Department of Traffic Engineering & Key Laboratory of Road and Traffic Engineering, Ministry of Education, Tongji University, 4800 Cao'an Road, Shanghai, 201804, China.
School of Transportation, Southeast University, Nanjing, 210096, China.
Health Place. 2021 May;69:102538. doi: 10.1016/j.healthplace.2021.102538. Epub 2021 Feb 25.
The global Coronavirus Disease 2019 (COVID-19) pandemic has led to the implementation of social distancing measures such as work-from-home orders that have drastically changed people's travel-related behavior. As countries are easing up these measures and people are resuming their pre-pandemic activities, the second wave of COVID-19 is observed in many countries. This study proposes a Community Activity Score (CAS) based on inter-community traffic characteristics (in and out of community traffic volume and travel distance) to capture the current travel-related activity level compared to the pre-pandemic baseline and study its relationship with confirmed COVID-19 cases. Fourteen other travel-related factors belonging to five categories (Social Distancing Index, residents staying at home, travel frequency and distance, mobility trend, and out-of-county visitors) and three social distancing measures (stay-at-home order, face-covering order, and self-quarantine for out-of-county travels) are also considered to reflect the likelihood of exposure to the COVID-19. Considering that it usually takes days from exposure to confirming the infection, the exposure-to-confirm temporal delay between the time-varying travel-related factors and their impacts on the number of confirmed COVID-19 cases is considered in this study. Honolulu County in the State of Hawaii is used as a case study to evaluate the proposed CAS and other factors on confirmed COVID-19 cases with various temporal delays at a county-level. Negative Binomial models were chosen to study the impacts of travel-related factors and social distancing measures on COVID-19 cases. The case study results show that CAS and other factors are correlated with COVID-19 spread, and models that factor in the exposure-to-confirm temporal delay perform better in forecasting COVID-19 cases later. Policymakers can use the study's various findings and insights to evaluate the impacts of social distancing policies on travel and effectively allocate resources for the possible increase in confirmed COVID-19 cases.
全球 2019 年冠状病毒病(COVID-19)大流行导致实施了社交距离措施,例如居家工作命令,这极大地改变了人们的旅行相关行为。随着各国放宽这些措施,人们正在恢复大流行前的活动,许多国家观察到第二波 COVID-19。本研究提出了一种基于社区间交通特征(社区内外交通量和旅行距离)的社区活动得分(CAS),以捕捉当前与大流行前基线相比的旅行相关活动水平,并研究其与确诊 COVID-19 病例的关系。还考虑了其他 14 个属于五个类别的与旅行相关的因素(社会距离指数、居民居家、旅行频率和距离、流动性趋势和外县访客)和三项社会距离措施(居家令、戴口罩令和外县旅行的自我隔离),以反映接触 COVID-19 的可能性。考虑到从接触到确认感染通常需要几天时间,本研究考虑了随时间变化的旅行相关因素及其对确诊 COVID-19 病例数量的影响之间的暴露确认时间延迟。夏威夷州的火奴鲁鲁县被用作案例研究,以评估所提出的 CAS 和其他因素对县级确诊 COVID-19 病例的影响,并考虑了不同的时间延迟。负二项式模型被选来研究与旅行相关的因素和社会距离措施对 COVID-19 病例的影响。案例研究结果表明,CAS 和其他因素与 COVID-19 的传播相关,并且考虑到暴露确认时间延迟的模型在预测以后的 COVID-19 病例方面表现更好。政策制定者可以利用研究的各种发现和见解,评估社交距离政策对旅行的影响,并有效分配资源,以应对确诊 COVID-19 病例的可能增加。