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10.1093/cid/ciaa1729

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33211797!7717189!33211797
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suck abstract from ncbi


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pmid33211797      Clin+Infect+Dis 2021 ; 73 (7): e1814-e1821
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  • County-level Predictors of Coronavirus Disease 2019 (COVID-19) Cases and Deaths in the United States: What Happened, and Where Do We Go from Here? #MMPMID33211797
  • McLaughlin JM; Khan F; Pugh S; Angulo FJ; Schmitt HJ; Isturiz RE; Jodar L; Swerdlow DL
  • Clin Infect Dis 2021[Oct]; 73 (7): e1814-e1821 PMID33211797show ga
  • BACKGROUND: The United States has been heavily impacted by the coronavirus disease 2019 (COVID-19) pandemic. Understanding microlevel patterns in US rates of COVID-19 can inform specific prevention strategies. METHODS: Using a negative binomial mixed-effects regression model, we evaluated the associations between a broad set of US county-level sociodemographic, economic, and health status-related characteristics and cumulative rates of laboratory-confirmed COVID-19 cases and deaths between 22 January 2020 and 31 August 2020. RESULTS: Rates of COVID-19 cases and deaths were higher in US counties that were more urban or densely populated or that had more crowded housing, air pollution, women, persons aged 20-49 years, racial/ethnic minorities, residential housing segregation, income inequality, uninsured persons, diabetics, or mobility outside the home during the pandemic. CONCLUSIONS: To our knowledge, this study provides results from the most comprehensive multivariable analysis of county-level predictors of rates of COVID-19 cases and deaths conducted to date. Our findings make clear that ensuring that COVID-19 preventive measures, including vaccines when available, reach vulnerable and minority communities and are distributed in a manner that meaningfully disrupts transmission (in addition to protecting those at highest risk of severe disease) will likely be critical to stem the pandemic.
  • |*COVID-19[MESH]
  • |Ethnicity[MESH]
  • |Female[MESH]
  • |Health Status Disparities[MESH]
  • |Humans[MESH]
  • |Minority Groups[MESH]
  • |SARS-CoV-2[MESH]


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