Strickland Colten J, Karaye Ibraheem M, Horney Jennifer A
University of Delaware, Newark, Delaware.
J Public Health Manag Pract. 2021;27(3):299-304. doi: 10.1097/PHH.0000000000001215.
To assess associations between state public health agency governance and timing and extent of implementation of social distancing control measures during COVID-19 response.
State public health agencies were stratified by governance, and data on timing and extent of social distancing were collected from the Institute for Health Metrics and Evaluation. Multinomial logistic regression and time-to-event analyses were conducted to quantify impacts of governance structure on timing and extent of social distancing.
State health departments in the United States.
States operating under centralized public health governance structures enacted social distancing 4 days after decentralized states and had a 73% reduced likelihood of enacting a social distancing policy (hazard ratio = 0.27; 95% CI, 0.08 to 0.86).
State health department governance structure may have implications on timing and extent of social distancing control measures implemented during a public health emergency.
评估州公共卫生机构治理与新冠疫情应对期间社会 distancing 控制措施实施的时间和程度之间的关联。
州公共卫生机构按治理方式分层，从健康指标与评估研究所收集社会 distancing 的时间和程度数据。进行多项逻辑回归和事件发生时间分析，以量化治理结构对社会 distancing 的时间和程度的影响。
美国各州卫生部门。
在集中式公共卫生治理结构下运作的州比分散式州晚4天实施社会 distancing，且实施社会 distancing 政策的可能性降低了73%（风险比=0.27；95%可信区间，0.08至0.86）。
州卫生部门的治理结构可能会对公共卫生紧急情况期间实施的社会 distancing 控制措施的时间和程度产生影响。
