预测加利福尼亚州和俄亥俄州养老院的 COVID-19 病例：工作环境重要吗？
Predicting COVID-19 Cases in Nursing Homes of California and Ohio: Does the Work Environment Matter?
机构信息
From the Department of Health Policy and Administration, Pennsylvania State University, University Park, Pennsylvania (S.R., J.A.R.W.); Orthopedic Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts (J.E.C., J.N.K.); Environmental Health, School of Public Health, Boston University, Boston, Massachusetts (L.I.B.); Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts (J.N.K.); Epidemiology, Harvard T.H. Chan School of Public Health, Boston, Massachusetts (J.N.K.); Environmental Health, Harvard T.H. Chan School of Public Health, Boston, Massachusetts (J.N.K., G.R.W.); and Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, Massachusetts (G.S.).
出版信息
J Occup Environ Med. 2024 Oct 1;66(10):e460-e466. doi: 10.1097/JOM.0000000000003181. Epub 2024 Jul 1.
OBJECTIVE
The cross-sectional study evaluates if the prepandemic work environments in nursing homes predict coronavirus disease 2019 (COVID-19) cases among residents and staff, accounting for other factors.
METHOD
Leveraging data from a survey of California and Ohio nursing homes (n = 340), we examined if Workplace Integrated Safety and Health domains - Leadership, Participation, and Comprehensive and Collaborative Strategies predicted cumulative COVID-19 cases among nursing home residents and staff.
RESULTS
In Ohio, a 1-unit increase in Leadership score was associated with 2 fewer staff cases and 4 fewer resident cases. A 1-unit increase in Comprehensive and Collaborative Strategies score in California showed an average marginal effect of approximately 1 less staff case and 2 fewer resident cases.
CONCLUSIONS
These findings suggest that leadership commitment and interdepartment collaboration to prioritize worker safety may have protected against COVID-19 cases in nursing homes.
目的
本横断面研究评估了疗养院的大流行前工作环境是否可以预测居民和工作人员的 2019 年冠状病毒病（COVID-19）病例，同时考虑了其他因素。
方法
利用加利福尼亚州和俄亥俄州疗养院调查的数据（n = 340），我们研究了工作场所综合安全与健康领域 - 领导力、参与度以及全面和协作策略是否可以预测疗养院居民和工作人员的累计 COVID-19 病例。
结果
在俄亥俄州，领导力得分增加 1 个单位与工作人员病例减少 2 例和居民病例减少 4 例相关。加利福尼亚州的全面和协作策略得分增加 1 个单位，平均边际效应约为工作人员病例减少 1 例，居民病例减少 2 例。
结论
这些发现表明，领导层的承诺和部门间的协作以优先考虑工人安全，可能有助于预防疗养院的 COVID-19 病例。
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