美国各地的社区COVID-19负担的州差异
Grace A Noppert1, Philippa Clarke2, Andrew Hoover2
1Institute for Social Research, University of Michigan, Ann Arbor, USA. gnoppert@umich.edu.
Communications medicine
|March 1, 2024
概括
邻里COVID-19感染负担在美国各地有很大差异,与疾病分布相关的当地社会环境,突出了解决COVID-19长期影响的特定背景策略的必要性.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 社会科学 社会科学 社会科学
背景情况:
- 缺乏细粒度,空间解析的美国COVID-19病例数据阻碍了对社区级感染负担分布的理解.
- 这种数据缺口阻碍了识别和减轻弱势社区长期社会和经济后果的努力.
研究的目的:
- 检查美国各地社区级别的COVID-19病例的空间分布.
- 调查社区COVID-19负担和社会环境因素之间的相关性.
主要方法:
- 通过COVID邻居项目利用来自21个州的空间引用的COVID-19病例数据.
- 将COVID-19数据与来自国家社区数据档案的社区社会环境数据联系起来.
- 社区疾病负担与社会环境特征之间的估计相关性.
主要成果:
- COVID-19的分布在州内和各州之间在社区层面上有很大差异.
- 证明了不同程度的分布同质性,例如,威斯康星州 (CV=0.17) 与佛蒙特州 (CV=0.84).
- 在社会环境特征与COVID-19负担之间的相关性的大小和方向上发现了州特定的变化.
结论:
- 当地环境对于应对COVID-19的长期社会和经济后果至关重要.
- 社区层面的分析对于有针对性的干预和了解社区性至关重要.
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