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. 2023 Aug 4;4(8):e232310. doi: 10.1001/jamahealthforum.2023.2310

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.

a

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.

b

Grades 1 through 5.

c

Grades 6 through 8.

d

Grades 9 through 12.

e

Overall quartiles as found in the school districts included in the study.