Association between social activities and risk of COVID-19 in a cohort of healthcare personnel
Abstract Objective: Previous studies have linked social behaviors to COVID-19 risk in the general population. The impact of these behaviors among healthcare personnel, who face higher workplace exposure risks and possess greater prevention awareness, remains less explored. Design: We conducted a...
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2025-01-01
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| Series: | Antimicrobial Stewardship & Healthcare Epidemiology |
| Online Access: | https://www.cambridge.org/core/product/identifier/S2732494X24004856/type/journal_article |
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| _version_ | 1832581909136277504 |
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| author | Holly Shoemaker Haojia Li Yue Zhang Jeanmarie Mayer Michael Rubin Candace Haroldsen Morgan M. Millar Per H. Gesteland Andrew T. Pavia Lindsay T. Keegan Jessica Marie Cole Egenia Dorsan Matthew Doane Kristina Stratford Matthew Samore |
| author_facet | Holly Shoemaker Haojia Li Yue Zhang Jeanmarie Mayer Michael Rubin Candace Haroldsen Morgan M. Millar Per H. Gesteland Andrew T. Pavia Lindsay T. Keegan Jessica Marie Cole Egenia Dorsan Matthew Doane Kristina Stratford Matthew Samore |
| author_sort | Holly Shoemaker |
| collection | DOAJ |
| description |
Abstract
Objective:
Previous studies have linked social behaviors to COVID-19 risk in the general population. The impact of these behaviors among healthcare personnel, who face higher workplace exposure risks and possess greater prevention awareness, remains less explored.
Design:
We conducted a Prospective cohort study from December 2021 to May 2022, using monthly surveys. Exposures included (1) a composite of nine common social activities in the past month and (2) similarity of social behavior compared to pre-pandemic. Outcomes included self-reported SARS-CoV-2 infection (primary)and testing for SARS-CoV-2 (secondary). Mixed-effect logistic regression assessed the association between social behavior and outcomes, adjusting for baseline and time-dependent covariates. To account for missed surveys, we employed inverse probability-of-censoring weighting with a propensity score approach.
Setting:
An academic healthcare system.
Participants:
Healthcare personnel.
Results:
Of 1,302 healthcare personnel who completed ≥2 surveys, 244 reported ≥1 positive test during the study, resulting in a cumulative incidence of 19%. More social activities in the past month and social behavior similar to pre-pandemic levels were associated with increased likelihood of SARS-CoV-2 infection (recent social activity composite: OR = 1.11, 95% CI 1.02–1.21; pre-pandemic social similarity: OR = 1.14, 95% CI 1.07–1.21). Neither was significantly associated with testing for SARS-CoV-2.
Conclusions:
Healthcare personnel social behavior outside work was associated with a higher risk for COVID-19. To protect the hospital workforce, risk mitigation strategies for healthcare personnel should focus on both the community and workplace.
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| format | Article |
| id | doaj-art-91df450ec52f4547a71bfa21927460ae |
| institution | Kabale University |
| issn | 2732-494X |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | Antimicrobial Stewardship & Healthcare Epidemiology |
| spelling | doaj-art-91df450ec52f4547a71bfa21927460ae2025-01-30T09:43:14ZengCambridge University PressAntimicrobial Stewardship & Healthcare Epidemiology2732-494X2025-01-01510.1017/ash.2024.485Association between social activities and risk of COVID-19 in a cohort of healthcare personnelHolly Shoemaker0https://orcid.org/0000-0002-7830-3269Haojia Li1https://orcid.org/0000-0002-1295-4341Yue Zhang2Jeanmarie Mayer3Michael Rubin4Candace Haroldsen5Morgan M. Millar6https://orcid.org/0000-0001-5532-6970Per H. Gesteland7https://orcid.org/0000-0002-9869-8122Andrew T. Pavia8https://orcid.org/0000-0002-3066-580XLindsay T. Keegan9https://orcid.org/0000-0002-8526-3007Jessica Marie Cole10https://orcid.org/0009-0008-3934-3170Egenia Dorsan11Matthew Doane12Kristina Stratford13Matthew Samore14Department of Population Health Sciences, Spencer Fox Eccles School of Medicine, University of Utah, Salt Lake City, UT, USA IDEAS Center of Innovation, Veterans Affairs Salt Lake City Health Care System, Salt Lake City, UT, USADepartment of Population Health Sciences, Spencer Fox Eccles School of Medicine, University of Utah, Salt Lake City, UT, USA IDEAS Center of Innovation, Veterans Affairs Salt Lake City Health Care System, Salt Lake City, UT, USA Division of Epidemiology, Spencer Fox Eccles School of Medicine, University of Utah, Salt Lake City, UT, USADepartment of Population Health Sciences, Spencer Fox Eccles School of Medicine, University of Utah, Salt Lake City, UT, USA IDEAS Center of Innovation, Veterans Affairs Salt Lake City Health Care System, Salt Lake