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COVID-19 transmission in US child care programs

Resource Type: Reports & Papers
Author(s): Gilliam, Walter S.; Malik, Amyn A.; Shafiq, Mehr; Klotz, Madeline; Reyes, Chin R.; Humphries, John Eric; Murray, Thomas; Elharake, Jad A.; Wilkinson, David; Omer, Saad B.;
Date Issued: 2020
Description: Objective Central to the debate over school and child care reopening is whether children are efficient COVID-19 transmitters and likely to increase community spread when programs reopen. We compared COVID-19 outcomes in child care providers who continued to provide direct in-person child care during the first three months of the U.S. COVID-19 pandemic versus those who did not. Methods Data were obtained from U.S. child care providers (N=57,335) reporting whether they had ever tested positive or been hospitalized for COVID-19 (N=427 cases), along with their degree of exposure to child care. Background transmission rates were controlled statistically, and other demographic, programmatic, and community variables were explored as potential confounders. Logistic regression analysis was used in both unmatched and propensity score matched case-control analyses. Results No association was found between exposure to child care and COVID-19 in both unmatched (odds ratio [OR], 1.06; 95% confidence interval [CI], 0.82 to 1.38) and matched (OR, 0.94; 95% CI, 0.73 to 1.21) analyses. In matched analysis, being a home-based provider (as opposed to center-based) was associated with COVID-19 (OR, 1.59; 95% CI, 1.14 to 2.23), but showed no interaction with exposure. Conclusion Within the context of considerable infection mitigation efforts in U.S. child care programs, exposure to child care during the early months of the U.S. pandemic was not associated with elevated risk for COVID-19 transmission to providers. These findings must be interpreted only within the context of background transmission rates and the considerable infection mitigation efforts implemented in child care programs. (author abstract)
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Funder(s): Andrew & Julie Klingenstein Family Fund ; Esther A. & Joseph Klingenstein Fund ; Heising-Simons Foundation ; W. K. Kellogg Foundation ; Foundation for Child Development ; Early Educator Investment Collaborative ; Scholastic Inc.
Journal Title: Pediatrics
Volume Number:
Issue Number:
Page Range:
Note: This resource is an online preprint (e-print) of a forthcoming article.
Topics: Child Care & Early Education Providers/Organizations

Child Care & Early Education Provider Workforce > Provider Physical & Mental Health & Safety

Policies > Physical & Mental Health & Safety
Country: Puerto Rico, United States
States: ALASKA, ALABAMA, ARKANSAS, ARIZONA, CALIFORNIA, COLORADO, CONNECTICUT, DISTRICT OF COLUMBIA, DELAWARE, FLORIDA, GEORGIA, HAWAII, IOWA, IDAHO, ILLINOIS, INDIANA, KANSAS, KENTUCKY, LOUISIANA, MASSACHUSETTS, MARYLAND, MAINE, MICHIGAN, MINNESOTA, MISSOURI, MISSISSIPPI, MONTANA, NORTH CAROLINA, NORTH DAKOTA, NEBRASKA, NEW HAMPSHIRE, NEW JERSEY, NEW MEXICO, NEVADA, NEW YORK, OHIO, OKLAHOMA, OREGON, PENNSYLVANIA, PUERTO RICO, RHODE ISLAND, SOUTH CAROLINA, SOUTH DAKOTA, TENNESSEE, TEXAS, UTAH, VIRGINIA, VERMONT, WASHINGTON, WISCONSIN, WEST VIRGINIA, WYOMING
ISSN: 0031-4005 Paper
1098-4275 Online
Peer Reviewed: yes
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