Hoskins, Susan; Beale, Sarah; Nguyen, Vincent; Boukari, Yamina; Yavlinsky, Alexei; Kovar, Jana; Byrne, Thomas; Fragaszy, Ellen; Fong, Wing Lam Erica; Geismar, Cyril; +7 more... Patel, Parth; Navaratnam, Annalan MD; van Tongeren, Martie; Johnson, Anne M; Aldridge, Robert W; Hayward, Andrew; Virus Watch Collaborative; (2022) Relative contribution of essential and non-essential activities to SARS-CoV-2 transmission following the lifting of public health restrictions in England and Wales. Epidemiology and infection, 151. e3. ISSN 0950-2688 DOI: https://doi.org/10.1017/S0950268822001832
Permanent Identifier
Use this Digital Object Identifier when citing or linking to this resource.
Abstract
PURPOSE: We aimed to understand which non-household activities increased infection odds and contributed greatest to SARS-CoV-2 infections following the lifting of public health restrictions in England and Wales. PROCEDURES: We undertook multivariable logistic regressions assessing the contribution to infections of activities reported by adult Virus Watch Community Cohort Study participants. We calculated adjusted weighted population attributable fractions (aPAF) estimating which activity contributed greatest to infections. FINDINGS: Among 11 413 participants (493 infections), infection was associated with: leaving home for work (aOR 1.35 (1.11-1.64), aPAF 17%), public transport (aOR 1.27 (1.04-1.57), aPAF 12%), shopping once (aOR 1.83 (1.36-2.45)) vs. more than three times a week, indoor leisure (aOR 1.24 (1.02-1.51), aPAF 10%) and indoor hospitality (aOR 1.21 (0.98-1.48), aPAF 7%). We found no association for outdoor hospitality (1.14 (0.94-1.39), aPAF 5%) or outdoor leisure (1.14 (0.82-1.59), aPAF 1%). CONCLUSION: Essential activities (work and public transport) carried the greatest risk and were the dominant contributors to infections. Non-essential indoor activities (hospitality and leisure) increased risk but contributed less. Outdoor activities carried no statistical risk and contributed to fewer infections. As countries aim to 'live with COVID', mitigating transmission in essential and indoor venues becomes increasingly relevant.
Item Type | Article |
---|---|
Faculty and Department | Faculty of Epidemiology and Population Health > Dept of Infectious Disease Epidemiology |
Research Centre | Covid-19 Research |
PubMed ID | 36475452 |
Elements ID | 197275 |
Official URL | http://dx.doi.org/10.1017/s0950268822001832 |
Download
Filename: Hoskins-etal-2023-Relative-contribution-of-essential-and.pdf
Licence: Creative Commons: Attribution 4.0
Download