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Social Risk Factors for COVID-19 Exposure Questionnaire
Source: Harvard University, Harvard T.H. Chan School of Public HealthDate Published: 5/21/2020Format: PDFAnnotation: This is a self-report, online-based questionnaire designed for use with seropositivity testing and administered via Qualtrics to assess exposure to COVID-19 and modifying factors, such as mask usage, in: (1) the residence and household; (2) while taking transportation; and (3) through work and employment. Modules included in survey: I. Introduction. The first section includes three questions related to concerns about exposure to COVID-19 in the home, while using typical forms of transportation, and in the workplace (questions 2 through 4). II. About You. This second section includes up to 13 questions on demographic factors and the survey-taker's experience with COVID-19 testing (questions 6 through 18). III. Residence and Household. This third section includes up to 14 questions about the type and size of the residence, number and ages of other household members, and COVID-19 infection histories of the other household members (questions 20 through 33). IV. Transportation. This fourth section includes up to seven questions about the frequency of activities outside of the home (work/employment, outdoor exercise and recreation, essential errands, and personal and social activities), and the type of transportation used for those activities. If the survey-taker reports use of public transportation, they are asked about mask usage and social distancing while on public transportation (questions 35 through 41). V. Work and Employment (General). This section includes up to four questions about occupation, industry, and work for pay since the beginning of the COVID-19 pandemic (questions 43 through 46). VI. Work and Employment (Work Outside the Home). This section includes up to 13 questions focusing on work outside the home. In particular, survey-takers are asked about hours worked per week, the percent of remote work performed, contact with the public, contact with co-workers, PPE usage, and employer COVID-19 policies (questions 47 through 59).
Questions Adapted From: Q11, Q23, Q46 - American Community Survey; Q9, Q10, Q12, Q13, Q24, Q43, Q44 - U.S. Census Bureau 2020 COVID-19 Household Pulse Survey; Q7, Q8, Q18, Q25 - John Hopkins University COVID-19 Community Response Survey
Population: Adults only
Length: 59 questions
Time to Complete: 15-30 minutes
Mode of Administration: Online (e.g., computer-assisted interview)
Administered by: Self Administered
Language(s): English...[See more] [See less]Type: Guideline/Assessment ToolAccess Notes: Free/Publicly Available
Format: Qualtrics Survey Format (QSF)
Citation(s):
Suggested citation: Accorsi, E.K., Cowger, T., Lipsitch, M. (2020). Social Risk Factors for COVID-19 Exposure Questionnaire.
Contact Information:
Marc Lipsitch, DPhil
Professor of Epidemiology
Director, Center for Communicable Disease Dynamics
Harvard T.H. Chan School of Public Health
Email: mlipsitc@hsph.harvard.edu
Emma Accorsi, PhD Candidate
Harvard T.H. Chan School of Public Health
Email: eaccorsi@g.harvard.eduIncludes Research Tools: Yes.ID: 23536. From: Disaster Lit®a database of the U.S. National Library of Medicine. -
Mortality in Puerto Rico after Hurricane Maria: Household Survey Instrument
Source: Harvard University, Harvard T.H. Chan School of Public HealthDate Published: 5/29/2018Format: PDFAnnotation: To develop a more accurate estimate of deaths attributed to Hurricane Maria in Puerto Rico, a team led by Harvard T. H. Chan School of Public Health epidemiologists conducted a randomized community household survey in Puerto Rico in 2017-2018. Respondents were asked about displacement, infrastructure loss, and causes of death. The survey instrument can be found in Section I of the Supplementary Appendix in Kishore N, Marques D, Mahmud A, et al. Mortality in Puerto Rico after Hurricane Maria. N Engl J Med. DOI: 10.1056/NEJMsa1803972. This resource was identified by the NIH Disaster Research Response Program (DR2) for researchers looking for pre- and post-disaster data collection instruments.
Ease of Use in Disaster Setting: Easy
Population: All/Anyone
Length: 10 items with subparts
Time to Complete: 10 minutes
Administered by: Lay interviewer
Language: English...[See more] [See less]Type: Guideline/Assessment ToolAccess Notes: Citation (s):
Kishore N, Marques D, Mahmud A, Kiang MV, Rodriguez I, Fuller A, Ebner P, Sorensen C, Racy F, Lemery J, Maas L, Leaning J, Irizarry RA, Balsari S, Buckee CO. Mortality in Puerto Rico after Hurricane Maria. N Engl J Med. 2018 May 29. doi: 10.1056/NEJMsa1803972. PMID: 29809109. Subscription not required.
