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

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 and Tiffany M. Powell-Wiley
Additional contact information
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

IJERPH, 2021, vol. 18, issue 22, 1-22

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.

Keywords: COVID-19; geographic information systems; applied spatial statistics (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

Downloads: (external link)
https://www.mdpi.com/1660-4601/18/22/12170/pdf (application/pdf)
https://www.mdpi.com/1660-4601/18/22/12170/ (text/html)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:gam:jijerp:v:18:y:2021:i:22:p:12170-:d:683329

Access Statistics for this article

IJERPH is currently edited by Ms. Jenna Liu

More articles in IJERPH from MDPI
Bibliographic data for series maintained by MDPI Indexing Manager ().