Duration of Behavioral Policy Interventions and Incidence of COVID-19 by Social Vulnerability of US Counties, April–December 2020

Autor: Szu-Yu Zoe Kao, J. Danielle Sharpe, Rashon I. Lane, Rashid Njai, Russell F. McCord, Aderonke S. Ajiboye, Chandresh N. Ladva, Linda Vo, Donatus U. Ekwueme
Rok vydání: 2022
Předmět:
Zdroj: Public Health Reports. 138:190-199
ISSN: 1468-2877
0033-3549
DOI: 10.1177/00333549221125202
Popis: Objective: State-issued behavioral policy interventions (BPIs) can limit community spread of COVID-19, but their effects on COVID-19 transmission may vary by level of social vulnerability in the community. We examined the association between the duration of BPIs and the incidence of COVID-19 across levels of social vulnerability in US counties. Methods: We used COVID-19 case counts from USAFacts and policy data on BPIs (face mask mandates, stay-at-home orders, gathering bans) in place from April through December 2020 and the 2018 Social Vulnerability Index (SVI) from the Centers for Disease Control and Prevention. We conducted multilevel linear regression to estimate the associations between duration of each BPI and monthly incidence of COVID-19 (cases per 100 000 population) by SVI quartiles (grouped as low, moderate low, moderate high, and high social vulnerability) for 3141 US counties. Results: Having a BPI in place for longer durations (ie, ≥2 months) was associated with lower incidence of COVID-19 compared with having a BPI in place for Conclusions: Establishing COVID-19 prevention measures for longer durations may help reduce COVID-19 transmission, especially in communities with high levels of social vulnerability.
Databáze: OpenAIRE