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Spatial Clustering of County-Level COVID-19 Rates in the U.S

Author

Listed:
  • Marcus R. Andrews

    (Department of Health Behavior and Health Education, School of Public Health, University of Michigan, 1450 Washington Heights, Ann Arbor, MI 48109, USA)

  • Kosuke Tamura

    (Neighborhood Social and Geospatial Determinants of Health Disparities Laboratory, Population and Community Health Sciences Branch, Intramural Research Program, National Institute on Minority Health and Health Disparities, National Institutes of Health, Bethesda, MD 20892, USA)

  • Janae N. Best

    (Department of Health Behavior and Health Education, School of Public Health, University of Michigan, 1450 Washington Heights, Ann Arbor, MI 48109, USA)

  • Joniqua N. Ceasar

    (Department of Medicine, Internal Medicine-Pediatrics Residency, Johns Hopkins University, 251 Bayview Boulevard, Baltimore, MD 21224, USA)

  • Kaylin G. Batey

    (College of Medicine, University of Kentucky, 800 Rose Street MN 150, Lexington, KY 40506, USA)

  • Troy A. Kearse

    (Department of Psychology, Howard University, 525 Bryant Street, NW, Washington, DC 20059, USA)

  • Lavell V. Allen

    (Department of Public Health, University of New England, 11 Hills Beach Road, Biddeford, ME 04005, USA)

  • Yvonne Baumer

    (Social Determinants of Obesity and Cardiovascular Risk Laboratory, Cardiovascular Branch, Division of Intramural Research, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD 20892, USA)

  • Billy S. Collins

    (Social Determinants of Obesity and Cardiovascular Risk Laboratory, Cardiovascular Branch, Division of Intramural Research, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD 20892, USA)

  • Valerie M. Mitchell

    (Social Determinants of Obesity and Cardiovascular Risk Laboratory, Cardiovascular Branch, Division of Intramural Research, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD 20892, USA)

  • Tiffany M. Powell-Wiley

    (Social Determinants of Obesity and Cardiovascular Risk Laboratory, Cardiovascular Branch, Division of Intramural Research, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD 20892, USA
    Adjunct Investigator, Intramural Research Program, National Institute on Minority Health and Health Disparities, National Institutes of Health, Bethesda, MD 20892, USA)

Abstract

Despite the widespread prevalence of cases associated with the coronavirus disease 2019 (COVID-19) pandemic, little is known about the spatial clustering of COVID-19 in the United States. Data on COVID-19 cases were used to identify U.S. counties that have both high and low COVID-19 incident proportions and clusters. Our results suggest that there are a variety of sociodemographic variables that are associated with the severity of COVID-19 county-level incident proportions. As the pandemic evolved, communities of color were disproportionately impacted. Subsequently, it shifted from communities of color and metropolitan areas to rural areas in the U.S. Our final period showed limited differences in county characteristics, suggesting that COVID-19 infections were more widespread. The findings might address the systemic barriers and health disparities that may result in high incident proportions of COVID-19 clusters.

Suggested Citation

  • Marcus R. Andrews & Kosuke Tamura & Janae N. Best & Joniqua N. Ceasar & Kaylin G. Batey & Troy A. Kearse & Lavell V. Allen & Yvonne Baumer & Billy S. Collins & Valerie M. Mitchell & Tiffany M. Powell-, 2021. "Spatial Clustering of County-Level COVID-19 Rates in the U.S," IJERPH, MDPI, vol. 18(22), pages 1-22, November.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:22:p:12170-:d:683329
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    References listed on IDEAS

    as
    1. Marcus R. Andrews & Kosuke Tamura & Sophie E. Claudel & Samantha Xu & Joniqua N. Ceasar & Billy S. Collins & Steven Langerman & Valerie M. Mitchell & Yvonne Baumer & Tiffany M. Powell-Wiley, 2020. "Geospatial analysis of neighborhood deprivation index (NDI) for the United States by county," Journal of Maps, Taylor & Francis Journals, vol. 16(1), pages 101-112, January.
    2. Peter Congdon, 2017. "Variations in Obesity Rates between US Counties: Impacts of Activity Access, Food Environments, and Settlement Patterns," IJERPH, MDPI, vol. 14(9), pages 1-18, September.
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    Cited by:

    1. Ramalingam Shanmugam & Lawrence Fulton & Jose Betancourt & Gerardo J. Pacheco, 2022. "Indexing Inefficacy of Efforts to Stop Escalation of COVID Mortality," Mathematics, MDPI, vol. 10(24), pages 1-11, December.

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