在COVID-19期间限制美国公共卫生紧急情况权力的因素
Xue Zhang1,2, Mildred E Warner3,4, Gen Meredith5,6
1Lerner Center for Public Health Promotion and Population Health, Syracuse University, Syracuse, New York, USA.
概括
限制公共卫生紧急情况权力的州,特别是在共和党控制下的州,出现了更高的COVID-19死亡率. 这些限制源于政治竞争,而不仅仅是疫情应对,影响未来的公共卫生准备.
科学领域:
- 公共卫生政策 公共卫生政策
- 政治科学 政治科学是指政治学.
- 流行病学 流行病学
背景情况:
- 随着COVID-19的流行,突出了紧急公共卫生机构的关键作用.
- 许多美国州在疫情后颁布了限制这些权力的立法.
- 这种限制引发了对未来公共卫生准备和反应的担忧.
研究的目的:
- 确定美国在2021-2022年期间限制公共卫生紧急情况权力的州.
- 分析这些限制与COVID-19死亡率之间的关系.
- 探索影响这些立法变化的政府因素.
主要方法:
- 在美国50个州 (2021-2022) 审查了限制紧急公共卫生权威的法律.
- 使用的T测试和通用的结构方程模型.
- 研究了五个特征:COVID-19政策,共和党控制,立法专业性,地方自治和非COVID-19预防措施.
主要成果:
- 统一的共和党控制与行政和地方卫生当局的限制增加有关.
- 限制紧急公共卫生当局的州经历了更高的COVID-19死亡率.
- 限制与政治竞争和政治化有关,而不是直接反对COVID-19政策.
- 更专业的州立法机构不太可能制定这样的限制.
结论:
- 政治因素,包括党派控制和立法动态,显著影响公共卫生紧急情况的权力.
- 对公共卫生当局的限制与不良健康结果相关,由更高的COVID-19死亡率证明.
- 立法专业性和结构性变化可以加强公共卫生权威和准备.
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