Preventing within household transmission of Covid-19: is the provision of accommodation to support self-isolation feasible and acceptable?
Preventing within household transmission of Covid-19: is the provision of accommodation to support self-isolation feasible and acceptable?
Background: within-household transmission of Covid-19 is responsible for a significant number of infections. Efforts to protect at risk communities are needed. This study explored the acceptability of offering
accommodation to support self-isolation among at risk populations, to prevent transmission of Covid-19 within vulnerable households.
Methods: mixed methods design structured in two phases. Phase 1: Survey of 545 individuals who had provided consent to be contacted about ongoing research projects into infection control. Phase 2: Semi structured interviews with 19 participants from ethnic minority and low income communities.
Results: many survey and interview participants viewed the provision of accommodation as important and necessary in certain contexts. Of the 110 survey respondents, 85 (77%) said that they were not able to isolate at home. Among this group, 24 (28%) said they would accept accommodation and 23 (27%) said that they would probably accept. Of those unable to isolate at home, and at high risk if they caught the virus (N = 36) or living with someone at high risk (N 18), 19 (35%) said that they would accept, and 12 (22%) said they would probably accept accommodation. Factors influencing uptake of accommodation included perceived 1) household vulnerability 2) virus exposure and 3) lack of isolation at home options. Barriers to accepting the accommodation offer included 1) able to isolate at home 2) wanting to be with family 3) caring responsibilities 4) mental
wellbeing concerns 5) concerns about moving when ill and 6) infection control concerns. Participants raised issues that should be addressed before accommodation is offered, including questions regarding who should use temporary accommodation and when, and how infection control in temporary
accommodation would be managed.
Conclusion: the provision of accommodation to prevent within household transmission of Covid-19 is viewed as acceptable, feasible and necessary by some people who are concerned about infection transmission in the home and are unable to self-isolate or socially distance at home. Different households 49 will have different requirements, e.g., those with caring responsibilities, and to overcome these challenges additional support may be needed for the provision of accommodation to be feasible to those who could benefit most.
Infection control, Participatory research, covid-19, quarantine, self-isolation
Denford, Sarah
8970b5a7-8cad-4356-ad0e-88297b67db37
Morton, Kate
6fa41cd3-ba4d-476c-9020-b8ef93c7ade7
Horwood, Jeremy
17a93c97-cc9f-4914-ab17-9fdb7dc034e4
de Garang, Rachel
df6a24ec-8bbd-46e8-b4c3-164ad167ffd1
Yardley, Lucy
64be42c4-511d-484d-abaa-f8813452a22e
8 September 2021
Denford, Sarah
8970b5a7-8cad-4356-ad0e-88297b67db37
Morton, Kate
6fa41cd3-ba4d-476c-9020-b8ef93c7ade7
Horwood, Jeremy
17a93c97-cc9f-4914-ab17-9fdb7dc034e4
de Garang, Rachel
df6a24ec-8bbd-46e8-b4c3-164ad167ffd1
Yardley, Lucy
64be42c4-511d-484d-abaa-f8813452a22e
Denford, Sarah, Morton, Kate, Horwood, Jeremy, de Garang, Rachel and Yardley, Lucy
(2021)
Preventing within household transmission of Covid-19: is the provision of accommodation to support self-isolation feasible and acceptable?
BMC Public Health, 12 (1), [1641].
(doi:10.1186/s12889-021-11666-z).
Abstract
Background: within-household transmission of Covid-19 is responsible for a significant number of infections. Efforts to protect at risk communities are needed. This study explored the acceptability of offering
accommodation to support self-isolation among at risk populations, to prevent transmission of Covid-19 within vulnerable households.
Methods: mixed methods design structured in two phases. Phase 1: Survey of 545 individuals who had provided consent to be contacted about ongoing research projects into infection control. Phase 2: Semi structured interviews with 19 participants from ethnic minority and low income communities.
Results: many survey and interview participants viewed the provision of accommodation as important and necessary in certain contexts. Of the 110 survey respondents, 85 (77%) said that they were not able to isolate at home. Among this group, 24 (28%) said they would accept accommodation and 23 (27%) said that they would probably accept. Of those unable to isolate at home, and at high risk if they caught the virus (N = 36) or living with someone at high risk (N 18), 19 (35%) said that they would accept, and 12 (22%) said they would probably accept accommodation. Factors influencing uptake of accommodation included perceived 1) household vulnerability 2) virus exposure and 3) lack of isolation at home options. Barriers to accepting the accommodation offer included 1) able to isolate at home 2) wanting to be with family 3) caring responsibilities 4) mental
wellbeing concerns 5) concerns about moving when ill and 6) infection control concerns. Participants raised issues that should be addressed before accommodation is offered, including questions regarding who should use temporary accommodation and when, and how infection control in temporary
accommodation would be managed.
Conclusion: the provision of accommodation to prevent within household transmission of Covid-19 is viewed as acceptable, feasible and necessary by some people who are concerned about infection transmission in the home and are unable to self-isolate or socially distance at home. Different households 49 will have different requirements, e.g., those with caring responsibilities, and to overcome these challenges additional support may be needed for the provision of accommodation to be feasible to those who could benefit most.
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Preventing_within_household_transmission_of_covid_removed
- Author's Original
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s12889-021-11666-z
- Version of Record
More information
Accepted/In Press date: 26 August 2021
Published date: 8 September 2021
Additional Information:
Funding Information:
Lucy Yardley is an NIHR Senior Investigator and her research programme is partly supported by NIHR Applied Research Collaboration (ARC)-West, NIHR Health Protection Research Unit (HPRU) in Behavioural Science and Evaluation, and the NIHR Southampton Biomedical Research Centre (BRC). Jeremy Horwood is partly supported by NIHR Applied Research Collaboration (ARC)-West, and NIHR Health Protection Research Unit (HPRU) for Behavioural Science and Evaluation at the University of Bristol. Rachel de Garang is a BME Engagement Worker for the Voice & Influence Partnership at The Care Forum.
Funding Information:
This study was funded by the National Institute of Health Research (NIHR) Health Protection Research Unit in Behavioural Science and Evaluation at the University of Bristol, in partnership with Public Health England (PHE) and by UK Research and Innovation (UKRI) / Department of Health and Social Care (DHSC) Covid-19 Rapid Response Call 2 (grant number MC_PC 19071).
Funding Information:
Lucy Yardley is an NIHR Senior Investigator and her research programme is partly supported by NIHR Applied Research Collaboration (ARC)-West, NIHR Health Protection Research Unit (HPRU) in Behavioural Science and Evaluation, and the NIHR Southampton Biomedical Research Centre (BRC). Jeremy Horwood is partly supported by NIHR Applied Research Collaboration (ARC)-West, and NIHR Health Protection Research Unit (HPRU) for Behavioural Science and Evaluation at the University of Bristol. Rachel de Garang is a BME Engagement Worker for the Voice & Influence Partnership at The Care Forum.
Publisher Copyright:
© 2021, The Author(s).
Copyright:
Copyright 2021 Elsevier B.V., All rights reserved.
Keywords:
Infection control, Participatory research, covid-19, quarantine, self-isolation
Identifiers
Local EPrints ID: 451674
URI: http://eprints.soton.ac.uk/id/eprint/451674
ISSN: 1471-2458
PURE UUID: 5286e8ef-cf5a-4d11-ac23-d2c31aafbfa1
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Date deposited: 19 Oct 2021 16:31
Last modified: 21 Sep 2024 01:49
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Contributors
Author:
Sarah Denford
Author:
Jeremy Horwood
Author:
Rachel de Garang
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