Pandemic Politics: Timing State-Level Social Distancing Responses to COVID-19

Pandemic Politics: Timing State-Level Social Distancing Responses to COVID-19
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DOI:
10.1215/03616878-8802162
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发表时间:
2021-04-01
影响因子:
4.2
通讯作者:
Wilkerson, John
Wilkerson, John
中科院分区:
医学3区
文献类型:
--
作者:
Adolph, Christopher;Amano, Kenya;Wilkerson, John

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背景:社会距离是一项基本但经济上痛苦的措施,可以使突发传染病的曲线变平。随着2020年初导致COVID-19的新型冠状病毒在美国蔓延,联邦政府将有关何时取消活动、关闭学校和企业以及发布居家令的困难和重大决定留给了各州。然后,他们应用事件历史分析来研究在所有50个州实施五种社交距离政策的时间。结果:各州何时采取社交距离政策的最重要预测因素是政治:在其他条件相同的情况下,共和党州长领导的州在COVID-19早期应对的关键窗口期实施此类政策的速度较慢。由党派之争而不是公共卫生专业知识和科学建议推动的持续行动可能会对健康和更广泛的社会造成更大的损失。
Context: Social distancing is an essential but economically painful measure to flatten the curve of emergent infectious diseases. As the novel coronavirus that causes COVID-19 spread throughout the United States in early 2020, the federal government left to the states the difficult and consequential decisions about when to cancel events, close schools and businesses, and issue stay-at-home orders.Methods: The authors present an original, detailed dataset of state-level social distancing policy responses to the epidemic; they then apply event history analysis to study the timing of implementation of five social distancing policies across all 50 states.Results: The most important predictor of when states adopted social distancing policies is political: all else equal, states led by Republican governors were slower to implement such policies during a critical window of early COVID-19 response.Conclusions: Continuing actions driven by partisanship rather than by public health expertise and scientific recommendations may exact greater tolls on health and broader society.