Political Economy of the COVID-19 Pandemic: How State Policies Shape County-Level Disparities in COVID-19 Deaths.
Political Economy of the COVID-19 Pandemic: How State Policies Shape County-Level Disparities in COVID-19 Deaths.
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DOI：
10.1177/23780231221149902
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发表时间：
2023-01
期刊：
影响因子：
4.5
通讯作者：
Bisesti, Erin M.
中科院分区：
文献类型：
--
作者：
Sun, Yue;Bisesti, Erin M.
作者研究了两个国家级2019冠状病毒病（COVID-19）政策指标（一个捕获经济支持，一个捕获居家令等严格措施）与2020年4月至12月县级COVID-19死亡率之间的关系，以及这些政策是否对某些县更有利。利用多水平负二项回归模型，作者发现，这两项政策指标的高分与较低的县级COVID-19死亡率相关。然而，这些政策似乎对那些医生较少、老年人、受教育程度低的居民和特朗普选民比例较高的县最有利。在非西班牙裔黑人和西班牙裔居民比例较高的县，这些措施似乎效果较差。这些发现强调了研究州和地方因素如何共同影响COVID-19死亡率的重要性，并表明大流行政策的不平等利益可能导致了COVID-19死亡率的县级差异。
The authors examine how two state-level coronavirus disease 2019 (COVID-19) policy indices (one capturing economic support and one capturing stringency measures such as stay-at-home orders) were associated with county-level COVID-19 mortality from April through December 2020 and whether the policies were more beneficial for certain counties. Using multilevel negative binominal regression models, the authors found that high scores on both policy indices were associated with lower county-level COVID-19 mortality. However, the policies appeared to be most beneficial for counties with fewer physicians and larger shares of older adults, low-educated residents, and Trump voters. They appeared to be less effective in counties with larger shares of non-Hispanic Black and Hispanic residents. These findings underscore the importance of examining how state and local factors jointly shape COVID-19 mortality and indicate that the unequal benefits of pandemic policies may have contributed to county-level disparities in COVID-19 mortality.
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