State variation in neighborhood COVID-19 burden across the United States

Abstract Background A lack of fine, spatially-resolute case data for the U.S. has prevented the examination of how COVID-19 infection burden has been distributed across neighborhoods, a key determinant of both risk and resilience. Without more spatially resolute data, efforts to identify and mitigat...

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Main Authors: Grace A. Noppert, Philippa Clarke, Andrew Hoover, John Kubale, Robert Melendez, Kate Duchowny, Sonia T. Hegde
Format: Article
Language:English
Published: Nature Portfolio 2024-03-01
Series:Communications Medicine
Online Access:https://doi.org/10.1038/s43856-024-00459-1
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author Grace A. Noppert
Philippa Clarke
Andrew Hoover
John Kubale
Robert Melendez
Kate Duchowny
Sonia T. Hegde
author_facet Grace A. Noppert
Philippa Clarke
Andrew Hoover
John Kubale
Robert Melendez
Kate Duchowny
Sonia T. Hegde
author_sort Grace A. Noppert
collection DOAJ
description Abstract Background A lack of fine, spatially-resolute case data for the U.S. has prevented the examination of how COVID-19 infection burden has been distributed across neighborhoods, a key determinant of both risk and resilience. Without more spatially resolute data, efforts to identify and mitigate the long-term fallout from COVID-19 in vulnerable communities will remain difficult to quantify and intervene on. Methods We leveraged spatially-referenced data from 21 states collated through the COVID Neighborhood Project to examine the distribution of COVID-19 cases across neighborhoods and states in the U.S. We also linked the COVID-19 case data with data on the neighborhood social environment from the National Neighborhood Data Archive. We then estimated correlations between neighborhood COVID-19 burden and features of the neighborhood social environment. Results We find that the distribution of COVID-19 at the neighborhood-level varies within and between states. The median case count per neighborhood (coefficient of variation (CV)) in Wisconsin is 3078.52 (0.17) per 10,000 population, indicating a more homogenous distribution of COVID-19 burden, whereas in Vermont the median case count per neighborhood (CV) is 810.98 (0.84) per 10,000 population. We also find that correlations between features of the neighborhood social environment and burden vary in magnitude and direction by state. Conclusions Our findings underscore the importance that local contexts may play when addressing the long-term social and economic fallout communities will face from COVID-19.
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spelling doaj.art-d30044f896e740628f10761e87d8c0092024-03-05T20:05:29ZengNature PortfolioCommunications Medicine2730-664X2024-03-014111210.1038/s43856-024-00459-1State variation in neighborhood COVID-19 burden across the United StatesGrace A. Noppert0Philippa Clarke1Andrew Hoover2John Kubale3Robert Melendez4Kate Duchowny5Sonia T. Hegde6Institute for Social Research, University of MichiganInstitute for Social Research, University of MichiganInstitute for Social Research, University of MichiganInstitute for Social Research, University of MichiganInstitute for Social Research, University of MichiganInstitute for Social Research, University of MichiganDepartment of Epidemiology, Johns Hopkins UniversityAbstract Background A lack of fine, spatially-resolute case data for the U.S. has prevented the examination of how COVID-19 infection burden has been distributed across neighborhoods, a key determinant of both risk and resilience. Without more spatially resolute data, efforts to identify and mitigate the long-term fallout from COVID-19 in vulnerable communities will remain difficult to quantify and intervene on. Methods We leveraged spatially-referenced data from 21 states collated through the COVID Neighborhood Project to examine the distribution of COVID-19 cases across neighborhoods and states in the U.S. We also linked the COVID-19 case data with data on the neighborhood social environment from the National Neighborhood Data Archive. We then estimated correlations between neighborhood COVID-19 burden and features of the neighborhood social environment. Results We find that the distribution of COVID-19 at the neighborhood-level varies within and between states. The median case count per neighborhood (coefficient of variation (CV)) in Wisconsin is 3078.52 (0.17) per 10,000 population, indicating a more homogenous distribution of COVID-19 burden, whereas in Vermont the median case count per neighborhood (CV) is 810.98 (0.84) per 10,000 population. We also find that correlations between features of the neighborhood social environment and burden vary in magnitude and direction by state. Conclusions Our findings underscore the importance that local contexts may play when addressing the long-term social and economic fallout communities will face from COVID-19.https://doi.org/10.1038/s43856-024-00459-1
spellingShingle Grace A. Noppert
Philippa Clarke
Andrew Hoover
John Kubale
Robert Melendez
Kate Duchowny
Sonia T. Hegde
State variation in neighborhood COVID-19 burden across the United States
Communications Medicine
title State variation in neighborhood COVID-19 burden across the United States
title_full State variation in neighborhood COVID-19 burden across the United States
title_fullStr State variation in neighborhood COVID-19 burden across the United States
title_full_unstemmed State variation in neighborhood COVID-19 burden across the United States
title_short State variation in neighborhood COVID-19 burden across the United States
title_sort state variation in neighborhood covid 19 burden across the united states
url https://doi.org/10.1038/s43856-024-00459-1
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