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非必要商业关闭政策对新冠感染率的影响。

The impact of the non-essential business closure policy on Covid-19 infection rates.

机构信息

The Wharton School, University of Pennsylvania, Philadelphia, USA.

Leonard Davis Institute of Health Economics, Philadelphia, USA.

出版信息

Int J Health Econ Manag. 2021 Dec;21(4):387-426. doi: 10.1007/s10754-021-09302-9. Epub 2021 Apr 1.

Abstract

In response to the Covid-19 pandemic, many localities instituted non-essential business closure orders, keeping individuals categorized as essential workers at the frontlines while sending their non-essential counterparts home. We examine the extent to which being designated as an essential or non-essential worker impacts one's risk of being Covid-positive following the non-essential business closure order in Pennsylvania. We also assess the intrahousehold transmission risk experienced by their cohabiting family members and roommates. Using a difference-in-differences framework, we estimate that workers designated as essential have a 55% higher likelihood of being positive for Covid-19 than those classified as non-essential; in other words, non-essential workers experience a protective effect. While members of the health care and social assistance subsector contribute significantly to this overall effect, it is not completely driven by them. We also find evidence of intrahousehold transmission that differs in intensity by essential status. Dependents cohabiting with an essential worker have a 17% higher likelihood of being Covid-positive compared to those cohabiting with a non-essential worker. Roommates cohabiting with an essential worker experience a 38% increase in likelihood of being Covid-positive. Analysis of households with a Covid-positive member suggests that intrahousehold transmission is an important mechanism driving these effects.

摘要

针对新冠疫情,许多地方颁布了非必要业务关闭令,让被归类为必要工人的人坚守前线,而将非必要工人送回家中。我们研究了在宾夕法尼亚州非必要业务关闭令之后,被指定为必要或非必要工人对个人新冠检测呈阳性的风险的影响。我们还评估了他们共同居住的家庭成员和室友所经历的家庭内传播风险。我们使用双重差分框架估计,被指定为必要工人的人感染新冠的可能性比被归类为非必要工人的人高 55%;换句话说,非必要工人受到了保护。虽然医疗保健和社会援助子行业的成员对这一总体影响贡献显著,但并非完全由他们驱动。我们还发现了家庭内传播的证据,其强度因必要状态而异。与必要工人共同居住的受抚养人感染新冠的可能性比与非必要工人共同居住的受抚养人高 17%。与必要工人共同居住的室友感染新冠的可能性增加了 38%。对有新冠阳性成员的家庭进行分析表明,家庭内传播是推动这些效应的一个重要机制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1852/8012742/da9ec16d87b6/10754_2021_9302_Fig1_HTML.jpg

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