Nursing Home Residents’ COVID-19 Infections in the United States: A Systematic Review of Personal and Contextual Factors

Background: This mixed methods systemic review synthesizes the evidence about nursing home risks for COVID-19 infections. Methods: Four electronic databases (PubMed, Web of Science, Scopus, and Sage Journals Online) were searched between January 2020 and October 2022. Inclusion criteria were studies...

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Main Authors: Cheng Yin MS, Elias Mpofu PhD, Kaye Brock PhD, Stan Ingman PhD
Format: Article
Language:English
Published: SAGE Publishing 2024-02-01
Series:Gerontology and Geriatric Medicine
Online Access:https://doi.org/10.1177/23337214241229824
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author Cheng Yin MS
Elias Mpofu PhD
Kaye Brock PhD
Stan Ingman PhD
author_facet Cheng Yin MS
Elias Mpofu PhD
Kaye Brock PhD
Stan Ingman PhD
author_sort Cheng Yin MS
collection DOAJ
description Background: This mixed methods systemic review synthesizes the evidence about nursing home risks for COVID-19 infections. Methods: Four electronic databases (PubMed, Web of Science, Scopus, and Sage Journals Online) were searched between January 2020 and October 2022. Inclusion criteria were studies reported on nursing home COVID-19 infection risks by geography, demography, type of nursing home, staffing and resident’s health, and COVID-19 vaccination status. The Mixed Methods Appraisal Tool (MMAT) was used to assess the levels of evidence for quality, and a narrative synthesis for reporting the findings by theme. Results: Of 579 initial articles, 48 were included in the review. Findings suggest that highly populated counties and urban locations had a higher likelihood of COVID-19 infections. Larger nursing homes with a low percentage of fully vaccinated residents also had increased risks for COVID-19 infections than smaller nursing homes. Residents with advanced age, of racial minority, and those with chronic illnesses were at higher risk for COVID-19 infections. Discussion and implications: Findings suggest that along with known risk factors for COVID-19 infections, geographic and resident demographics are also important preventive care considerations. Access to COVID-19 vaccinations for vulnerable residents should be a priority.
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spelling doaj.art-9359a98b71474d26a39518e4a7703de62024-02-16T02:03:24ZengSAGE PublishingGerontology and Geriatric Medicine2333-72142024-02-011010.1177/23337214241229824Nursing Home Residents’ COVID-19 Infections in the United States: A Systematic Review of Personal and Contextual FactorsCheng Yin MS0Elias Mpofu PhD1Kaye Brock PhD2Stan Ingman PhD3University of North Texas, Denton, USAUniversity of Johannesburg, South AfricaUniversity of North Texas, Denton, USAUniversity of North Texas, Denton, USABackground: This mixed methods systemic review synthesizes the evidence about nursing home risks for COVID-19 infections. Methods: Four electronic databases (PubMed, Web of Science, Scopus, and Sage Journals Online) were searched between January 2020 and October 2022. Inclusion criteria were studies reported on nursing home COVID-19 infection risks by geography, demography, type of nursing home, staffing and resident’s health, and COVID-19 vaccination status. The Mixed Methods Appraisal Tool (MMAT) was used to assess the levels of evidence for quality, and a narrative synthesis for reporting the findings by theme. Results: Of 579 initial articles, 48 were included in the review. Findings suggest that highly populated counties and urban locations had a higher likelihood of COVID-19 infections. Larger nursing homes with a low percentage of fully vaccinated residents also had increased risks for COVID-19 infections than smaller nursing homes. Residents with advanced age, of racial minority, and those with chronic illnesses were at higher risk for COVID-19 infections. Discussion and implications: Findings suggest that along with known risk factors for COVID-19 infections, geographic and resident demographics are also important preventive care considerations. Access to COVID-19 vaccinations for vulnerable residents should be a priority.https://doi.org/10.1177/23337214241229824
spellingShingle Cheng Yin MS
Elias Mpofu PhD
Kaye Brock PhD
Stan Ingman PhD
Nursing Home Residents’ COVID-19 Infections in the United States: A Systematic Review of Personal and Contextual Factors
Gerontology and Geriatric Medicine
title Nursing Home Residents’ COVID-19 Infections in the United States: A Systematic Review of Personal and Contextual Factors
title_full Nursing Home Residents’ COVID-19 Infections in the United States: A Systematic Review of Personal and Contextual Factors
title_fullStr Nursing Home Residents’ COVID-19 Infections in the United States: A Systematic Review of Personal and Contextual Factors
title_full_unstemmed Nursing Home Residents’ COVID-19 Infections in the United States: A Systematic Review of Personal and Contextual Factors
title_short Nursing Home Residents’ COVID-19 Infections in the United States: A Systematic Review of Personal and Contextual Factors
title_sort nursing home residents covid 19 infections in the united states a systematic review of personal and contextual factors
url https://doi.org/10.1177/23337214241229824
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