Caregiver worry about COVID-19 as a predictor of social mitigation behaviours and SARS-CoV-2 infection in a 12-city U.S. surveillance study of households with children
Objective: Understanding compliance with COVID-19 mitigation recommendations is critical for informing efforts to contain future infectious disease outbreaks. This study tested the hypothesis that higher levels of worry about COVID-19 illness among household caregivers would predict lower (a) levels...
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Elsevier
2025-01-01
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| Series: | Preventive Medicine Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2211335524003516 |
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| author | Steven M. Brunwasser Tebeb Gebretsadik Anisha Satish Jennifer C. Cole William D. Dupont Christine Joseph Casper G. Bendixsen Agustin Calatroni Samuel J. Arbes, Jr Patricia C. Fulkerson Joshua Sanders Leonard B. Bacharier Carlos A. Camargo, Jr Christine Cole Johnson Glenn T. Furuta Rebecca S. Gruchalla Ruchi S. Gupta Gurjit K. Khurana Hershey Daniel J. Jackson Meyer Kattan Andrew Liu George T. O'Connor Katherine Rivera-Spoljaric Wanda Phipatanakul Marc E. Rothenberg Max A. Seibold Christine M. Seroogy Stephen J. Teach Edward M. Zoratti Alkis Togias Tina V. Hartert |
| author_facet | Steven M. Brunwasser Tebeb Gebretsadik Anisha Satish Jennifer C. Cole William D. Dupont Christine Joseph Casper G. Bendixsen Agustin Calatroni Samuel J. Arbes, Jr Patricia C. Fulkerson Joshua Sanders Leonard B. Bacharier Carlos A. Camargo, Jr Christine Cole Johnson Glenn T. Furuta Rebecca S. Gruchalla Ruchi S. Gupta Gurjit K. Khurana Hershey Daniel J. Jackson Meyer Kattan Andrew Liu George T. O'Connor Katherine Rivera-Spoljaric Wanda Phipatanakul Marc E. Rothenberg Max A. Seibold Christine M. Seroogy Stephen J. Teach Edward M. Zoratti Alkis Togias Tina V. Hartert |
| author_sort | Steven M. Brunwasser |
| collection | DOAJ |
| description | Objective: Understanding compliance with COVID-19 mitigation recommendations is critical for informing efforts to contain future infectious disease outbreaks. This study tested the hypothesis that higher levels of worry about COVID-19 illness among household caregivers would predict lower (a) levels of overall and discretionary social exposure activities and (b) rates of household SARS-CoV-2 infections. Methods: Data were drawn from a surveillance study of households with children (N = 1913) recruited from 12 U.S. cities during the initial year of the pandemic and followed for 28 weeks (data collection: 1-May-2020 through 22-Feb-2021). Caregivers rated how much they worried about family members getting COVID-19 and subsequently reported household levels of outside-the-home social activities that could increase risk for SARS-CoV-2 transmission at 14 follow-ups. Caregivers collected household nasal swabs on a fortnightly basis and peripheral blood samples at study conclusion to monitor for SARS-CoV-2 infections by polymerase chain reaction and serology. Primary analyses used generalized linear and generalized mixed-effects modelling. Results: Caregivers with high enrollment levels of worry about COVID-19 illness were more likely to reduce direct social contact outside the household, particularly during the U.S.'s most deadly pandemic wave. Households of caregivers with lower COVID-19 worry had higher odds of (a) reporting discretionary outside-the-home social interaction and (b) SARS-CoV-2 infection. Conclusions: This was, to our knowledge, the first study showing that caregiver COVID-19 illness worry was predictive of both COVID-19 mitigation compliance and laboratory-determined household infection. Findings should inform studies weighing the adaptive value of worrying about infectious disease outbreaks against established detrimental health effects. |
