Publications by authors named "Lisa Barrios"

Article Synopsis
  • - The study investigates the availability and reliability of school-based infectious disease surveillance data during the COVID-19 pandemic across a national sample of K-12 public schools (n = 1,602) and highlights the difficulties in accessing complete data.
  • - Survey results from school administrators during the 2021-2022 school year revealed significant missing data related to COVID-19 cases, quarantines, and student absenteeism, with increasing gaps over time and differences based on school characteristics.
  • - The research emphasizes the need for standardized case definitions and systematic methods for collecting and monitoring infectious disease data in schools to improve data availability and response in future public health emergencies.
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Purpose: Examine how school-based COVID-19 prevention strategy implementation varied over time, including by local characteristics.

Methods: School administrators (n = 335) from a nationally representative sample of K-12 public schools completed four surveys assessing COVID-19 prevention strategies at two-month intervals between October 2021 and June 2022. We calculated weighted prevalence estimates by survey wave.

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Background: COVID-19 screening testing (ST) can detect asymptomatic or pre-symptomatic cases, allowing for prompt identification of cases and close contacts. This study examined parents' and school staffs' knowledge and attitudes toward to a pilot school-based ST program in a school district in southern Arizona.

Methods: In May 2021, online surveys to parents and school staff were administered to examine attitudes toward ST and impacts of the COVID-19 pandemic.

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To meet the educational needs of students, most schools in the United States (U.S.) reopened for in-person instruction during the 2021-2022 school year implementing a wide range of COVID-19 prevention strategies (e.

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Objective: The authors sought to explore the availability of mental health supports within public schools during the COVID-19 pandemic by using survey data from a nationally representative sample of U.S. K-12 public schools collected in October-November 2021.

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Article Synopsis
  • The study aimed to assess college students' knowledge, attitudes, and behaviors regarding COVID-19 prevention strategies, focusing on mask use and vaccination.
  • Around 75% of students reported consistently wearing masks in indoor public spaces, but many who were unvaccinated were concerned about side effects.
  • A notable finding was that students' intention to get vaccinated was negatively correlated with their willingness to attend large indoor gatherings without masks, highlighting the need for targeted efforts to improve mask wearing and vaccination among students.
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Improving ventilation has been one of several COVID-19 prevention strategies implemented by kindergarten through grade 12 (K-12) schools to stay open for safe in-person learning. Because transmission of SARS-CoV-2 occurs through inhalation of infectious viral particles, it is important to reduce the concentration of and exposure time to infectious aerosols (1-3). CDC examined reported ventilation improvement strategies among U.

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During the COVID-19 pandemic, US schools have been encouraged to take a layered approach to prevention, incorporating multiple strategies to curb transmission of SARS-CoV-2. Using survey data representative of US public K-12 schools (N = 437), we determined prevalence estimates of COVID-19 prevention strategies early in the 2021-22 school year and describe disparities in implementing strategies by school characteristics. Prevalence of prevention strategies ranged from 9.

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Article Synopsis
  • In November 2020, Missouri introduced a modified quarantine policy for K-12 students with low-risk exposures to COVID-19, allowing them to continue in-person learning while assessing the impacts of quarantine on students and families.
  • A survey sent to parents of 586 students revealed that only 11% engaged in modified quarantine, with 46% of them avoiding non-school activities compared to 72% of those in standard home quarantine.
  • Students in modified quarantine experienced less stress and fewer negative impacts on family life than those in standard quarantine, suggesting that the modified approach could effectively balance educational needs and COVID-19 prevention.
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Article Synopsis
  • The study aimed to identify barriers to implementing self-administered antigen testing for COVID-19 at colleges and universities.
  • Researchers conducted a seven-week trial with 1,347 students and staff using the QuickVue At-Home COVID-19 Test and assessed test results through surveys.
  • Findings showed that while many participants used the tests, the sensitivity was low (only 20% detected actual infections), highlighting the need for addressing testing fatigue in future strategies.
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Objective: To determine whether modified K-12 student quarantine policies that allow some students to continue in-person education during their quarantine period increase schoolwide SARS-CoV-2 transmission risk following the increase in cases in winter 2020-2021.

Methods: We conducted a prospective cohort study of COVID-19 cases and close contacts among students and staff (n = 65,621) in 103 Missouri public schools. Participants were offered free, saliva-based RT-PCR testing.

