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10.1016/j.amepre.2020.10.012 http://scihub22266oqcxt.onion/10.1016/j.amepre.2020.10.012 33309450!7664479!33309450     free     free     free Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       Am+J+Prev+Med 2021 ; 60 (3): 318-326 Nephropedia Template TP {{tp|p=33309450|t=2021. Asynchrony Between Individual and Government Actions Accounts for Disproportionate Impact of COVID-19 on Vulnerable Communities |pdf=|usr=}}{{33309450}} gab.com Text Asynchrony Between Individual and Government Actions Accounts for Disproportionate Impact of COVID-19 on Vulnerable Communities JO: Am J Prev Med http://www.kidney.de/pget.php?&tw=1&pmid=33309450 #FOAvip INTRODUCTION: Previously estimated effects of social distancing do not account for changes in individual behavior before the implementation of stay-at-home policies or model this behavior in relation to the burden of disease. This study aims to assess the asynchrony between individual behavior and government stay-at-home orders, quantify the true impact of social distancing using mobility data, and explore the sociodemographic variables linked to variation in social distancing practices. METHODS: This study was a retrospective investigation that leveraged mobility data to quantify the time to behavioral change in relation to the initial presence of COVID-19 and the implementation of government stay-at-home orders. The impact of social distancing that accounts for both individual behavior and testing data was calculated using generalized mixed models. The role of sociodemographics in accounting for variation in social distancing behavior was modeled using a 10-fold cross-validated elastic net (linear machine learning model). Analysis was conducted in April?July 2020. RESULTS: Across all the 1,124 counties included in this analysis, individuals began to socially distance at a median of 5 days (IQR=3-8) after 10 cumulative cases of COVID-19 were confirmed in their state, with state governments taking a median of 15 days (IQR=12-19) to enact stay-at-home orders. Overall, people began social distancing at a median of 12 days (IQR=8-17) before their state enacted stay-at-home orders. Of the 16 studies included in the review, 13 exclusively used government dates as a proxy for social distancing behavior, and none accounted for both testing and mobility. Using government stay-at-home dates as a proxy for social distancing (10.2% decrease in the number of daily cases) accounted for only 55% of the true impact of the intervention when compared with estimates using mobility (18.6% reduction). Using 10-fold cross-validation, 23 of 43 sociodemographic variables were significantly and independently predictive of variation in individual social distancing, with delays corresponding to an increase in a county's proportion of people without a high school diploma and proportion of racial and ethnic minorities. CONCLUSIONS: This retrospective analysis of mobility patterns found that social distancing behavior occurred well before the onset of government stay-at-home dates. This asynchrony leads to the underestimation of the impact of social distancing. Sociodemographic characteristics associated with delays in social distancing can help explain the disproportionate case burden and mortality among vulnerable communities. Twit Text FOAVip Asynchrony Between Individual and Government Actions Accounts for Disproportionate Impact of COVID-19 on Vulnerable Communities ????Am J Prev Med http://www.kidney.de/pget.php?&tw=1&pmid=33309450 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=33309450 #FOAvip English Wikipedia <ref>{{Cite pmid|33309450}}</ref> Asynchrony Between Individual and Government Actions Accounts for Disproportionate Impact of COVID-19 on Vulnerable Communities #MMPMID33309450 Abdalla M; Abar A; Beiter ER; Saad M Am J Prev Med 2021[Mar]; 60 (3): 318-326 PMID33309450show ga INTRODUCTION: Previously estimated effects of social distancing do not account for changes in individual behavior before the implementation of stay-at-home policies or model this behavior in relation to the burden of disease. This study aims to assess the asynchrony between individual behavior and government stay-at-home orders, quantify the true impact of social distancing using mobility data, and explore the sociodemographic variables linked to variation in social distancing practices. METHODS: This study was a retrospective investigation that leveraged mobility data to quantify the time to behavioral change in relation to the initial presence of COVID-19 and the implementation of government stay-at-home orders. The impact of social distancing that accounts for both individual behavior and testing data was calculated using generalized mixed models. The role of sociodemographics in accounting for variation in social distancing behavior was modeled using a 10-fold cross-validated elastic net (linear machine learning model). Analysis was conducted in April?July 2020. RESULTS: Across all the 1,124 counties included in this analysis, individuals began to socially distance at a median of 5 days (IQR=3-8) after 10 cumulative cases of COVID-19 were confirmed in their state, with state governments taking a median of 15 days (IQR=12-19) to enact stay-at-home orders. Overall, people began social distancing at a median of 12 days (IQR=8-17) before their state enacted stay-at-home orders. Of the 16 studies included in the review, 13 exclusively used government dates as a proxy for social distancing behavior, and none accounted for both testing and mobility. Using government stay-at-home dates as a proxy for social distancing (10.2% decrease in the number of daily cases) accounted for only 55% of the true impact of the intervention when compared with estimates using mobility (18.6% reduction). Using 10-fold cross-validation, 23 of 43 sociodemographic variables were significantly and independently predictive of variation in individual social distancing, with delays corresponding to an increase in a county's proportion of people without a high school diploma and proportion of racial and ethnic minorities. CONCLUSIONS: This retrospective analysis of mobility patterns found that social distancing behavior occurred well before the onset of government stay-at-home dates. This asynchrony leads to the underestimation of the impact of social distancing. Sociodemographic characteristics associated with delays in social distancing can help explain the disproportionate case burden and mortality among vulnerable communities. |*Physical Distancing[MESH] |Age Factors[MESH] |Aged[MESH] |COVID-19/epidemiology/*prevention & control[MESH] |Consumer Behavior/*statistics & numerical data[MESH] |Cost of Illness[MESH] |Female[MESH] |Geography[MESH] |Humans[MESH] |Male[MESH] |Middle Aged[MESH] |Models, Statistical[MESH] |Poisson Distribution[MESH] |Public Policy[MESH] |Quarantine/psychology/*standards/statistics & numerical data[MESH] |Retrospective Studies[MESH] |Socioeconomic Factors[MESH] |Time Factors[MESH] |United States/epidemiology[MESH]Asynchrony Between Individual and Government Actions Accounts for Dis(epmc).pdf DeepDyve Pubget Overpricing