Change in unemployment by social vulnerability among United States counties with rapid increases in COVID-19 incidence-July 1-October 31, 2020.

Autor: Tang S; COVID-19 Response Team, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America., Horter L; COVID-19 Response Team, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America., Bosh K; COVID-19 Response Team, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America., Kassem AM; COVID-19 Response Team, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America., Kahn EB; COVID-19 Response Team, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America., Ricaldi JN; COVID-19 Response Team, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America., Pao LZ; COVID-19 Response Team, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America., Kang GJ; COVID-19 Response Team, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America., Singleton CM; COVID-19 Response Team, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America., Liu T; COVID-19 Response Team, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America., Thomas I; COVID-19 Response Team, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America., Rao CY; COVID-19 Response Team, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America.
Jazyk: angličtina
Zdroj: PloS one [PLoS One] 2022 Apr 20; Vol. 17 (4), pp. e0265888. Date of Electronic Publication: 2022 Apr 20 (Print Publication: 2022).
DOI: 10.1371/journal.pone.0265888
Abstrakt: Objective: During the COVID-19 pandemic, the unemployment rate in the United States peaked at 14.8% in April 2020. We examined patterns in unemployment following this peak in counties with rapid increases in COVID-19 incidence.
Method: We used CDC aggregate county data to identify counties with rapid increases in COVID-19 incidence (rapid riser counties) during July 1-October 31, 2020. We used a linear regression model with fixed effect to calculate the change of unemployment rate difference in these counties, stratified by the county's social vulnerability (an indicator compiled by CDC) in the two months before the rapid riser index month compared to the index month plus one month after the index month.
Results: Among the 585 (19% of U.S. counties) rapid riser counties identified, the unemployment rate gap between the most and least socially vulnerable counties widened by 0.40 percentage point (p<0.01) after experiencing a rapid rise in COVID-19 incidence. Driving the gap were counties with lower socioeconomic status, with a higher percentage of people in racial and ethnic minority groups, and with limited English proficiency.
Conclusion: The widened unemployment gap after COVID-19 incidence rapid rise between the most and least socially vulnerable counties suggests that it may take longer for socially and economically disadvantaged communities to recover. Loss of income and benefits due to unemployment could hinder behaviors that prevent spread of COVID-19 (e.g., seeking healthcare) and could impede response efforts including testing and vaccination. Addressing the social needs within these vulnerable communities could help support public health response measures.
Competing Interests: The authors have declared that no competing interests exist.
Databáze: MEDLINE
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