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Article Synopsis
  • Classroom layout is crucial for maintaining physical distance in schools to prevent COVID-19 transmission during in-person learning.
  • A study measured and analyzed 90 classrooms in Missouri, assessing distances between students, teachers, and potentially infectious individuals.
  • Results showed that limited physical distancing (less than 6 feet) did not lead to increased COVID-19 transmission among students before the Delta variant surge, suggesting a way to optimize classroom capacity while safely supporting in-person education.
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Article Synopsis
  • Effective COVID-19 prevention in K-12 schools requires a combination of strategies, with a strong emphasis on improving ventilation to lower infection rates and enhance overall respiratory health.
  • Schools have implemented various ventilation improvement strategies; the most common include outdoor activities, inspecting HVAC systems, and opening windows or doors.
  • More resource-intensive strategies, such as upgrading HVAC systems or using HEPA filters, are less frequently reported, particularly in rural and mid-poverty schools.
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Purpose: This study is part of a larger evaluation of a multilevel, multistrategy federal program to reduce high school students' risk for HIV/sexually transmitted infection and unintended pregnancy. Local education agencies supported schools in implementing three strategies: delivering exemplary sexual health education, increasing student access to quality sexual health services, and enhancing safe and supportive school environments (SSE). We examined how levels of school implementation of these strategies moderated program effects on targeted student outcomes.

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Article Synopsis
  • A study explored the preference for saliva-based COVID-19 testing over nasal swabs among K-12 students, parents, teachers, and staff in Missouri schools during a surveillance investigation.
  • Out of 719 participants surveyed, over one-third who accepted the saliva test would have declined a nasal swab, with 51% of elementary school students (or their guardians) indicating a preference for saliva.
  • The findings suggest that implementing saliva testing could enhance participation in COVID-19 screening in schools, potentially aiding in controlling the spread of the virus.
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The Adolescent Brain Cognitive Development (ABCD) study is a longitudinal study of adolescent brain development and health that includes over 11,800 youth in the United States. The ABCD study includes broad developmental domains, and gender and sexuality are two of these with noted changes across late childhood and early adolescence. The Gender Identity and Sexual Health (GISH) workgroup recommends measures of gender and sexuality for the ABCD study, prioritizing those that are developmentally sensitive, capture individual differences in the experience of gender and sexuality, and minimize participant burden.

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Background: School health education, including sexual health education, plays a crucial role in shaping adolescents' protective health behaviors, experiences, and outcomes. Adolescents need functional knowledge and skills to practice, adopt, and maintain healthy behaviors for preventing sexually transmitted infections (STIs), including human immunodeficiency virus (HIV), and unintended pregnancy.

Methods: The US Centers for Disease Control and Prevention's Division of Adolescent and School Health (CDC/DASH) has advanced school-based approaches to STI/HIV and pregnancy prevention through surveillance, research and evaluation, and program partnership and collaboration for over 3 decades.

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Background: Because COVID-19 was declared a pandemic in March 2020, nearly 93% of U.S. students engaged in some distance learning.

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Consistent and correct mask use is a critical strategy for preventing the transmission of SARS-CoV-2, the virus that causes COVID-19 (1). CDC recommends that schools require universal indoor mask use for students, staff members, and others in kindergarten through grade 12 (K-12) school settings (2). As U.

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Beginning in January 2021, the U.S. government prioritized ensuring continuity of learning for all students during the COVID-19 pandemic (1).

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Purpose: The purpose of the study is to assess associations between exposure to a multilevel, socio-ecological health program administered by local education agencies and changes in health behaviors among high school students.

Methods: This analysis used a multilevel difference-in-differences approach to compare student health experiences and outcomes between schools selected by local education agencies nationwide to implement the program (exposed schools) and schools that were not (unexposed schools). We measured repeated cross-sectional outcomes using the 2015 and 2017 Youth Risk Behaviors Surveys.

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We used the BinaxNOW COVID-19 Ag Card to screen 1,540 asymptomatic college students for severe acute respiratory syndrome coronavirus 2 in a low-prevalence setting. Compared with reverse transcription PCR, BinaxNOW showed 20% overall sensitivity; among participants with culturable virus, sensitivity was 60%. BinaxNOW provides point-of-care screening but misses many infections.

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Background: We examined condom use patterns and potential population-level effects of a hypothetical condom intervention on human immunodeficiency virus (HIV) transmission among adolescent sexual minority males (ASMM).

Methods: Using 3 data sets: national Youth Risk Behavior Survey 2015 to 2017 (YRBS-National), local YRBS data from 8 jurisdictions with sex of partner questions from 2011 to 2017 (YRBS-Trends), and American Men's Internet Survey (AMIS) 2014 to 2017, we assessed associations of condom use with year, age, and race/ethnicity among sexually active ASMM. Using a stochastic agent-based network epidemic model, structured and parameterized based on the above analyses, we calculated the percent of HIV infections averted over 10 years among ASMM ages 13 to 18 years by an intervention that increased condom use by 37% for 5 years and was delivered to 62% of ASMM at age 14 years.

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