Department of Social and Behavioral Sciences, Yale School of Public Health, 60 College Street, LEPH, New Haven, CT, 06511, USA.
Department of Geography, University of Oregon, Eugene, OR, 97403, USA.
J Urban Health. 2023 Dec;100(6):1258-1263. doi: 10.1007/s11524-023-00791-2. Epub 2023 Nov 21.
This study investigates the changes in physical church closings years 2013 to 2019 in New York City (NYC), Philadelphia, and Baltimore and the association with COVID-19 infection rates. We applied Bayesian spatial binomial models to analyze confirmed cases of COVID-19 as of February 28, 2022, in each city at the zip code-level. A one unit increase in the number of churches closed corresponded to a 5% higher COVID-19 infection rate, in NYC (rate ratio = 1.05, 95% credible interval = 1.02-1.08%), where the association was significant. Church closings appears to be an important indicator of neighborhood social vulnerability. Church closings should be routinely monitored as a structural determinant of community health and to advance health equity.
本研究调查了 2013 年至 2019 年间纽约市(NYC)、费城和巴尔的摩的实体教会关闭的变化情况,以及与 COVID-19 感染率的关联。我们应用贝叶斯空间二项式模型,在每个城市的邮政编码级别分析了截至 2022 年 2 月 28 日的 COVID-19 确诊病例。教会关闭数量每增加一个单位,COVID-19 感染率就会升高 5%,在纽约市(比率比=1.05,95%置信区间=1.02-1.08%),关联显著。教会关闭似乎是邻里社会脆弱性的一个重要指标。教会关闭应该作为社区健康的结构决定因素和促进健康公平而得到定期监测。