wow-inequalities/02-data/intermediate/wos_sample/30fcb3164d7b550f2c916e421dff4108-ma-huiting-and-yiu/info.yaml

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2023-09-28 14:46:10 +00:00
abstract: 'Background: Disproportionate risks of COVID-19 in congregate care
facilities including long-term care homes, retirement homes, and
shelters both affect and are affected by SARS-CoV-2 infections among
facility staff. In cities across Canada, there has been a consistent
trend of geographic clustering of COVID-19 cases. However, there is
limited information on how COVID-19 among facility staff reflects urban
neighborhood disparities, particularly when stratified by the social and
structural determinants of community-level transmission. Objective: This
study aimed to compare the concentration of cumulative cases by
geography and social and structural determinants across 3 mutually
exclusive subgroups in the Greater Toronto Area (population: 7.1
million): community, facility staff, and health care workers (HCWs) in
other settings.Methods: We conducted a retrospective, observational
study using surveillance data on laboratory-confirmed COVID-19 cases
(January 23 to December 13, 2020; prior to vaccination rollout). We
derived neighborhood-level social and structural determinants from
census data and generated Lorenz curves, Gini coefficients, and the
Hoover index to visualize and quantify inequalities in cases.Results:
The hardest-hit neighborhoods (comprising 20\% of the population)
accounted for 53.87\% (44,937/83,419) of community cases, 48.59\%
(2356/4849) of facility staff cases, and 42.34\% (1669/3942) of other
HCW cases. Compared with other HCWs, cases among facility staff
reflected the distribution of community cases more closely. Cases among
facility staff reflected greater social and structural inequalities
(larger Gini coefficients) than those of other HCWs across all
determinants. Facility staff cases were also more likely than community
cases to be concentrated in lower-income neighborhoods (Gini 0.24, 95\%
CI 0.15-0.38 vs 0.14, 95\% CI 0.08-0.21) with a higher household density
(Gini 0.23, 95\% CI 0.17-0.29 vs 0.17, 95\% CI 0.12-0.22) and with a
greater proportion working in other essential services (Gini 0.29, 95\%
CI 0.21-0.40 vs 0.22, 95\% CI 0.17-0.28).Conclusions: COVID-19 cases
among facility staff largely reflect neighborhood-level heterogeneity
and disparities, even more so than cases among other HCWs. The findings
signal the importance of interventions prioritized and tailored to the
home geographies of facility staff in addition to workplace measures,
including prioritization and reach of vaccination at home (neighborhood
level) and at work.'
affiliation: 'Mishra, S (Corresponding Author), Univ Toronto, Dept Med, Div Infect
Dis, Toronto, ON, Canada.
Mishra, S (Corresponding Author), Univ Toronto, Dalla Lana Sch Publ Hlth, Toronto,
ON, Canada.
Mishra, S (Corresponding Author), St Michaels Hosp, Unity Hlth Toronto, Room 315,209
Victoria St, Toronto, ON M5B 1T8, Canada.
Ma, Huiting; Yiu, Kristy C. Y.; Fahim, Christine; Moloney, Gary; Darvin, Dariya;
Landsman, David; Straus, Sharon; Mishra, Sharmistha, St Michaels Hosp, Unity Hlth
Toronto, Toronto, ON, Canada.
Baral, Stefan D., Johns Hopkins Sch Publ Hlth, Dept Epidemiol, Baltimore, MD USA.
Chan, Adrienne K.; Mishra, Sharmistha, Univ Toronto, Dept Med, Div Infect Dis, Toronto,
ON, Canada.
Chan, Adrienne K.; Mishra, Sharmistha, Univ Toronto, Dalla Lana Sch Publ Hlth, Toronto,
ON, Canada.
Chan, Adrienne K., Univ Toronto, Div Infect Dis, Sunnybrook Hlth Sci, Toronto, ON,
Canada.
Chan, Adrienne K.; Mishra, Sharmistha, Univ Toronto, Inst Hlth Policy Management
\& Evaluat, Toronto, ON, Canada.
Straus, Sharon, Univ Toronto, Dept Med, Toronto, ON, Canada.
Mishra, Sharmistha, St Michaels Hosp, Unity Hlth Toronto, Room 315,209 Victoria
St, Toronto, ON M5B 1T8, Canada.'
article-number: e34927
author: Ma, Huiting and Yiu, Kristy C. Y. and Baral, Stefan D. and Fahim, Christine
and Moloney, Gary and Darvin, Dariya and Landsman, David and Chan, Adrienne K. and
Straus, Sharon and Mishra, Sharmistha
author-email: sharmistha.mishra@utoronto.ca
author_list:
- family: Ma
given: Huiting
- family: Yiu
given: Kristy C. Y.
- family: Baral
given: Stefan D.
- family: Fahim
given: Christine
- family: Moloney
given: Gary
- family: Darvin
given: Dariya
- family: Landsman
given: David
- family: Chan
given: Adrienne K.
- family: Straus
given: Sharon
- family: Mishra
given: Sharmistha
da: '2023-09-28'
doi: 10.2196/34927
files: []
issn: 2369-2960
journal: JMIR PUBLIC HEALTH AND SURVEILLANCE
keywords: 'long-term care; nursing home; staff; essential worker; retirement home;
shelter; congregate living; COVID-19; observational; risk; transmission;
elderly; older adults; retirement; nurse; health care worker;
congregate; trend; geography; Canada; Toronto'
keywords-plus: TRANSMISSION; SARS-COV-2; CANADA; HEALTH; INDEX; HOMES
language: English
month: OCT
number: '10'
number-of-cited-references: '46'
orcid-numbers: 'Yiu, Kristy/0000-0002-7378-9773
Mishra, Sharmistha/0000-0001-8492-5470
Ma, Huiting/0000-0003-1910-5614'
papis_id: c6d18de5acac86572d58b0f5a1dd89fc
ref: Ma2022covid19cases
times-cited: '1'
title: 'COVID-19 Cases Among Congregate Care Facility Staff by Neighborhood of Residence
and Social and Structural Determinants: Observational Study'
2023-10-01 08:15:07 +00:00
type: article
2023-09-28 14:46:10 +00:00
unique-id: WOS:000867515600003
usage-count-last-180-days: '1'
usage-count-since-2013: '2'
volume: '8'
web-of-science-categories: Public, Environmental \& Occupational Health
year: '2022'