Socioeconomic Disparities in Community Mobility Reduction and COVID-19 Growth.
Socioeconomic Disparities in Community Mobility Reduction and COVID-19 Growth.
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DOI：
10.1016/j.mayocp.2020.10.019
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发表时间：
2021-01
影响因子：
8.9
通讯作者：
Rahman M
中科院分区：
文献类型：
--
作者：
Ossimetha A;Ossimetha A;Kosar CM;Rahman M
研究具有不同社会经济劣势水平的县之间社区流动性减少和严重急性呼吸综合征冠状病毒2（SARS-CoV-2）结果的差异。样本包括美国的县，在2020年4月1日至5月15日期间至少有一例SARS-CoV-2病例。结果是SARS-CoV-2病例的增长，SARS-CoV-2相关死亡，以及三种环境中的流动性降低：零售/娱乐，杂货店/药房和工作场所。主要的解释变量是社会剥夺指数（SDI），一个综合的社会经济不利因素的措施。调整后的结果之间的差异，低，中，高SDI县（定义为三分位数）的计算使用线性回归与国家固定的影响。相对于低SDI县，中等和高SDI县的工作场所流动性降低分别为1.75（95% CI，-2.36至-1.14; P<.001）和3.48个百分点（95% CI，-4.21至-2.75; P<.001）。对于SDI较高的县，其他环境中的流动性减少也明显较低。在4月1日调整SARS-CoV-2患病率的分析中，5月15日，中等和高SDI县与低SDI县相比，每1000人中SARS-CoV-2病例分别增加1.39（95%CI，0.85至1.93; P <.001）和2.56（95%CI，1.77至3.34; P<.001）。SDI较高的县的人均死亡率也明显较高。社会剥夺得分较高的县在SARS-CoV-2病例和死亡方面的增长更大，但流动性下降的速度较低。这些发现与证据一致，表明经济弱势社区受到2019年冠状病毒病大流行的不成比例的影响。对这些社区来说，保持社交距离的努力可能更加繁重，可能会加剧SARS-CoV-2相关结果的差异。
To examine differences in community mobility reduction and severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) outcomes across counties with differing levels of socioeconomic disadvantage. The sample included counties in the United States with at least one SARS-CoV-2 case between April 1 and May 15, 2020. Outcomes were growth in SARS-CoV-2 cases, SARS-CoV-2–related deaths, and mobility reduction across three settings: retail/recreation, grocery/pharmacy, and workplace. The main explanatory variable was the social deprivation index (SDI), a composite socioeconomic disadvantage measure. Adjusted differences in outcomes between low-, medium-, and high-SDI counties (defined by tertile) were calculated using linear regression with state-fixed effects. Workplace mobility reduction was 1.75 (95% CI, -2.36 to -1.14; P<.001) and 3.48 percentage points (95% CI, -4.21 to -2.75; P<.001) lower for medium- and high-SDI counties relative to low-SDI counties, respectively. Mobility reductions in the other settings were also significantly lower for higher-SDI counties. In analyses adjusted for SARS-CoV-2 prevalence on April 1, medium- and high-SDI counties had 1.39 (95% CI, 0.85 to 1.93; P<.001) and 2.56 (95% CI, 1.77 to 3.34; P<.001) more SARS-CoV-2 cases/1000 population on May 15 compared with low-SDI counties, respectively. Deaths per capita were also significantly higher for higher-SDI counties. Counties with higher social deprivation scores experienced greater growth in SARS-CoV-2 cases and deaths, but reduced mobility at lower rates. These findings are consistent with evidence demonstrating that economically disadvantaged communities have been disproportionately impacted by the coronavirus disease 2019 pandemic. Efforts to socially distance may be more burdensome for these communities, potentially exacerbating disparities in SARS-CoV-2–related outcomes.
DOI：
10.15585/mmwr.mm6915e3
发表时间：
2020-04-17
期刊：
MMWR. Morbidity and mortality weekly report
影响因子：
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作者：
Garg S;Kim L;Whitaker M;O'Halloran A;Cummings C;Holstein R;Prill M;Chai SJ;Kirley PD;Alden NB;Kawasaki B;Yousey-Hindes K;Niccolai L;Anderson EJ;Openo KP;Weigel A;Monroe ML;Ryan P;Henderson J;Kim S;Como-Sabetti K;Lynfield R;Sosin D;Torres S;Muse A;Bennett NM;Billing L;Sutton M;West N;Schaffner W;Talbot HK;Aquino C;George A;Budd A;Brammer L;Langley G;Hall AJ;Fry A
通讯作者：
Fry A
影响因子：
3.4
作者：
Butler, Danielle C.;Petterson, Stephen;Bazemore, Andrew W.
通讯作者：
Bazemore, Andrew W.
影响因子：
9.7
作者：
Courtemanche, Charles;Garuccio, Joseph;Yelowitz, Aaron
通讯作者：
Yelowitz, Aaron