Socioeconomic Disparities in Subway Use and COVID-19 Outcomes in New York City.

Socioeconomic Disparities in Subway Use and COVID-19 Outcomes in New York City.
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DOI:
10.1093/aje/kwaa277
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发表时间:
2021-07-01
影响因子:
5
通讯作者:
White LF
White LF
中科院分区:
医学2区
文献类型:
--
作者:
Sy KTL;Martinez ME;Rader B;White LF

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利用2020年1月至2020年4月纽约市的数据,我们发现,从地铁使用量减少开始到纽约市各行政区严重急性呼吸综合征冠状病毒2型指数增长期结束,估计有28天的滞后。我们还对2020年4月11日当周的人口流动性(即地铁客流量)、社会人口因素与截至2020年4月26日的2019冠状病毒病(COVID-19)发病率之间的关系进行了横断面分析。收入中位数较低的地区、非白人和/或西班牙裔/拉丁裔个人比例较高的地区、基本工作人员比例较高的地区以及基本保健工作人员比例较高的地区在大流行期间流动性较大。当根据基本工作者的比例进行调整时,这些联系不复存在,这表明基本工作推动了这些地区的人口流动。在根据检测工作进行调整后,流动性的增加和所有社会人口变量(75岁以上人口的百分比和卫生保健基本工作者的百分比除外)都与每10万人中更高的COVID-19病例率相关。我们的研究表明,最弱势的社会群体不仅感染COVID-19的风险增加,而且缺乏充分参与社交距离干预的特权。
Using data from New York City from January 2020 to April 2020, we found an estimated 28-day lag between the onset of reduced subway use and the end of the exponential growth period of severe acute respiratory syndrome coronavirus 2 within New York City boroughs. We also conducted a cross-sectional analysis of the associations between human mobility (i.e., subway ridership) on the week of April 11, 2020, sociodemographic factors, and coronavirus disease 2019 (COVID-19) incidence as of April 26, 2020. Areas with lower median income, a greater percentage of individuals who identify as non-White and/or Hispanic/Latino, a greater percentage of essential workers, and a greater percentage of health-care essential workers had more mobility during the pandemic. When adjusted for the percentage of essential workers, these associations did not remain, suggesting essential work drives human movement in these areas. Increased mobility and all sociodemographic variables (except percentage of people older than 75 years old and percentage of health-care essential workers) were associated with a higher rate of COVID-19 cases per 100,000 people, when adjusted for testing effort. Our study demonstrates that the most socially disadvantaged not only are at an increased risk for COVID-19 infection, they lack the privilege to fully engage in social distancing interventions.
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