United States County-level COVID-19 Death Rates and Case Fatality Rates Vary by Region and Urban Status
| Autor: | Rashid Ahmed, Naila Ashraf, Mark Williamson, Muhammad Akhter Hamid |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Coronavirus disease 2019 (COVID-19)
Leadership and Management Population lcsh:Medicine Health Informatics 01 natural sciences Article 03 medical and health sciences 0302 clinical medicine Health Information Management death rate Case fatality rate 030212 general & internal medicine 0101 mathematics education County level Socioeconomic status East coast education.field_of_study case fatality rate Health Policy Mortality rate lcsh:R 010102 general mathematics county-level COVID-19 Small sample Geography Demography |
| Zdroj: | Healthcare Volume 8 Issue 3 Healthcare, Vol 8, Iss 330, p 330 (2020) |
| ISSN: | 2227-9032 |
| DOI: | 10.3390/healthcare8030330 |
| Popis: | COVID-19 is a global pandemic with uncertain death rates. We examined county-level population morality rates (per 100,000) and case fatality rates by US region and rural-urban classification, while controlling for demographic, socioeconomic, and hospital variables. We found that population mortality rates and case fatality rates were significantly different across region, rural-urban classification, and their interaction. All significant comparisons had p < 0.001. Northeast counties had the highest population mortality rates (27.4) but had similar case fatality rates (5.9%) compared to other regions except the Southeast, which had significantly lower rates (4.1%). Population mortality rates were highest in urban counties but conversely, case fatality rates were highest in rural counties. Death rates in the Northeast were driven by urban areas (e.g., small, East Coast states), while case fatality rates tended to be highest in the most rural counties for all regions, especially the Southwest. However, on further inspection, high case fatality rate percentages in the Southwest, as well as in overall US counties, were driven by a low case number. This makes it hard to distinguish genuinely higher mortality or an artifact of a small sample size. In summary, coronavirus deaths are not homogenous across the United States but instead vary by region and population and highlight the importance of fine-scale analysis. |
| Databáze: | OpenAIRE |
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