Differential associations of mask mandates on COVID-19 infection and mortality by community social vulnerability.

Differential associations of mask mandates on COVID-19 infection and mortality by community social vulnerability.
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DOI:
10.1016/j.ajic.2023.06.011
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发表时间:
2024-02
影响因子:
4.9
通讯作者:
Washington, Donna L.
Washington, Donna L.
中科院分区:
医学3区
文献类型:
--
作者:
Frochen, Stephen;Wong, Michelle S.;Steers, William Neil;Yuan, Anita;Saliba, Debra;Washington, Donna L.

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美国的COVID-19大流行对被认为易受疾病爆发影响的社区造成了不成比例的影响。我们的目标是测试1)在社会脆弱性指数(SVI)最脆弱(最高)的三分位数的县中,感染率和死亡率是否下降,以及2)随着口罩任务时间的增加,SVI的三分位数之间的差异是否减少。我们使用纽约时报COVID-19和CDC SVI和口罩授权数据集,对2020年1月至2021年11月的县级COVID-19病例和死亡人数进行了SVI和口罩授权持续时间相互作用的负二项回归分析。强制佩戴口罩与中等SVI病例(IRR:0.79)和死亡(IRR:0.90)以及高SVI病例(IRR:0.89)和死亡(IRR:0.88)的减少相关。任务与缓解低和中等SVI县之间的感染差异(IRR变化:0.92)和死亡率差异(IRR变化:0.85)以及低和高SVI县之间的死亡率差异(IRR变化:0.84)相关。口罩授权与减少COVID-19感染和死亡率以及缓解中度和高度脆弱社区的差异有关。持续的COVID-19应对工作可能受益于长期的感染控制政策,特别是在最脆弱的社区。
The COVID-19 pandemic in the U.S. has disproportionately impacted communities deemed vulnerable to disease outbreaks. Our objectives were to test 1) whether infection and mortality decreased in counties in the most vulnerable (highest) tercile of the Social Vulnerability Index (SVI), and 2) whether disparities between terciles of SVI were reduced, as the length of mask mandates increased. Using the New York Times COVID-19 and the CDC SVI and mask mandate datasets, we conducted negative binomial regression analyses of county-level COVID-19 cases and deaths from 1/2020 to 11/2021 on interactions of SVI and mask mandate durations. Mask mandates were associated with decreases in mid-SVI cases (IRR: 0.79) and deaths (IRR: 0.90) and high-SVI cases (IRR: 0.89) and deaths (IRR: 0.88). Mandates were associated with mitigation of infection disparities (Change in IRR: 0.92) and mortality disparities (Change in IRR: 0.85) between low and mid-SVI counties and mortality disparities between low and high-SVI counties (Change in IRR: 0.84). Mask mandates were associated with reductions in COVID-19 infection and mortality, and mitigation of disparities for mid and high vulnerability communities. Ongoing COVID-19 response efforts may benefit from longer-standing infection control policies, particularly in the most vulnerable communities.
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