Household factors and the risk of severe COVID-like illness early in the U.S. pandemic

To investigate the role of children in the home and household crowding as risk factors for severe COVID-19 disease. We used interview data from 6,831 U.S. adults screened for the Communities, Households and SARS/CoV-2 Epidemiology (CHASING) COVID Cohort Study in April 2020. In logistic regression mo...

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Bibliographic Details
Published in:PloS one 2022-07, Vol.17 (7), p.e0271786
Main Authors: Nash, Denis, Qasmieh, Saba, Robertson, McKaylee, Rane, Madhura, Zimba, Rebecca, Kulkarni, Sarah G, Berry, Amanda, You, William, Mirzayi, Chloe, Westmoreland, Drew, Parcesepe, Angela, Waldron, Levi, Kochhar, Shivani, Maroko, Andrew R, Grov, Christian
Format: Article
Language:English
Subjects:
Adult
Age
Asymptomatic
Behavior
Biology and life sciences
Cardiovascular disease
Child
Cohort analysis
Cohort Studies
Coronaviruses
COVID-19
COVID-19 - epidemiology
Crowding
Diagnostic tests
Disease transmission
Dwellings
Epidemics
Epidemiology
Essential workers
Ethnicity
Family Characteristics
Health aspects
Health risks
Hospitalization
Households
Humans
Illnesses
Infections
Medicine and health sciences
Pandemics
Pneumonia
Population
Regression analysis
Regression models
Research and Analysis Methods
Risk analysis
Risk Factors
SARS-CoV-2
Severe acute respiratory syndrome
Severe acute respiratory syndrome coronavirus 2
Shelter in place
Sociodemographics
Statistics
Viral diseases
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Summary:To investigate the role of children in the home and household crowding as risk factors for severe COVID-19 disease. We used interview data from 6,831 U.S. adults screened for the Communities, Households and SARS/CoV-2 Epidemiology (CHASING) COVID Cohort Study in April 2020. In logistic regression models, the adjusted odds ratio [aOR] of hospitalization due to COVID-19 for having (versus not having) children in the home was 10.5 (95% CI:5.7-19.1) among study participants living in multi-unit dwellings and 2.2 (95% CI:1.2-6.5) among those living in single unit dwellings. Among participants living in multi-unit dwellings, the aOR for COVID-19 hospitalization among participants with more than 4 persons in their household (versus 1 person) was 2.5 (95% CI:1.0-6.1), and 0.8 (95% CI:0.15-4.1) among those living in single unit dwellings. Early in the US SARS-CoV-2 pandemic, certain household exposures likely increased the risk of both SARS-CoV-2 acquisition and the risk of severe COVID-19 disease.
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0271786