Free/Publicly Available: https://www.nejm.org/doi/full/10.1056/NEJMsa1803972
Contact information:
Dr. Caroline O. Buckee, Harvard T.H. Chan School of Public Health, cbuckee@hsph.harvard.eduIncludes Research Tools: Yes.ID: 17405. From: Disaster Lit®a database of the U.S. National Library of Medicine. -
Everyday Discrimination Scale (EDS)
Source: Harvard University, Harvard T.H. Chan School of Public HealthDate Published: 2/2012Format: PDFAnnotation: The Everyday Discrimination Scale (EDS) is a widely used measure of daily perceived discrimination. It is one of the most widely used discrimination scales in epidemiologic and public health research. This resource was identified by the NIH Disaster Research Response Program (DR2) for researchers looking for pre- and post-disaster data collection instruments.
Ease of Use in Disaster Setting: Moderate
Flesch-Kincaid Reading Level: 10.2
Population: All/Anyone
Length: 10 questions
Administered by: Self Administered/Self Report
Language(s): English...[See more] [See less]Type: Guideline/Assessment ToolAccess Notes: Free/Publicly Available
Citation(s):
Betancourt TS, McBain RK, Newnham EA, Brennan RT. The intergenerational impact of war: longitudinal relationships between caregiver and child mental health in post conflict Sierra Leone. J Child Psychol Psychiatry. 2015 Oct;56(10):1101-7. doi: 10.1111/jcpp.12389. Epub 2015 Feb 11. PubMed PMID: 25665018. https://www.ncbi.nlm.nih.gov/pubmed/25665018. Subscription required.
Krieger N, Smith K, Naishadham D, Hartman C, Barbeau EM. Experiences of discrimination: validity and reliability of a self-report measure for population health research on racism and health. Soc Sci Med. 2005 Oct; 61(7):1576-1596. Epub 2005 Apr 21. PubMed PMID: 16005789. https://www.ncbi.nlm.nih.gov/pubmed/16005789. Subscription required.
Taylor TR, Kamarck TW, Shiffman S. Validation of the Detroit area study discrimination scale in a community sample of older African American adults: the Pittsburgh healthy heart project. Int J Behav Med. 2004;11(2):88-94. PubMed PMID: 15456677. https://www.ncbi.nlm.nih.gov/pubmed/15456677. Subscription required.
Contact information:
Contact person: David Williams
Institution: Harvard University, T.H. Chan School of Public Health
Address: 677 Huntington Ave., Room 615, Boston, MA 02115
Email: dwilliam@hsph.harvard.eduIncludes Research Tools: Yes.ID: 12903. From: Disaster Lit®a database of the U.S. National Library of Medicine. -
Growing Up Today Study
Source: Harvard University, Harvard T.H. Chan School of Public HealthDate Published: 1996Format: TextAnnotation: For details, see the record from HSRR (Health Services and Sciences Research Resources), a database of the U.S. National Library of Medicine. This resource was identified by the NIH Disaster Research Response Program (DR2) for researchers looking for pre- and post-disaster data collection instruments....[See more] [See less]Type: Guideline/Assessment ToolAccess Notes: Permission/Request Required
Contact information:
Institution: Harvard University T.H. Chan School of Public Health
Email: guts@channing.harvard.eduIncludes Research Tools: Yes.ID: 15236. From: Disaster Lit®a database of the U.S. National Library of Medicine. -
Nurses' Health Study
Source: Harvard University, Harvard T.H. Chan School of Public HealthDate Published: 1976Format: TextAnnotation: For details, see the record from HSRR (Health Services and Sciences Research Resources), a database of the U.S. National Library of Medicine. This resource was identified by the NIH Disaster Research Response Program (DR2) for researchers looking for pre- and post-disaster data collection instruments.
Ease of Use in Disaster Setting: Easy...[See more] [See less]Type: Guideline/Assessment ToolAccess Notes: Free/Publicly Available
Contact information:
Institution: Harvard University, T.H. Chan School of Public Health
Phone: 617-525-2279
Email: nhs@channing.harvard.eduIncludes Research Tools: Yes.ID: 15247. From: Disaster Lit®a database of the U.S. National Library of Medicine.
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