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OBJECTIVE: To investigate the role of children in the home and household crowding as risk factors for severe COVID-19 disease. METHODS: We used interview data from 6,831 U.S. adults screened for the Communities, Households and SARS/CoV-2 Epidemiology (CHASING) COVID Cohort Study in April 2020. RESULTS: In logistic regression models, the adjusted odds ratio [aOR] of hospitalization due to COVID-19 for having (versus not having) children in the home was 10.5 (95% CI:5.7–19.1) among study participants living in multi-unit dwellings and 2.2 (95% CI:1.2–6.5) among those living in single unit dwellings. Among participants living in multi-unit dwellings, the aOR for COVID-19 hospitalization among participants with more than 4 persons in their household (versus 1 person) was 2.5 (95% CI:1.0–6.1), and 0.8 (95% CI:0.15–4.1) among those living in single unit dwellings. CONCLUSION: Early in the US SARS-CoV-2 pandemic, certain household exposures likely increased the risk of both SARS-CoV-2 acquisition and the risk of severe COVID-19 disease.
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10.1101/2020.12.03.20243683
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document_parses/pdf_json/0d925fc4fd32b2c8134dd5b44af56e2f1db0ae9f.json; document_parses/pdf_json/19e29e7226a0e4fdeb6ffcb4560fe611958d074b.json
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document_parses/pmc_json/PMC7724676.xml.json
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MedRxiv; Medline; PMC; WHO
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Household factors and the risk of severe COVID-like illness early in the US pandemic
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