Department of Epidemiology, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland, USA
Department of Epidemiology, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland, USA.
BMJ Open. 2024 Jul 9;14(7):e077153. doi: 10.1136/bmjopen-2023-077153.
OBJECTIVE: We investigated whether a zip code's location or demographics are most predictive of changes in daily mobility throughout the course of the COVID-19 pandemic. DESIGN: We used a population-level study to examine the predictability of daily mobility during the COVID-19 pandemic using a two-stage regression approach, where generalised additive models (GAM) predicted mobility trends over time at a large spatial level, then the residuals were used to determine which factors (location, zip code-level features or number of non-pharmaceutical interventions (NPIs) in place) best predict the difference between a zip code's measured mobility and the average trend on a given date. SETTING: We analyse zip code-level mobile phone records from 26 metropolitan areas in the USA on 15 March-31 September 2020, relative to October 2020. RESULTS: While relative mobility had a general trend, a zip code's city-level location significantly helped to predict its daily mobility patterns. This effect was time-dependent, with a city's deviation from general mobility trends differing in both direction and magnitude throughout the course of 2020. The characteristics of a zip code further increased predictive power, with the densest zip codes closest to a city centre tended to have the largest decrease in mobility. However, the effect on mobility change varied by city and became less important over the course of the pandemic. CONCLUSIONS: The location and characteristics of a zip code are important for determining changes in daily mobility patterns throughout the course of the COVID-19 pandemic. These results can determine the efficacy of NPI implementation on multiple spatial scales and inform policy makers on whether certain NPIs should be implemented or lifted during the ongoing COVID-19 pandemic and when preparing for future public health emergencies.
目的:研究邮政编码的位置或人口统计学特征在多大程度上可以预测新冠疫情期间日常流动性的变化。
设计:我们使用人群水平研究,通过两阶段回归方法,使用广义加性模型(GAM)来预测新冠疫情期间的流动性趋势,在大的空间尺度上进行时间预测,然后使用残差来确定哪些因素(位置、邮政编码级别的特征或实施的非药物干预措施(NPIs)数量)最能预测邮政编码的实际流动性与其在特定日期的平均趋势之间的差异。
地点:我们分析了 2020 年 3 月 15 日至 9 月 31 日期间,美国 26 个大都市区的邮政编码级别的手机记录,与 2020 年 10 月相比。
结果:虽然相对流动性有一般趋势,但邮政编码的城市级别位置有助于预测其日常流动性模式。这种影响是时间依赖性的,一个城市偏离一般流动性趋势的方向和幅度在 2020 年期间都有所不同。邮政编码的特征进一步提高了预测能力,最接近市中心的人口最密集的邮政编码的流动性下降幅度最大。然而,这种对流动性变化的影响因城市而异,而且随着疫情的发展变得不那么重要。
结论:邮政编码的位置和特征对于确定新冠疫情期间日常流动性模式的变化很重要。这些结果可以确定在多个空间尺度上实施非药物干预措施的效果,并为政策制定者提供关于在当前新冠疫情期间以及在为未来公共卫生紧急情况做准备时应实施或取消哪些非药物干预措施的信息。
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