| format | Article |
| id | doaj-art-bd6c34647e62487fb1d35fc23935f45c |
| institution | Kabale University |
| issn | 2211-3355 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Preventive Medicine Reports |
| spelling | doaj-art-bd6c34647e62487fb1d35fc23935f45c2025-01-11T06:41:15ZengElsevierPreventive Medicine Reports2211-33552025-01-0149102936Caregiver worry about COVID-19 as a predictor of social mitigation behaviours and SARS-CoV-2 infection in a 12-city U.S. surveillance study of households with childrenSteven M. Brunwasser0Tebeb Gebretsadik1Anisha Satish2Jennifer C. Cole3William D. Dupont4Christine Joseph5Casper G. Bendixsen6Agustin Calatroni7Samuel J. Arbes, Jr8Patricia C. Fulkerson9Joshua Sanders10Leonard B. Bacharier11Carlos A. Camargo, Jr12Christine Cole Johnson13Glenn T. Furuta14Rebecca S. Gruchalla15Ruchi S. Gupta16Gurjit K. Khurana Hershey17Daniel J. Jackson18Meyer Kattan19Andrew Liu20George T. O'Connor21Katherine Rivera-Spoljaric22Wanda Phipatanakul23Marc E. Rothenberg24Max A. Seibold25Christine M. Seroogy26Stephen J. Teach27Edward M. Zoratti28Alkis Togias29Tina V. Hartert30Rowan University, 201 Mullica Hill Road, Glassboro, NJ 08033, USA; Corresponding author.Vanderbilt University Medical Center, 2525 West End Avenue, Nashville, TN 37203, USARowan University, 201 Mullica Hill Road, Glassboro, NJ 08033, USAVanderbilt University, 2201 West End Avenue, Nashville, TN 37203, USAVanderbilt University Medical Center, 2525 West End Avenue, Nashville, TN 37203, USAHenry Ford Hospital Public Health Sciences, Suite 3E, One Ford Place, Detroit, MI 48202, USANational Farm Medicine Center, Marshfield Clinic Research Institute, 1000 N. Oak Ave. ML-8, Marshfield, WI 54449, USARho, Inc., 2635 E NC Hwy 54, Durham, North Carolina, 27713, USARho, Inc., 2635 E NC Hwy 54, Durham, North Carolina, 27713, USADivision of Allergy, Immunology and Transplantation, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD, 20892, USARho, Inc., 2635 E NC Hwy 54, Durham, North Carolina, 27713, USAVanderbilt University Medical Center, 2525 West End Avenue, Nashville, TN 37203, USAMassachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USAHenry Ford Health, Detroit, MI, 48202, USAChildren's Hospital Colorado, Aurora, CO, 80045, USA; University of Colorado School of Medicine, Aurora, CO, 80045, USAUniversity of Texas Southwestern Medical Center, Dallas, TX, 75235, USANorthwestern University Feinberg School of Medicine, Chicago, IL, 60611, USACincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, OH, 45229, USASchool of Medicine and Public Health, Univ. of Wisconsin, Madison, WI 53706, USAColumbia University, New York City, New York, 10024, USAChildren's Hospital Colorado, Aurora, CO, 80045, USABoston University School of Medicine, Boston, MA, 02118, USAThe Washington University School of Medicine, St Louis, MO, 63110-1010, USABoston Children's Hospital, Harvard Medical School, Boston, MA, 02115, USACincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, OH, 45229, USANational Jewish Health, 1400 Jackson St, Denver, CO, 80206, USASchool of Medicine and Public Health, Univ. of Wisconsin, Madison, WI 53706, USAChildren's National Hospital, Washington, DC, 20010, USAHenry Ford Health, Detroit, MI, 48202, USADivision of Allergy, Immunology and Transplantation, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD, 20892, USAVanderbilt University Medical Center, 2525 West End Avenue, Nashville, TN 37203, USAObjective: Understanding compliance with COVID-19 mitigation recommendations is critical for informing efforts to contain future infectious disease outbreaks. This study tested the hypothesis that higher levels of worry about COVID-19 illness among household caregivers would predict lower (a) levels of overall and discretionary social exposure activities