COVID-19 Transmission in US Child Care Programs

摘要: OBJECTIVES: Central to the debate over school and child care reopening is whether children are efficient coronavirus disease 2019 (COVID-19) transmitters likely increase community spread when programs reopen. We compared COVID-19 outcomes in providers who continued provide direct in-person during first 3 months of US pandemic with those did not. METHODS: Data were obtained from (N = 57 335) reporting they had ever tested positive or been hospitalized for (n 427 cases) along their degree exposure care. Background transmission rates controlled statistically, other demographic, programmatic, variables explored as potential confounders. Logistic regression analysis was used both unmatched propensity score–matched case-control analyses. RESULTS: No association found between (odds ratio [OR], 1.06; 95% confidence interval [CI], 0.82–1.38) matched (OR, 0.94; CI, 0.73–1.21) In analysis, being a home-based provider (as opposed center-based provider) associated 1.59; 1.14–2.23) but revealed no interaction exposure. CONCLUSIONS: Within context considerable infection mitigation efforts programs, early not an elevated risk providers. These findings must be interpreted only within background implemented programs.