Overcrowding and COVID-19 mortality across U.S. counties: Are disparities growing over time?

dc.contributor.author

Kamis, Christina

dc.contributor.author

Stolte, Allison

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West, Jessica S

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Fishman, Samuel H

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Brown, Taylor

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Brown, Tyson

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Farmer, Heather R

dc.date.accessioned

2023-08-01T20:46:53Z

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2023-08-01T20:46:53Z

dc.date.issued

2021-09

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2023-08-01T20:46:51Z

dc.description.abstract

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.

dc.identifier

S2352-8273(21)00120-8

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2352-8273

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2352-8273

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https://hdl.handle.net/10161/28651

dc.language

eng

dc.publisher

Elsevier BV

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SSM - population health

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10.1016/j.ssmph.2021.100845

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COVID-19

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Inequalities and health

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Overcrowding

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Overcrowding and COVID-19 mortality across U.S. counties: Are disparities growing over time?

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Journal article

duke.contributor.orcid

Kamis, Christina|0000-0002-6652-5454

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Stolte, Allison|0000-0003-0702-2344

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West, Jessica S|0000-0001-8320-8998

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Fishman, Samuel H|0000-0001-5821-8879

duke.contributor.orcid

Brown, Tyson|0000-0002-0979-0622

pubs.begin-page

100845

pubs.organisational-group

Duke

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School of Medicine

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Trinity College of Arts & Sciences

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Staff

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Clinical Science Departments

pubs.organisational-group

Sociology

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Head and Neck Surgery & Communication Sciences

pubs.publication-status

Published

pubs.volume

15

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