回到学校:COVID-19期间学校访问对COVID-19结果的影响
Dena Bravata1, Jonathan Cantor2, Neeraj Sood3
1Stanford University Center for Primary Care and Outcomes Research, USA.
Journal of health economics
|June 24, 2025
概括
学校关闭对COVID-19传播的影响不大. 观察到感染率的增加,特别是在高患病率的低收入地区.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
背景情况:
- 学校关闭对2019年冠状病毒病 (COVID-19) 传播的影响尚未完全被理解,即使在国家公共卫生紧急状态结束后也是如此.
- 了解这些影响对于为未来的公共卫生战略和政策提供信息至关重要.
研究的目的:
- 量化学校出勤率变化与COVID-19传播之间的关联.
- 通过不同的社会经济和流行病学背景来研究这些影响的差异.
主要方法:
- 利用了1亿3千万个家庭每周从医疗保健索赔中观察到的大量数据集.
- 将索赔数据与智能手机移动数据联系起来,以跟踪县级对学校的访问.
- 采用三重差异方法,在同一县内比较有和没有学龄儿童的家庭.
主要成果:
- 发现学校出勤率变化对COVID-19感染率的影响很小.
- 观察到与上学时间的变化相关的感染率增加.
- 在社会经济地位较低,COVID-19流行率较高的县地区发现了更大的影响.
结论:
- 学校关闭对COVID-19传播产生了可衡量的,尽管温和的影响.
- 学校上学对传播的影响各不相同,不成比例地影响弱势群体.
- 调查结果强调了在公共卫生危机期间需要有针对性的干预措施.
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