Risk factors for increased COVID-19 case-fatality in the United States: A county-level analysis during the first wave

Jess A Millar, Hanh Dung N Dao, Marianne E Stefopulos, Camila G Estevam, Katharine Fagan-Garcia, Diana H Taft, Christopher Park, Amaal Alruwaily, Angel N Desai and Maimuna S Majumder

PLOS ONE, 2021, vol. 16, issue 10, 1-16

Abstract: The ongoing COVID-19 pandemic is causing significant morbidity and mortality across the US. In this ecological study, we identified county-level variables associated with the COVID-19 case-fatality rate (CFR) using publicly available datasets and a negative binomial generalized linear model. Variables associated with decreased CFR included a greater number of hospitals per 10,000 people, banning religious gatherings, a higher percentage of people living in mobile homes, and a higher percentage of uninsured people. Variables associated with increased CFR included a higher percentage of the population over age 65, a higher percentage of Black or African Americans, a higher asthma prevalence, and a greater number of hospitals in a county. By identifying factors that are associated with COVID-19 CFR in US counties, we hope to help officials target public health interventions and healthcare resources to locations that are at increased risk of COVID-19 fatalities.

Date: 2021
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pone00:0258308

DOI: 10.1371/journal.pone.0258308

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