and (b) rates of household SARS-CoV-2 infections. Methods: Data were drawn from a surveillance study of households with children (N = 1913) recruited from 12 U.S. cities during the initial year of the pandemic and followed for 28 weeks (data collection: 1-May-2020 through 22-Feb-2021). Caregivers rated how much they worried about family members getting COVID-19 and subsequently reported household levels of outside-the-home social activities that could increase risk for SARS-CoV-2 transmission at 14 follow-ups. Caregivers collected household nasal swabs on a fortnightly basis and peripheral blood samples at study conclusion to monitor for SARS-CoV-2 infections by polymerase chain reaction and serology. Primary analyses used generalized linear and generalized mixed-effects modelling. Results: Caregivers with high enrollment levels of worry about COVID-19 illness were more likely to reduce direct social contact outside the household, particularly during the U.S.'s most deadly pandemic wave. Households of caregivers with lower COVID-19 worry had higher odds of (a) reporting discretionary outside-the-home social interaction and (b) SARS-CoV-2 infection. Conclusions: This was, to our knowledge, the first study showing that caregiver COVID-19 illness worry was predictive of both COVID-19 mitigation compliance and laboratory-determined household infection. Findings should inform studies weighing the adaptive value of worrying about infectious disease outbreaks against established detrimental health effects.http://www.sciencedirect.com/science/article/pii/S2211335524003516SARS-CoV-2 infectionWorryAnxietySurveillanceMitigationPrevention |
| spellingShingle | Steven M. Brunwasser Tebeb Gebretsadik Anisha Satish Jennifer C. Cole William D. Dupont Christine Joseph Casper G. Bendixsen Agustin Calatroni Samuel J. Arbes, Jr Patricia C. Fulkerson Joshua Sanders Leonard B. Bacharier Carlos A. Camargo, Jr Christine Cole Johnson Glenn T. Furuta Rebecca S. Gruchalla Ruchi S. Gupta Gurjit K. Khurana Hershey Daniel J. Jackson Meyer Kattan Andrew Liu George T. O'Connor Katherine Rivera-Spoljaric Wanda Phipatanakul Marc E. Rothenberg Max A. Seibold Christine M. Seroogy Stephen J. Teach Edward M. Zoratti Alkis Togias Tina V. Hartert Caregiver worry about COVID-19 as a predictor of social mitigation behaviours and SARS-CoV-2 infection in a 12-city U.S. surveillance study of households with children Preventive Medicine Reports SARS-CoV-2 infection Worry Anxiety Surveillance Mitigation Prevention |
| title | Caregiver worry about COVID-19 as a predictor of social mitigation behaviours and SARS-CoV-2 infection in a 12-city U.S. surveillance study of households with children |
| title_full | Caregiver worry about COVID-19 as a predictor of social mitigation behaviours and SARS-CoV-2 infection in a 12-city U.S. surveillance study of households with children |
| title_fullStr | Caregiver worry about COVID-19 as a predictor of social mitigation behaviours and SARS-CoV-2 infection in a 12-city U.S. surveillance study of households with children |
| title_full_unstemmed | Caregiver worry about COVID-19 as a predictor of social mitigation behaviours and SARS-CoV-2 infection in a 12-city U.S. surveillance study of households with children |
| title_short | Caregiver worry about COVID-19 as a predictor of social mitigation behaviours and SARS-CoV-2 infection in a 12-city U.S. surveillance study of households with children |
| title_sort | caregiver worry about covid 19 as a predictor of social mitigation behaviours and sars cov 2 infection in a 12 city u s surveillance study of households with children |
| topic | SARS-CoV-2 infection Worry Anxiety Surveillance Mitigation Prevention |
| url | http://www.sciencedirect.com/science/article/pii/S2211335524003516 |
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