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行动限制能显著控制传染病传播吗?基于贝叶斯时空变系数模型考虑 COVID-19 影响的非平稳性。

Does mobility restriction significantly control infectious disease transmission? Accounting for non-stationarity in the impact of COVID-19 based on Bayesian spatially varying coefficient models.

机构信息

Statistics Department, Universitas Padjadjaran, Bandung.

Mathematics Department, Parahyangan Catholic University, Bandung.

出版信息

Geospat Health. 2023 May 25;18(1). doi: 10.4081/gh.2023.1161.

DOI:10.4081/gh.2023.1161
PMID:37246544
Abstract

COVID-19 is the most severe health crisis of the 21st century. COVID-19 presents a threat to almost all countries worldwide. The restriction of human mobility is one of the strategies used to control the transmission of COVID-19. However, it has yet to be determined how effective this restriction is in controlling the rise in COVID-19 cases, particularly in small areas. Using Facebook's mobility data, our study explores the impact of restricting human mobility on COVID-19 cases in several small districts in Jakarta, Indonesia. Our main contribution is showing how the restriction of human mobility data can give important information about how COVID-19 spreads in different small areas. We proposed modifying a global regression model into a local regression model by accounting for the spatial and temporal interdependence of COVID-19 transmission across space and time. We applied Bayesian hierarchical Poisson spatiotemporal models with spatially varying regression coefficients to account for non-stationarity in human mobility. We estimated the regression parameters using an Integrated Nested Laplace Approximation. We found that the local regression model with spatially varying regression coefficients outperforms the global regression model based on DIC, WAIC, MPL, and R2 criteria for model selection. In Jakarta's 44 districts, the impact of human mobility varies significantly. The impacts of human mobility on the log relative risk of COVID-19 range from -4.445 to 2.353. The prevention strategy involving the restriction of human mobility may be beneficial in some districts but ineffective in others. Therefore, a cost-effective strategy had to be adopted.

摘要

COVID-19 是 21 世纪最严重的健康危机。COVID-19 对全球几乎所有国家构成威胁。限制人类流动性是控制 COVID-19 传播的策略之一。然而,尚不清楚这种限制在控制 COVID-19 病例上升方面的效果如何,尤其是在小地区。利用 Facebook 的流动性数据,我们的研究探讨了在印度尼西亚雅加达的几个小地区限制人类流动性对 COVID-19 病例的影响。我们的主要贡献在于展示了如何通过限制人类流动性数据提供有关 COVID-19 在不同小地区传播的重要信息。我们提出通过考虑 COVID-19 传播在空间和时间上的空间和时间相关性,将全局回归模型修改为局部回归模型。我们应用了带有空间变化回归系数的贝叶斯分层泊松时空模型,以解释人类流动性的非平稳性。我们使用集成嵌套拉普拉斯逼近法估计回归参数。我们发现,基于 DIC、WAIC、MPL 和 R2 标准的模型选择,具有空间变化回归系数的局部回归模型优于全局回归模型。在雅加达的 44 个区中,人类流动性的影响差异很大。人类流动性对 COVID-19 对数相对风险的影响范围从-4.445 到 2.353。涉及限制人类流动性的预防策略可能在某些地区有益,但在其他地区无效。因此,必须采用具有成本效益的策略。

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