COVID-19 Post-Exposure Evaluation (COPE) Study: Assessing the Role of Socio-Economic Factors in Household SARS-CoV-2 Transmission within Campania Region (Southern Italy)

Ivan Gentile, Martina Iorio, Emanuela Zappulo, Riccardo Scotto, Alberto Enrico Maraolo, Antonio Riccardo Buonomo, Biagio Pinchera, Giuseppina Muto, Carmela Iervolino, Riccardo Villari, Nicola Schiano Moriello, Maria Michela Scirocco, Maria Triassi, Mariano Paternoster, Vincenzo Russo, Giulio Viceconte () and Federico II COVID-Team
Additional contact information
Ivan Gentile: Department of Clinical Medicine and Surgery, University of Naples Federico II, 80138 Naples, Italy
Martina Iorio: Department of Economist, Roma Tre University, 00154 Rome, Italy
Emanuela Zappulo: Department of Clinical Medicine and Surgery, University of Naples Federico II, 80138 Naples, Italy
Riccardo Scotto: Department of Clinical Medicine and Surgery, University of Naples Federico II, 80138 Naples, Italy
Alberto Enrico Maraolo: First Division of Infectious Diseases, Cotugno Hospital, AORN dei Colli, 80131 Naples, Italy
Antonio Riccardo Buonomo: Department of Clinical Medicine and Surgery, University of Naples Federico II, 80138 Naples, Italy
Biagio Pinchera: Department of Clinical Medicine and Surgery, University of Naples Federico II, 80138 Naples, Italy
Giuseppina Muto: Department of Clinical Medicine and Surgery, University of Naples Federico II, 80138 Naples, Italy
Carmela Iervolino: Department of Clinical Medicine and Surgery, University of Naples Federico II, 80138 Naples, Italy
Riccardo Villari: Department of Clinical Medicine and Surgery, University of Naples Federico II, 80138 Naples, Italy
Nicola Schiano Moriello: Ninth Division of Infectious Diseases, Cotugno Hospital, AORN dei Colli, 80131 Naples, Italy
Maria Michela Scirocco: Department of Clinical Medicine and Surgery, University of Naples Federico II, 80138 Naples, Italy
Maria Triassi: Department of Public Health, University of Naples Federico II, 80138 Naples, Italy
Mariano Paternoster: Department of Advanced Biomedical Sciences, University of Naples Federico II, 80131 Naples, Italy
Vincenzo Russo: Department of Medical Translational Sciences, University of Campania “Luigi Vanvitelli”, Monaldi Hospital, 80131 Naples, Italy
Giulio Viceconte: Department of Clinical Medicine and Surgery, University of Naples Federico II, 80138 Naples, Italy
Federico II COVID-Team: Federico II COVID team is listed in the Acknowledgements.

IJERPH, 2022, vol. 19, issue 16, 1-9

Abstract: Campania is the sixth poorest region of Italy, and it is the region with the highest income inequality. The secondary attack rates of SARS-CoV-2 among households are found to be substantially heterogeneous among published studies and are influenced by socio-economic factors. We conducted a retrospective study to describe the role of socio-economic factors in the household transmission of SARS-CoV-2 among patients living in Campania Region and referring to “Federico II” Hospital. We interviewed 413 subjects followed-up for COVID-19 between the 8 March 2020 and the 24 May 2021 with the aim to collect demographic, clinical, economic, and social data regarding their household and the index cases. The variables associated with SARS-CoV-2 attack rate higher than 50% among households were higher age ( p = 0.023) and higher Charlson Comorbidity Index of the index case ( p = 0.023) and, for household characteristics, higher number of families per house ( p = 0.02), location of the houses in Naples’ suburbs (Chi 2 = 5.3, p = 0.02) and in Caserta City area (Chi 2 = 4, p = 0.04), and renting the house compared to owning it (Chi 2 = 5.83, p = 0.01). This study confirms the finding described by other authors that household transmission of SARS-CoV-2 is correlated with the income inequality of the analyzed geographical area as well as with the indicators of health and economic wealth of the families, and this correlation also applies to the Campania Region.

Keywords: COVID-19; SARS-CoV-2; household; poverty; regional studies; Campania (Italy) (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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