City, UT, USA Division of Epidemiology, Spencer Fox Eccles School of Medicine, University of Utah, Salt Lake City, UT, USADivision of Epidemiology, Spencer Fox Eccles School of Medicine, University of Utah, Salt Lake City, UT, USAIDEAS Center of Innovation, Veterans Affairs Salt Lake City Health Care System, Salt Lake City, UT, USA Division of Epidemiology, Spencer Fox Eccles School of Medicine, University of Utah, Salt Lake City, UT, USA Department of Veterans Affairs, VA Salt Lake City Healthcare System, Salt Lake City, UT, USAIDEAS Center of Innovation, Veterans Affairs Salt Lake City Health Care System, Salt Lake City, UT, USA Division of Epidemiology, Spencer Fox Eccles School of Medicine, University of Utah, Salt Lake City, UT, USADivision of Epidemiology, Spencer Fox Eccles School of Medicine, University of Utah, Salt Lake City, UT, USADivision of Pediatric Hospital Medicine, Spencer Fox Eccles School of Medicine, University of Utah, Salt Lake City, UT, USADivision of Pediatric Hospital Medicine, Spencer Fox Eccles School of Medicine, University of Utah, Salt Lake City, UT, USADivision of Epidemiology, Spencer Fox Eccles School of Medicine, University of Utah, Salt Lake City, UT, USADivision of Epidemiology, Spencer Fox Eccles School of Medicine, University of Utah, Salt Lake City, UT, USADivision of Epidemiology, Spencer Fox Eccles School of Medicine, University of Utah, Salt Lake City, UT, USADivision of Epidemiology, Spencer Fox Eccles School of Medicine, University of Utah, Salt Lake City, UT, USA Utah Education Policy Center, University of Utah, Salt Lake City, UT, USADivision of Epidemiology, Spencer Fox Eccles School of Medicine, University of Utah, Salt Lake City, UT, USAIDEAS Center of Innovation, Veterans Affairs Salt Lake City Health Care System, Salt Lake City, UT, USA Division of Epidemiology, Spencer Fox Eccles School of Medicine, University of Utah, Salt Lake City, UT, USA Abstract Objective: Previous studies have linked social behaviors to COVID-19 risk in the general population. The impact of these behaviors among healthcare personnel, who face higher workplace exposure risks and possess greater prevention awareness, remains less explored. Design: We conducted a Prospective cohort study from December 2021 to May 2022, using monthly surveys. Exposures included (1) a composite of nine common social activities in the past month and (2) similarity of social behavior compared to pre-pandemic. Outcomes included self-reported SARS-CoV-2 infection (primary)and testing for SARS-CoV-2 (secondary). Mixed-effect logistic regression assessed the association between social behavior and outcomes, adjusting for baseline and time-dependent covariates. To account for missed surveys, we employed inverse probability-of-censoring weighting with a propensity score approach. Setting: An academic healthcare system. Participants: Healthcare personnel. Results: Of 1,302 healthcare personnel who completed ≥2 surveys, 244 reported ≥1 positive test during the study, resulting in a cumulative incidence of 19%. More social activities in the past month and social behavior similar to pre-pandemic levels were associated with increased likelihood of SARS-CoV-2 infection (recent social activity composite: OR = 1.11, 95% CI 1.02–1.21; pre-pandemic social similarity: OR = 1.14, 95% CI 1.07–1.21). Neither was significantly associated with testing for SARS-CoV-2. Conclusions: Healthcare personnel social behavior outside work was associated with a higher risk for COVID-19. To protect the hospital workforce, risk mitigation strategies for healthcare personnel should focus on both the community and workplace. https://www.cambridge.org/core/product/identifier/S2732494X24004856/type/journal_article |
| spellingShingle | Holly Shoemaker Haojia Li Yue Zhang Jeanmarie Mayer Michael Rubin Candace Haroldsen Morgan M. Millar Per H. Gesteland Andrew T. Pavia Lindsay T. Keegan Jessica Marie Cole Egenia Dorsan Matthew Doane Kristina Stratford Matthew Samore Association between social activities and risk of COVID-19 in a cohort of healthcare personnel Antimicrobial Stewardship & Healthcare Epidemiology |
| title | Association between social activities and risk of COVID-19 in a cohort of healthcare personnel |
| title_full | Association between social activities and risk of COVID-19 in a cohort of healthcare personnel |
| title_fullStr | Association between social activities and risk of COVID-19 in a cohort of healthcare personnel |
| title_full_unstemmed | Association between social activities and risk of COVID-19 in a cohort of healthcare personnel |
| title_short | Association between social activities and risk of COVID-19 in a cohort of healthcare personnel |
| title_sort | association between social activities and risk of covid 19 in a cohort of healthcare personnel |
| url | https://www.cambridge.org/core/product/identifier/S2732494X24004856/type/journal_article |
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