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. 2021 Oct 11;181(12):1–8. doi: 10.1001/jamainternmed.2021.5814

Table 3. Risk of Severe COVID-19 Infection in Nonimmune Family Members.

No. of individuals with immunity in each family No. of nonimmune individuals at risk Incident COVID-19 infection, No. (%) HR (95% CI)a
Families with 2 members
0 1 081 408 803 (0.7) 1 [Reference]
1 139 896 101 (0.7) 0.88 (0.71-1.08)
Families with 3 members
0 180 537 340 (0.19) 1 [Reference]
1 61 730 61 (0.10) 0.50 (0.38-0.66)
2 19 903 7 (0.04) 0.20 (0.10-0.43)
Families with 4 members
0 33 684 164 (0.49) 1 [Reference]
1 13 290 32 (0.24) 0.45 (0.31-0.67)
2 6510 4 (0.06) 0.11 (0.04-0.30)
3 4502 1 (0.02) 0.05 (0.01-0.36)

Abbreviation: HR, hazard ratio.

a

Cox proportional hazards regression models were used to calculate HR, with the number of immune family members as exposure and COVID-19 infection that was severe enough to result in a hospital stay in nonimmune family members as the outcome. Analyses were performed separately for families with 2 to 4 members, using families with no immunity as the reference. Immunity was acquired from either a previous COVID-19 infection or full vaccination. The regression models were adjusted for age.