Overcrowding and COVID-19 mortality across U.S. counties: Are disparities growing over time?
| Autor: | Allison Stolte, Tyson H. Brown, Samuel H. Fishman, Christina Kamis, Heather R. Farmer, Jessica S. West, Taylor W. Brown |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
2019-20 coronavirus outbreak
Health (social science) Coronavirus disease 2019 (COVID-19) Vulnerability Disease Article Overcrowding 03 medical and health sciences 0302 clinical medicine Environmental health Pandemic 030212 general & internal medicine H1-99 030505 public health Poverty Health Policy Public Health Environmental and Occupational Health COVID-19 Inequalities and health Disadvantaged Social sciences (General) Geography Public aspects of medicine RA1-1270 0305 other medical science |
| Zdroj: | SSM-Population Health SSM: Population Health, Vol 15, Iss, Pp 100845-(2021) |
| ISSN: | 2352-8273 |
| Popis: | A growing line of research underscores that sociodemographic factors may contribute to disparities in the impact of COVID-19. Further, stages of disease theory suggests that disparities may grow as the pandemic unfolds and more advantaged areas are better able to apply growing knowledge and mitigation strategies. In this paper, we focus on the role of county-level household overcrowding on disparities in COVID-19 mortality in U.S. counties. We examine this relationship across three theoretically important periods of the pandemic from April–October 2020, that mark both separate stages of community knowledge and national mortality levels. We find evidence that the percentage of overcrowded households is a stronger predictor of COVID-19 mortality during later periods of the pandemic. Moreover, despite a relationship between overcrowding and poverty at the county-level, overcrowding plays an independent role in predicting COVID-19 mortality. Our findings underscore that areas disadvantaged by overcrowding may be more vulnerable to the effects of COVID-19 and that this vulnerability may lead to changing disparities over time. Highlights • County-level overcrowding is positively associated with COVID-19 mortality rates. • The overcrowding-mortality relationship is strongest during June and July. • Overcrowding and poverty additively shape county-level COVID-19 mortality. • Social disparities in mortality may change with new knowledge and disease spread. • Policies must consider how social disadvantages shape COVID-19 mortality over time. |
| Databáze: | OpenAIRE |
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