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新冠病毒感染与死亡的地域差异：交通的作用。

Geographic disparities in COVID-19 infections and deaths: The role of transportation.

作者信息

Gaskin Darrell J, Zare Hossein, Delarmente Benjo A

机构信息

Johns Hopkins Bloomberg School of Public Health, William C. and Nancy F. Richardson Professor in Health Policy, Department of Health Policy and Management, Director of the Johns Hopkins Center for Health Disparities Solutions, 624 North Broadway, Hampton House, Suite #441, Baltimore, MD, 21205, United States.

Johns Hopkins Bloomberg School of Public Health, Assistant Scientist, Department of Health Policy and Management, Johns Hopkins Center for Health Disparities Solutions, Adjunct Associate Professor, University of Maryland Global Campus, Health Services Management, 624 North Broadway, Hampton House, Room #337, Baltimore, MD, 21205, United States.

出版信息

Transp Policy (Oxf). 2021 Mar;102:35-46. doi: 10.1016/j.tranpol.2020.12.001. Epub 2020 Dec 4.

DOI:10.1016/j.tranpol.2020.12.001
PMID:33293780
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7714661/
Abstract

The US government imposed two travel restriction policies to prevent the spread of the COVID-19 but may have funneled asymptomatic air travelers to selected major airports and transportation hubs. Using the most recent JHU COVID-19 database, American Community Survey, Airport and Amtrak data form Bureau of Transportation Statistics from 3132 US counties we ran negative binomial regressions and Cox regression models to explore the associations between COVID-19 cases and death rates and proximity to airports, train stations, and public transportation. Counties within 25 miles of an airport had 1.392 times the rate of COVID-19 cases and 1.545 times the rate of COVID-19 deaths in comparison to counties that are more than 50 miles from an airport. More effective policies to detect and isolate infected travelers are needed. Policymakers and officials in transportation and public health should collaborate to promulgate policies and procedures to protect travelers and transportation workers from COVID-19.

摘要

美国政府实施了两项旅行限制政策以防止新冠病毒传播，但这可能将无症状航空旅客导向了特定的主要机场和交通枢纽。利用约翰·霍普金斯大学最新的新冠病毒数据库、美国社区调查、美国运输统计局的机场和美国铁路公司数据，我们对来自美国3132个县的数据进行了负二项回归和Cox回归模型分析，以探究新冠病毒病例和死亡率与机场、火车站及公共交通的距离之间的关联。与距离机场超过50英里的县相比，距离机场25英里范围内的县新冠病毒病例发生率高出1.392倍，新冠病毒死亡率高出1.545倍。需要采取更有效的政策来检测和隔离受感染旅客。交通和公共卫生领域的政策制定者及官员应合作颁布政策和程序，以保护旅客和交通工作人员免受新冠病毒感染。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b91/7714661/90b9b3c3db26/fx3_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b91/7714661/2642c404dca4/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b91/7714661/5b44f30b423b/gr2_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b91/7714661/e62ece4e9c05/fx1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b91/7714661/14cfa3434c13/fx2_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b91/7714661/90b9b3c3db26/fx3_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b91/7714661/2642c404dca4/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b91/7714661/5b44f30b423b/gr2_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b91/7714661/e62ece4e9c05/fx1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b91/7714661/14cfa3434c13/fx2_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b91/7714661/90b9b3c3db26/fx3_lrg.jpg

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