Relationship between political partisanship and COVID-19 deaths: future implications for public health
Relationship between political partisanship and COVID-19 deaths: future implications for public health
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DOI：
10.1093/pubmed/fdab136
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发表时间：
2021-04-29
影响因子：
4.4
通讯作者：
Karim, Saleema A.
中科院分区：
文献类型：
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作者：
Chen, Hsueh-Fen;Karim, Saleema A.
背景COVID-19已影响200多个国家。然而，在美国，对COVID-19疫情的反应在政治上两极分化。本研究的目的是调查美国政治党派与COVID-19死亡率之间的关联。该研究使用纵向县级面板数据，分为10个30天的时间段，包括2020年1月22日至2020年12月5日的美国所有县。结果指标为每30天期间COVID-19死亡总数。关键的解释变量是县政治党派，分为民主党或共和党。该分析使用ZINB回归。结果与共和党县相比，民主党县的COVID-19死亡率在时间1-时间5显著较高（IRR范围为2.0 - 18.3，P < 0.001），但在时间9-时间10显著较低（IRR范围为0.43 - 0.69，P < 0.001）。结论民主党和共和党县之间COVID-19死亡率的逆转趋势受到对大流行的政治两极化反应的影响。研究结果支持了循证公共卫生领导和管理的必要性，以使美国摆脱当前的COVID-19大流行，并为未来的公共卫生危机做好准备。
Background COVID-19 has impacted more than 200 countries. However in the USA, the response to the COVID-19 pandemic has been politically polarized. The objective of this study is to investigate the association between political partisanship and COVID-19 deaths rates in the USA. Methods This study used longitudinal county-level panel data, segmented into 10 30-day time periods, consisting of all counties in the USA, from 22 January 2020 to 5 December 2020. The outcome measure is the total number of COVID-19 deaths per 30-day period. The key explanatory variable is county political partisanship, dichotomized as Democratic or Republican. The analysis used a ZINB regression. Results When compared with Republican counties, COVID-19 death rates in Democratic counties were significantly higher (IRRs ranged from 2.0 to 18.3, P < 0.001) in Time 1-Time 5, but in Time 9-Time10, were significantly lower (IRRs ranged from 0.43 to 0.69, P < 0.001). Conclusion The reversed trend in COVID-19 death rates between Democratic and Republican counties was influenced by the political polarized response to the pandemic. The findings support the necessity of evidence-based public health leadership and management in maneuvering the USA out of the current COVID-19 pandemic and prepare for future public health crises.