Among 1,078 participants, 51.8% were male, 57.0% were aged ≥50 years, 81.3% were non-Hispanic Black, and 7.6% had positive SARS-CoV-2 tests. Only 2.7% reported COVID-19 close contact ≤14 days before enrollment; this group had 6.79 adjusted odds of testing positive (95%CI = 2.78–16.62) than those without a reported exposure. Among participants who did not report COVID-19 close contact, working in proximity to ≥10 people (adjusted OR = 2.17; 95%CI = 1.03–4.55), choir practice (adjusted OR = 11.85; 95%CI = 1.44–97.91), traveling on a plane (adjusted OR = 5.78; 95%CI = 1.70–19.68), and not participating in an essential indoor activity (i.e., grocery shopping, public transit use, or visiting a healthcare facility; adjusted OR = 2.15; 95%CI = 1.07–4.30) were associated with increased odds of testing positive. Among this population of mostly Black, non-Hispanic participants seeking care at a public hospital, we found several activities associated with testing positive for SARS-CoV-2 infection in addition to close contact with a case. Understanding high-risk activities for SARS-CoV-2 infection among different communities is important for issuing awareness and prevention strategies.

Details

Language :
English
ISSN :
22962565
Volume :
10
Database :
Directory of Open Access Journals
Journal :
Frontiers in Public Health
Publication Type :
Academic Journal
Accession number :
edsdoj.30e3184320e45c9ae724a8093f5ee35
Document Type :
article
Full Text :
https://doi.org/10.3389/fpubh.2022.809356