Table 2. Secondary Transmission and Exposure Characteristics, Fall 2020/Spring 2021 (Univariable Analysis).
| Exposure | No. of students, faculty, and staffa | SAR, % | Fisher exact P value | ||||
|---|---|---|---|---|---|---|---|
| Index cases | Contacts | Contacts tested | No in-school transmission | In-school transmission | |||
| Contact role | |||||||
| Staff | 151 | 278 | 233 | 224 | 9 | 3.9 | .08 |
| Student | 216 | 1492 | 1093 | 1073 | 20 | 1.8 | |
| Contact grade level and staff | |||||||
| Prekindergarten, kindergarten, elementaryb | 119 | 793 | 628 | 617 | 11 | 1.8 | .18 |
| Middle schoolc | 40 | 205 | 136 | 133 | 3 | 2.2 | |
| High schoold | 36 | 328 | 255 | 251 | 4 | 1.6 | |
| Staff | 151 | 278 | 233 | 224 | 9 | 3.9 | |
| Classroom exposure | |||||||
| No | 114 | 480 | 368 | 356 | 12 | 3.3 | .14 |
| Yes | 187 | 1291 | 959 | 942 | 17 | 1.8 | |
| Lunch exposure | |||||||
| No | 258 | 1728 | 1291 | 1266 | 25 | 1.9 | .007 |
| Yes | 18 | 43 | 36 | 32 | 4 | 11.1 | |
| Sports exposure | |||||||
| No | 254 | 1532 | 1152 | 1128 | 24 | 2.1 | .58 |
| Yes | 19 | 239 | 175 | 170 | 5 | 2.9 | |
| Distance during exposure, ft | |||||||
| <3 | 20 | 82 | 81 | 77 | 4 | 4.9 | .13 |
| <6 (Not specified) | 210 | 1248 | 927 | 910 | 17 | 1.8 | |
| 3-6 | 48 | 431 | 311 | 303 | 8 | 2.6 | |
| Masking during exposure | |||||||
| Both case and contact masked | 250 | 1687 | 1256 | 1235 | 21 | 1.7 | <.001 |
| Case masked and contact unmasked | 3 | 3 | 2 | 1 | 1 | 50.0 | |
| Neither masked | 28 | 67 | 60 | 53 | 7 | 11.7 | |
| Semester | |||||||
| Fall 2020 | 95 | 541 | 384 | 377 | 7 | 1.8 | .68 |
| Spring 2021 | 171 | 1211 | 938 | 916 | 22 | 2.3 | |
| Index case role | |||||||
| Staff | 94 | 495 | 360 | 347 | 13 | 3.6 | .04 |
| Student | 173 | 1276 | 967 | 951 | 16 | 1.7 | |
| Index case grade level and staff | |||||||
| Prekindergarten, kindergarten, elementaryb | 81 | 621 | 504 | 498 | 6 | 1.2 | .12 |
| Middle schoolc | 39 | 224 | 145 | 142 | 3 | 2.1 | |
| High schoold | 51 | 407 | 295 | 288 | 7 | 2.4 | |
| Staff | 94 | 495 | 360 | 347 | 13 | 3.6 | |
| Means of identifying index case | |||||||
| In-school close contact | 5 | 13 | 11 | 9 | 2 | 18.2 | .04 |
| Out-of-school contact | 83 | 588 | 413 | 408 | 5 | 1.2 | |
| School-based asymptomatic testing program | 57 | 384 | 325 | 318 | 7 | 2.2 | |
| Tested because of symptoms | 120 | 766 | 569 | 554 | 15 | 2.6 | |
| Tested before or after travel | 2 | 20 | 9 | 9 | 0 | 0 | |
| Index case symptoms | |||||||
| No | 112 | 741 | 555 | 547 | 8 | 1.4 | .13 |
| Yes | 155 | 1030 | 772 | 751 | 21 | 2.7 | |
| SVI overall quartilee | |||||||
| <0.25 (Lowest) | 91 | 797 | 680 | 673 | 7 | 1.0 | <.001 |
| 0.25-0.50 | 84 | 543 | 357 | 352 | 5 | 1.4 | |
| 0.51-0.75 (Highest) | 92 | 431 | 290 | 273 | 17 | 5.9 | |
| SVI SES quartilee | |||||||
| <0.25 (Lowest) | 162 | 1304 | 1003 | 993 | 10 | 1.0 | <.001 |
| 0.25-0.50 | 95 | 394 | 257 | 246 | 11 | 4.3 | |
| 0.51-0.75 (Highest) | 10 | 73 | 67 | 59 | 8 | 11.9 | |
Abbreviations: SAR, secondary attack rate (calculated as [probable and possible transmissions / contacts tested] × 100); SES, socioeconomic status; SVI, Social Vulnerability Index.
Unknown or missing values were removed if the number of unknown or missing values comprised <5% of the total number of contacts tested for each exposure category.
Grades 1 through 5.
Grades 6 through 8.
Grades 9 through 12.
Overall quartiles as found in the school districts included in the study.