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Volume 29, Number 5—May 2023
Research

Disparities in Implementing COVID-19 Prevention Strategies in Public Schools, United States, 2021–22 School Year

Sanjana PampatiComments to Author , Catherine N. Rasberry, Zach Timpe, Luke McConnell, Shamia Moore, Patricia Spencer, Sarah Lee, Colleen Crittenden Murray, Susan Hocevar Adkins, Sarah Conklin, Xiaoyi Deng, Ronaldo Iachan, Tasneem Tripathi, and Lisa C. Barrios
Author affiliations: Centers for Disease Control and Prevention, Atlanta, Georgia, USA (S. Pampati, C.N. Rasberry, S. Lee, S. Hocevar Adkins, L.C. Barrios); ICF, Atlanta (Z. Timpe, L. McConnell, C. Crittenden Murray, S. Conklin, X. Deng, R. Iachan, T. Tripathi); Oak Ridge Institute for Science and Education, Oak Ridge, Tennessee, USA (S. Moore, P. Spencer)

Main Article

Table

Prevalence of COVID-19 prevention strategies implemented by K-12 public schools (N = 437) and school-level characteristics, National School COVID-19 Prevention Study, United States, October 5‒November 19, 2021*

Characteristic No. % (95% CI)
COVID-19 prevention strategy†


Required masks for students and staff


Yes
263
66.4 (61.9–70.6)
No
139
33.6 (29.4–38.1)
Inspected and validated existing HVAC systems


Yes
318
74.6 (69.8–78.8)
No
40
10.4 (7.5–14.1)
Don’t know
60
15.1 (11.7–19.2)
Replaced or upgraded HVAC


Yes
161
39.1 (34.3–44.0)
No
176
41.6 (36.6–46.7)
Don’t know
81
19.4 (15.6–23.8)
Installed or used HEPA filtration systems in classrooms


Yes
121
27.3 (23.3–31.7)
No
249
60.6 (55.6–65.3)
Don’t know
47
12.2 (9.1–16.1)
Opened doors when safe to do so


Yes
278
65.9 (61.2–70.2)
No
127
30.9 (26.6–35.4)
Don’t know
13
3.3 (1.8–5.8)
Opened windows when safe to do so


Yes
283
66.8 (62.2–71.1)
No
120
29.2 (25.1–33.6)
Don’t know
14
4.0 (2.4–6.8)
Adhered to at least to daily or between use cleaning schedules


Yes
331
79.7 (75.5–83.4)
No
89
20.3 (16.6–24.5)
Maintained physical distance in classrooms


>3 feet
310
74.3 (69.8–78.4)
No physical distancing requirements or <3 feet
110
25.7 (21.6–30.2)
Had a school-based system to report COVID-19 outcomes


Yes
395
95.1 (92.5–96.8)
No or don’t know
22
4.9 (3.2–7.5)
Had a COVID-19 isolation space in school


Yes
383
92.5 (89.4–94.7)
No
32
7.1 (5.0–10.2)
Don’t know


Offered COVID-19 diagnostic testing to students and staff


Yes
293
68.7 (63.8–73.3)
No
124
31.3 (26.7–36.2)
Offered COVID-19 screening testing to students and staff


Yes
40
9.3 (6.9–12.5)
No
377
90.7 (87.5–93.1)
Conducted contact tracing


Yes
228
53.4 (48.5–58.3)
No
167
41.5 (36.7–46.5)
Don’t know
22
5.1 (3.3–7.8)
Quarantined students identified as close contacts


Yes
322
83.5 (79.3–87.0)
No
65
16.5 (13.0–20.7)
Provided information on COVID-19 vaccines to parents


Yes
275
65.8 (60.8–70.5)
No
125
30.4 (25.9–35.4)
Don’t know
15
3.8 (2.2–6.3)
Provided information on COVID-19 vaccines to students


Yes
183
43.6 (38.9–48.4)
No
217
52.7 (47.8–57.6)
Don’t know
15
3.7 (2.2–6.2)
Provided parents or students with information about catching up on missed healthcare (e.g., routine vaccines)
Yes
215
52.3 (47.0–57.6)
No
159
38.2 (33.2–43.5)
Don’t know
41
9.5 (7.0–12.8)
Provided COVID-19 vaccines on-campus to staff, students, or their families


Yes
124
30.9 (26.5–35.8)
No
284
67.6 (62.8–72.2)
Don’t know


Provided COVID-19 vaccines through school district events to staff, students, or their families
Yes
219
53.0 (48.0–58.0)
No
196
47.0 (42.0–52.0)
Tracked vaccination status of students


Yes
139
33.7 (29.1–38.6)
No
276
66.3 (61.4–70.9)
Tracked vaccination status of staff


Yes
247
59.9 (55.0–64.6)
No
168
40.1 (35.4–45.0)
School-level characteristics


School level


Elementary
236
52.4 (51.1–53.7)
Middle
108
25.7 (24.6–26.8)
High
93
21.9 (20.8–23.0)
NCES locale


City
117
29.4 (27.3–31.6)
Suburb
121
32.3 (29.9–34.7)
Town
55
12.9 (11.6–14.2)
Rural
102
25.4 (23.4–27.5)
School-level poverty


Low-poverty
77
18.2 (14.7–22.2)
Mid-poverty
227
58.1 (53.0–63.0)
High-poverty
96
23.7 (19.6–28.4)
Full-time school nurse


Yes
244
60.4 (56.1–64.5)
No
179
39.6 (35.5–43.9)
School-based health center


Yes
69
17.3 (13.7–21.7)
No 354 82.7 (78.3–86.3)

*Numbers are unweighted. Percentages and 95% CIs are weighted. HEPA, high-efficiency particulate air; HVAC, heating, ventilation, and air conditioning; K–12, kindergarten through 12th grade; NCES, National Center for Education Statistics. †Appendix Table 1 describes survey questions and operationalization for COVID-19 prevention strategies. ‡Prevalence suppressed because relative SE is >30%.

Main Article

Page created: March 15, 2023
Page updated: April 18, 2023
Page reviewed: April 18, 2023
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
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