Social Disadvantage, Politics, and Severe Acute Respiratory Syndrome Coronavirus 2 Trends: A County-level Analysis of United States Data.
| dc.contributor.author | Mourad, Ahmad | |
| dc.contributor.author | Turner, Nicholas A | |
| dc.contributor.author | Baker, Arthur W | |
| dc.contributor.author | Okeke, Nwora Lance | |
| dc.contributor.author | Narayanasamy, Shanti | |
| dc.contributor.author | Rolfe, Robert | |
| dc.contributor.author | Engemann, John J | |
| dc.contributor.author | Cox, Gary M | |
| dc.contributor.author | Stout, Jason E | |
| dc.date.accessioned | 2021-10-01T15:20:22Z | |
| dc.date.available | 2021-10-01T15:20:22Z | |
| dc.date.issued | 2021-05 | |
| dc.date.updated | 2021-10-01T15:20:21Z | |
| dc.description.abstract | BackgroundUnderstanding the epidemiology of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is essential for public health control efforts. Social, demographic, and political characteristics at the United States (US) county level might be associated with changes in SARS-CoV-2 case incidence.MethodsWe conducted a retrospective analysis of the relationship between the change in reported SARS-CoV-2 case counts at the US county level during 1 June-30 June 2020 and social, demographic, and political characteristics of the county.ResultsOf 3142 US counties, 1023 were included in the analysis: 678 (66.3%) had increasing and 345 (33.7%) nonincreasing SARS-CoV-2 case counts between 1 June and 30 June 2020. In bivariate analysis, counties with increasing case counts had a significantly higher Social Deprivation Index (median, 48 [interquartile range {IQR}, 24-72]) than counties with nonincreasing case counts (median, 40 [IQR, 19-66]; P = .009). Counties with increasing case counts were significantly more likely to be metropolitan areas of 250 000-1 million population (P < .001), to have a higher percentage of black residents (9% vs 6%; P = .013), and to have voted for the Republican presidential candidate in 2016 by a ≥10-point margin (P = .044). In the multivariable model, metropolitan areas of 250 000-1 million population, higher percentage of black residents, and a ≥10-point Republican victory were independently associated with increasing case counts.ConclusionsIncreasing case counts of SARS-CoV-2 in the US during June 2020 were associated with a combination of sociodemographic and political factors. Addressing social disadvantage and differential belief systems that may correspond with political alignment will play a critical role in pandemic control. | |
| dc.identifier | 5904339 | |
| dc.identifier.issn | 1058-4838 | |
| dc.identifier.issn | 1537-6591 | |
| dc.identifier.uri | ||
| dc.language | eng | |
| dc.publisher | Oxford University Press (OUP) | |
| dc.relation.ispartof | Clinical infectious diseases : an official publication of the Infectious Diseases Society of America | |
| dc.relation.isversionof | 10.1093/cid/ciaa1374 | |
| dc.subject | Humans | |
| dc.subject | Retrospective Studies | |
| dc.subject | Politics | |
| dc.subject | United States | |
| dc.subject | Pandemics | |
| dc.subject | COVID-19 | |
| dc.subject | SARS-CoV-2 | |
| dc.title | Social Disadvantage, Politics, and Severe Acute Respiratory Syndrome Coronavirus 2 Trends: A County-level Analysis of United States Data. | |
| dc.type | Journal article | |
| duke.contributor.orcid | Mourad, Ahmad|0000-0002-3149-597X | |
| duke.contributor.orcid | Turner, Nicholas A|0000-0003-0650-4894 | |
| duke.contributor.orcid | Baker, Arthur W|0000-0002-0914-0291 | |
| duke.contributor.orcid | Stout, Jason E|0000-0002-6698-8176 | |
| pubs.begin-page | e604 | |
| pubs.end-page | e607 | |
| pubs.issue | 10 | |
| pubs.organisational-group | School of Medicine | |
| pubs.organisational-group | Medicine, Infectious Diseases | |
| pubs.organisational-group | Duke | |
| pubs.organisational-group | Medicine | |
| pubs.organisational-group | Clinical Science Departments | |
| pubs.organisational-group | Staff | |
| pubs.organisational-group | Population Health Sciences | |
| pubs.organisational-group | Basic Science Departments | |
| pubs.publication-status | Published | |
| pubs.volume | 72 |
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