Volume 29, Number 5—May 2023
Research
Disparities in Implementing COVID-19 Prevention Strategies in Public Schools, United States, 2021–22 School Year
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%.