Evidence map›Paper›PMID 35470969›Full record

ArticleInfluenza and other respiratory viruses2022

Behavioral factors associated with SARS-CoV-2 infection in Japan.

Takeshi Arashiro, Yuzo Arima, Hirokazu Muraoka, Akihiro Sato, Kunihiro Oba, Yuki Uehara, Hiroko Arioka, Hideki Yanai, Naoki Yanagisawa, Yoshito Nagura and 13 more

Abstract readMulticenter Study
In one paragraph

Article in Influenza and other respiratory viruses, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–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

14 citing papers in PubMed.

  1. Article
  2. Association between social activities and risk of COVID-19 in a cohort of healthcare personnel.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2025
    Article
  3. Article
  4. Observational
  5. Article
  6. Article
  7. Article
  8. Article
  9. Letter to the editor: Importance of considering high-risk behaviours in COVID-19 vaccine effectiveness estimates with observational studies.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2023
    Article
  10. Predictors of SARS-CoV-2 Infection in University Students: A Case-Control Study.International journal of environmental research and public health · 2022
    Article
  11. Article
  12. Behavioral factors associated with SARS-CoV-2 infection in Japan.Influenza and other respiratory viruses · 2022
    Article
  13. Article
  14. 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

23 authors.

Takeshi ArashiroCenter for Surveillance, Immunization, and Epidemiologic Research, National Institute of Infectious Diseases, Tokyo, Japan.ORCID 0000-0002-5215-1500
Yuzo ArimaCenter for Surveillance, Immunization, and Epidemiologic Research, National Institute of Infectious Diseases, Tokyo, Japan.
Hirokazu MuraokaCLINIC FOR Tamachi, Tokyo, Japan.
Akihiro SatoKARADA Internal Medicine Clinic, Tokyo, Japan.
Kunihiro ObaDepartment of Pediatrics, Showa General Hospital, Tokyo, Japan.
Yuki UeharaDepartment of Clinical Laboratory, St. Luke's International Hospital, Tokyo, Japan.
Hiroko AriokaDepartment of General Internal Medicine, St. Luke's International Hospital, Tokyo, Japan.
Hideki YanaiDepartment of Clinical Laboratory, Fukujuji Hospital, Japan Anti-Tuberculosis Association, Kiyose, Japan.
Naoki YanagisawaYanagisawa Clinic, Tokyo, Japan.
Yoshito NaguraShinjuku Home Clinic, Tokyo, Japan.
Yasuyuki KatoDepartment of Infectious Diseases, Graduate School of Medicine, International University of Health and Welfare, Chiba, Japan.
Hideaki KatoInfection Prevention and Control Department, Yokohama City University Hospital, Yokohama, Japan.
Akihiro UedaDepartment of Infectious Diseases, Japanese Red Cross Medical Center, Tokyo, Japan.
Koji IshiiSaitama Sekishinkai Hospital, Saitama, Japan.
Takao OokiSaitama Sekishinkai Hospital, Saitama, Japan.
Hideaki OkaDepartment of General Internal Medicine and Infectious Diseases, Saitama Medical Center, Saitama, Japan.
Yusuke NishidaDepartment of General Internal Medicine and Infectious Diseases, Saitama Medical Center, Saitama, Japan.
Ashley StuckyCenter for Surveillance, Immunization, and Epidemiologic Research, National Institute of Infectious Diseases, Tokyo, Japan.
Reiko MiyaharaCenter for Surveillance, Immunization, and Epidemiologic Research, National Institute of Infectious Diseases, Tokyo, Japan.
Chris SmithFaculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, UK.
Martin HibberdFaculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, UK.
Koya AriyoshiSchool of Tropical Medicine and Global Health, Nagasaki University, Nagasaki, Japan.
Motoi SuzukiCenter for Surveillance, Immunization, and Epidemiologic Research, National Institute of Infectious Diseases, Tokyo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe relative burden of COVID-19 has been less severe in Japan. One reason for this may be the uniquely strict restrictions imposed upon bars/restaurants. To assess if this approach was appropriately targeting high-risk individuals, we examined behavioral factors associated with SARS-CoV-2 infection in the community.

methodsThis multicenter case-control study involved individuals receiving SARS-CoV-2 testing in June-August 2021. Behavioral exposures in the past 2 weeks were collected via questionnaire. SARS-CoV-2 PCR-positive individuals were cases, while PCR-negative individuals were controls.

resultsThe analysis included 778 individuals (266 [34.2%] positives; median age [interquartile range] 33 [27-43] years). Attending three or more social gatherings was associated with SARS-CoV-2 infection (adjusted odds ratio [aOR] 2.00 [95% CI 1.31-3.05]). Attending gatherings with alcohol (aOR 2.29 [1.53-3.42]), at bars/restaurants (aOR 1.55 [1.04-2.30]), outdoors/at parks (aOR 2.87 [1.01-8.13]), at night (aOR 2.07 [1.40-3.04]), five or more people (aOR 1.81 [1.00-3.30]), 2 hours or longer (aOR 1.76 [1.14-2.71]), not wearing a mask during gatherings (aOR 4.18 [2.29-7.64]), and cloth mask use (aOR 1.77 [1.11-2.83]) were associated with infection. Going to karaoke (aOR 2.53 [1.25-5.09]) and to a gym (aOR 1.87 [1.11-3.16]) were also associated with infection. Factors not associated with infection included visiting a cafe with others, ordering takeout, using food delivery services, eating out by oneself, and work/school/travel-related exposures including teleworking.

conclusionsWe identified multiple behavioral factors associated with SARS-CoV-2 infection, many of which were in line with the policy/risk communication implemented in Japan. Rapid assessment of risk factors can inform decision making.

Indexed as

COVID-19AdultCase-Control StudiesCOVID-19 TestingHumansJapanSARS-CoV-2TravelTravel-Related Illnesscoronavirus disease 2019 (COVID-19)health risk behaviorspublic health and social measuresrisk factorssevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2)

Identifiers

PMID35470969
PMCPMC9111610

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.