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County-level Predictors of Coronavirus Disease 2019 (COVID-19) Cases and Deaths in the United States: What Happened, and Where Do We Go from Here?
McLaughlin, John M; Khan, Farid; Pugh, Sarah; Angulo, Frederick J; Schmitt, Heinz-Josef; Isturiz, Raul E; Jodar, Luis; Swerdlow, David L.
Afiliación
  • McLaughlin JM; Pfizer Vaccines, Collegeville, Pennsylvania, USA.
  • Khan F; Pfizer Vaccines, Collegeville, Pennsylvania, USA.
  • Pugh S; Pfizer Vaccines, Collegeville, Pennsylvania, USA.
  • Angulo FJ; Pfizer Vaccines, Collegeville, Pennsylvania, USA.
  • Schmitt HJ; Pfizer Vaccines, Collegeville, Pennsylvania, USA.
  • Isturiz RE; Pfizer Vaccines, Collegeville, Pennsylvania, USA.
  • Jodar L; Pfizer Vaccines, Collegeville, Pennsylvania, USA.
  • Swerdlow DL; Pfizer Vaccines, Collegeville, Pennsylvania, USA.
Clin Infect Dis ; 73(7): e1814-e1821, 2021 10 05.
Article en En | MEDLINE | ID: mdl-33211797
BACKGROUND: The United States has been heavily impacted by the coronavirus disease 2019 (COVID-19) pandemic. Understanding microlevel patterns in US rates of COVID-19 can inform specific prevention strategies. METHODS: Using a negative binomial mixed-effects regression model, we evaluated the associations between a broad set of US county-level sociodemographic, economic, and health status-related characteristics and cumulative rates of laboratory-confirmed COVID-19 cases and deaths between 22 January 2020 and 31 August 2020. RESULTS: Rates of COVID-19 cases and deaths were higher in US counties that were more urban or densely populated or that had more crowded housing, air pollution, women, persons aged 20-49 years, racial/ethnic minorities, residential housing segregation, income inequality, uninsured persons, diabetics, or mobility outside the home during the pandemic. CONCLUSIONS: To our knowledge, this study provides results from the most comprehensive multivariable analysis of county-level predictors of rates of COVID-19 cases and deaths conducted to date. Our findings make clear that ensuring that COVID-19 preventive measures, including vaccines when available, reach vulnerable and minority communities and are distributed in a manner that meaningfully disrupts transmission (in addition to protecting those at highest risk of severe disease) will likely be critical to stem the pandemic.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: COVID-19 Tipo de estudio: Prognostic_studies / Risk_factors_studies Aspecto: Equity_inequality / Patient_preference Límite: Female / Humans País/Región como asunto: America do norte Idioma: En Revista: Clin Infect Dis Asunto de la revista: DOENCAS TRANSMISSIVEIS Año: 2021 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: COVID-19 Tipo de estudio: Prognostic_studies / Risk_factors_studies Aspecto: Equity_inequality / Patient_preference Límite: Female / Humans País/Región como asunto: America do norte Idioma: En Revista: Clin Infect Dis Asunto de la revista: DOENCAS TRANSMISSIVEIS Año: 2021 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos