Evidence map›Paper›PMID 34517110›Full record

ArticleAnnals of epidemiology2021

Comparison of COVID-19 mitigation and decompression strategies among homeless shelters: a prospective cohort study.

Yu-Tien Hsu, Fan-Yun Lan, Chih Fu Wei, Christian Suharlim, Nina Lowery, Alexander Ramirez, Joe Panerio-Langer, Ichiro Kawachi, Justin Yang

Abstract read
In one paragraph

Article in Annals of epidemiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Discharge to post-acute care and other predictors of prolonged length of stay during the initial COVID-19 surge: a single site analysis.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2023
    Observational
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Yu-Tien HsuDepartment of Social and Behavioral Sciences, Harvard University TH Chan School of Public Health, Boston, MA.
Fan-Yun LanEnvironmental & Occupational Medicine & Epidemiology Program, Department of Environmental Health, Harvard University TH Chan School of Public Health, Boston, MA; Department of Occupational and Environmental Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Chih Fu WeiEnvironmental & Occupational Medicine & Epidemiology Program, Department of Environmental Health, Harvard University TH Chan School of Public Health, Boston, MA.
Christian SuharlimManagement Sciences for Health, Medford, MA.
Nina LoweryManet Community Health Center, Quincy, MA.
Alexander RamirezBrockton Neighborhood Health Center, Brockton, MA.
Joe Panerio-LangerBrockton Neighborhood Health Center, Brockton, MA.
Ichiro KawachiDepartment of Social and Behavioral Sciences, Harvard University TH Chan School of Public Health, Boston, MA.
Justin YangEnvironmental & Occupational Medicine & Epidemiology Program, Department of Environmental Health, Harvard University TH Chan School of Public Health, Boston, MA; Manet Community Health Center, Quincy, MA; Department of General Internal Medicine, Boston University School of Medicine, Boston, MA. Electronic address: cyang@manetchc.org.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo compare the effectiveness of COVID-19 mitigation strategies in two homeless shelters in Massachusetts during the pandemic.

methodsWe conducted a prospective cohort study that followed guests in two Massachusetts homeless shelters between March 30 and May 13, 2020, which adopted different depopulation strategies. One set up temporary tents in its parking lot, while the other decompressed its guests to a gym and a hotel. The outcome was assessed by comparing the odds ratios of positive SARS-CoV-2 RT-PCR assays.

resultsGuests residing at the shelter that used temporary tents had 6.21 times (95% CI = 1.86, 20.77) higher odds of testing positive for SARS-CoV-2 at follow-up after adjusting for loss to follow up, age, gender, and race. The daily COVID-19 symptoms checklist performed poorly in detecting positive infection.

conclusionsThe study highlights the importance of depopulating shelter guests with stable and adequate indoor space to prevent SARS-CoV-2 transmission. Daily temperature and symptom checks should be combined with routine testing. With the rising homelessness due to mass unemployment and eviction crisis, our study supports further governmental assistance in decompressing homeless shelters during this pandemic.

Indexed as

COVID-19Ill-Housed PersonsDecompressionHumansProspective StudiesSARS-CoV-2Community interventionCOVID-19Health disparitiesHomeless populationMitigation strategies

Identifiers

PMID34517110
PMCPMC8431840

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.