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Bosslet GT, Pollak M, Jang JH, et al. The Effect of In-Person Primary and Secondary School Instruction on County-Level Severe Acute Respiratory Syndrome Coronavirus 2 Spread in Indiana. Clin Infect Dis. 2022;74(1):17-23doi: 10.1093/cid/ciab306.
Bosslet, G. T., Pollak, M., Jang, J. H., Roll, R., Sperling, M., & Khan, B. (2022). The Effect of In-Person Primary and Secondary School Instruction on County-Level Severe Acute Respiratory Syndrome Coronavirus 2 Spread in Indiana. Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 74(1), 17-23. https://doi.org/10.1093/cid/ciab306
Bosslet, Gabriel T, et al. "The Effect of In-Person Primary and Secondary School Instruction on County-Level Severe Acute Respiratory Syndrome Coronavirus 2 Spread in Indiana." Clinical infectious diseases : an official publication of the Infectious Diseases Society of America vol. 74,1 (2022): 17-23. doi: https://doi.org/10.1093/cid/ciab306
Bosslet GT, Pollak M, Jang JH, Roll R, Sperling M, Khan B. The Effect of In-Person Primary and Secondary School Instruction on County-Level Severe Acute Respiratory Syndrome Coronavirus 2 Spread in Indiana. Clin Infect Dis. 2022 Jan 07;74(1):17-23. doi: 10.1093/cid/ciab306. PMID: 33846706; PMCID: PMC8083360.
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Clin Infect Dis. 2022 Jan 07;74(1):17-23. doi: 10.1093/cid/ciab306.

The Effect of In-Person Primary and Secondary School Instruction on County-Level Severe Acute Respiratory Syndrome Coronavirus 2 Spread in Indiana.

Clinical infectious diseases : an official publication of the Infectious Diseases Society of America

Gabriel T Bosslet, Micah Pollak, Jeong Hoon Jang, Rebekah Roll, Mark Sperling, Babar Khan

Affiliations

  1. Department of Medicine, Indiana University School of Medicine, Indianapolis, Indiana, USA.
  2. School of Business and Economics, Indiana University Northwest, Gary, Indiana, USA.
  3. Department of Biostatistics, Indiana University School of Medicine, Indianapolis, Indiana, USA.
  4. Indiana University School of Medicine, Indianapolis, Indiana, USA.
  5. School of Education, Indiana University Northwest, Gary, Indiana, USA.
  6. Regenstrief Institute, Indianapolis, IN, United States.

PMID: 33846706 PMCID: PMC8083360 DOI: 10.1093/cid/ciab306

Abstract

BACKGROUND: Our goal was to determine the county-level effect of in-person primary and secondary school reopening on daily cases of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in Indiana.

METHODS: In this county-level, population-based study, we used a panel data regression analysis of the proportion of in-person learning to evaluate an association with community-wide daily new SARS-CoV-2 cases. The study period was 12 July 2020-6 October 2020. We included 73 of 92 (79.3%) Indiana counties in the analysis, accounting for 85.7% of school corporations and 90.6% of student enrollment statewide. The primary exposure was the proportion of students returning to in-person instruction. The primary outcome was the daily new SARS-CoV-2 cases per 100 000 residents at the county level.

RESULTS: There is a statistically significant relationship between the proportion of students attending K-12 schools in-person and the county level daily cases of SARS-CoV-2 28 days later. For all ages, the coefficient of interest (β) is estimated at 3.36 (95% confidence interval, 1.91 to 4.81; P < .001). This coefficient represents the effect of a change in the proportion of students attending in-person on new daily cases 28 days later. For example, a 10 percentage point increase in K-12 students attending school in-person is associated with a daily increase in SARS-CoV-2 cases in the county equal to 0.336 cases/100 000 residents of all ages.

CONCLUSIONS: In-person primary and secondary school is associated with a statistically significant but proportionally small increase in the spread of SARS-CoV-2 cases.

© The Author(s) 2021. Published by Oxford University Press for the Infectious Diseases Society of America. All rights reserved. For permissions, e-mail: [email protected].

Keywords: education; public health; schools

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