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We conducted in\u2010depth interviews with 51 people experiencing sheltered and unsheltered homelessness in Atlanta, Georgia during May 2020 to August 2020 to (1) describe challenges and opportunities related to hand hygiene and (2) assess hand hygiene communication preferences. The primary hand hygiene barrier reported was limited access to facilities and supplies, which has disproportionately impacted people experiencing unsheltered homelessness. This lack of access has reportedly been exacerbated during COVID\u201019 by the closure of public facilities and businesses. Increased access to housing and employment were identified as long\u2010term solutions to improving hand hygiene. Overall, participants expressed a preference for access to facilities and supplies over hand hygiene communication materials.<\/jats:p>","DOI":"10.1002\/jcop.22583","type":"journal-article","created":{"date-parts":[[2021,4,26]],"date-time":"2021-04-26T05:27:55Z","timestamp":1619414875000},"page":"2441-2453","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Hand hygiene during the COVID\u201019 pandemic among people experiencing homelessness\u2014Atlanta, Georgia, 2020"],"prefix":"10.1002","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9392-9294","authenticated-orcid":false,"given":"Martha P.","family":"Montgomery","sequence":"first","affiliation":[{"name":"COVID\u201019 Emergency Response, Centers for Disease Control and Prevention  Atlanta Georgia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Monique G.","family":"Carry","sequence":"additional","affiliation":[{"name":"COVID\u201019 Emergency Response, Centers for Disease Control and Prevention  Atlanta Georgia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amanda G.","family":"Garcia\u2010Williams","sequence":"additional","affiliation":[{"name":"COVID\u201019 Emergency Response, Centers for Disease Control and Prevention  Atlanta Georgia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brittany","family":"Marshall","sequence":"additional","affiliation":[{"name":"COVID\u201019 Emergency Response, Centers for Disease Control and Prevention  Atlanta Georgia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bethlehem","family":"Besrat","sequence":"additional","affiliation":[{"name":"COVID\u201019 Emergency Response, Centers for Disease Control and Prevention  Atlanta Georgia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Franco","family":"Bejarano","sequence":"additional","affiliation":[{"name":"Intown Collaborative Ministries  Atlanta Georgia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joshua","family":"Carlson","sequence":"additional","affiliation":[{"name":"Intown Collaborative Ministries  Atlanta Georgia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ty","family":"Rutledge","sequence":"additional","affiliation":[{"name":"Intown Collaborative Ministries  Atlanta Georgia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emily","family":"Mosites","sequence":"additional","affiliation":[{"name":"COVID\u201019 Emergency Response, Centers for Disease Control and Prevention  Atlanta Georgia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,4,26]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0140-6736(17)31869-x"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2020.6887"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2009.180109"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1000367"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.heliyon.2020.e03474"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.2105\/ajph.2020.305833"},{"key":"e_1_2_10_8_1","unstructured":"Centers for Disease Control and Prevention. (2019).NIOSH Science Blog\u2014Bathroom breaks.https:\/\/blogs.cdc.gov\/niosh-science-blog\/2019\/11\/22\/bathroom-breaks\/"},{"key":"e_1_2_10_9_1","unstructured":"Centers for Disease Control and Prevention. (2020a).Guidance for administrators in parks and recreational facilities.https:\/\/www.cdc.gov\/coronavirus\/2019-ncov\/community\/parks-rec\/park-administrators.html"},{"key":"e_1_2_10_10_1","unstructured":"Centers for Disease Control and Prevention. (2020b).Handwashing in Community Settings: Hand sanitizer use out and about.https:\/\/www.cdc.gov\/handwashing\/hand-sanitizer-use.html"},{"key":"e_1_2_10_11_1","unstructured":"Centers for Disease Control and Prevention. (2020c).How to protect yourself & others: Coronavirus disease 2019 (COVID\u201019).https:\/\/www.cdc.gov\/coronavirus\/2019-ncov\/prevent-getting-sick\/prevention.html"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6941a3"},{"key":"e_1_2_10_13_1","unstructured":"Department of Housing and Urban Development. (2019). HUD 2019 Continuum of Care Homeless Assistance Programs Homeless Populations and Subpopulations: GA\u2010500 Atlanta CoC.https:\/\/files.hudexchange.info\/reports\/published\/CoC_PopSub_CoC_GA-500-2019_GA_2019.pdf"},{"key":"e_1_2_10_14_1","unstructured":"Department of Housing and Urban Development. (2021). 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