Guaitoli Gabriele, Pancrazi Roberto
Department of Economics, University of Warwick, Coventry, CV4 7AL, United Kingdom.
Lancet Reg Health Eur. 2021 Sep;8:100169. doi: 10.1016/j.lanepe.2021.100169. Epub 2021 Jul 15.
: Policy-makers have attempted to mitigate the spread of covid-19 with national and local non-pharmaceutical interventions. Moreover, evidence suggests that some areas are more exposed than others to contagion risk due to heterogeneous local characteristics. We study whether Italy's regional policies, introduced on 4th November 2020, have effectively tackled the local infection risk arising from such heterogeneity. : Italy consists of 19 regions (and 2 autonomous provinces), further divided into 107 provinces. We collect 35 province-specific pre-covid variables related to demographics, geography, economic activity, and mobility. First, we test whether their within-region variation explains the covid-19 incidence during the Italian second wave. Using a LASSO algorithm, we isolate variables with high explanatory power. Then, we test if their explanatory power disappears after the introduction of the regional-level policies. : The within-region variation of seven pre-covid characteristics is statistically significant (F-test p-value ) and explains 19% of the province-level variation of covid-19 incidence, on top of region-specific factors, before regional policies were introduced. Its explanatory power declines to 7% after the introduction of regional policies, but is still significant (p-value ), even in regions placed under stricter policies (p-value ). : Even within the same region, Italy's provinces differ in exposure to covid-19 infection risk due to local characteristics. Regional policies did not eliminate these differences, but may have dampened them. Our evidence can be relevant for policy-makers who need to design non-pharmaceutical interventions. It also provides a methodological suggestion for researchers who attempt to estimate their causal effects. : None.
政策制定者试图通过国家和地方的非药物干预措施来减缓新冠疫情的传播。此外,有证据表明,由于地方特征各异,一些地区比其他地区更容易受到传染风险的影响。我们研究了意大利在2020年11月4日出台的地区政策是否有效地应对了因这种异质性而产生的局部感染风险。意大利由19个大区(以及2个自治省)组成,进一步划分为107个省。我们收集了35个与人口统计学、地理、经济活动和流动性相关的特定省份的新冠疫情前变量。首先,我们测试这些变量在区域内的变化是否能解释意大利第二波疫情期间的新冠发病率。使用套索算法,我们分离出具有高解释力的变量。然后,我们测试在引入区域层面的政策后,这些变量的解释力是否消失。在引入区域政策之前,七个新冠疫情前特征在区域内的变化具有统计学意义(F检验p值),并且在特定区域因素之外,解释了省级新冠发病率变化的19%。引入区域政策后,其解释力降至7%,但仍然显著(p值),即使在实施更严格政策的地区也是如此(p值)。即使在同一地区内,由于地方特征的不同,意大利的各省在新冠感染风险暴露方面也存在差异。区域政策并没有消除这些差异,但可能起到了抑制作用。我们的证据对于需要设计非药物干预措施的政策制定者可能具有参考价值。它还为试图估计其因果效应的研究人员提供了一种方法学建议。无。