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1.
PLoS One ; 17(9): e0273307, 2022.
Article in English | MEDLINE | ID: covidwho-2054320

ABSTRACT

Disasters, from hurricanes to pandemics, tremendously impact human lives and behaviors. Physical closeness to family post-disaster plays a critical role in mental healing and societal sustainability. Nonetheless, little is known about whether and how family colocation alters after a disaster, a topic of immense importance to a post-disaster society. We analyze 1 billion records of population-scale, granular, individual-level mobile location data to quantify family colocation, and examine the magnitude, dynamics, and socioeconomic heterogeneity of the shift in family colocation from the pre- to post-disaster period. Leveraging Hurricane Florence as a natural experiment, and Geographic Information System (GIS), machine learning, and statistical methods to investigate the shift across the landfall (treated) city of Wilmington, three partially treated cites on the hurricane's path, and two control cities off the path, we uncover dramatic (18.9%), widespread (even among the partially treated cities), and enduring (over at least 3 months) escalations in family colocation. These findings reveal the powerful psychological and behavioral impacts of the disaster upon the broader populations, and simultaneously remarkable human resilience via behavioral adaptations during disastrous times. Importantly, the disaster created a gap across socioeconomic groups non-existent beforehand, with the disadvantaged displaying weaker lifts in family colocation. This sheds important lights on policy making and policy communication to promote sustainable family colocation, healthy coping strategies against traumatic experiences, social parity, and societal recovery.


Subject(s)
Cyclonic Storms , Disasters , Family , Adaptation, Psychological , Family/psychology , Geographic Information Systems , Humans , Resilience, Psychological , Socioeconomic Factors , Vulnerable Populations/psychology , Vulnerable Populations/statistics & numerical data
2.
Proc Natl Acad Sci U S A ; 118(33)2021 08 17.
Article in English | MEDLINE | ID: covidwho-1334028

ABSTRACT

Vaccine uptake is critical for mitigating the impact of COVID-19 in the United States, but structural inequities pose a serious threat to progress. Racial disparities in vaccination persist despite the increased availability of vaccines. We ask what factors are associated with such disparities. We combine data from state, federal, and other sources to estimate the relationship between social determinants of health and racial disparities in COVID-19 vaccinations at the county level. Analyzing vaccination data from 19 April 2021, when nearly half of the US adult population was at least partially vaccinated, we find associations between racial disparities in COVID-19 vaccination and median income (negative), disparity in high school education (positive), and vote share for the Republican party in the 2020 presidential election (negative), while vaccine hesitancy is not related to disparities. We examine differences in associations for COVID-19 vaccine uptake as compared with influenza vaccine. Key differences include an amplified role for socioeconomic privilege factors and political ideology, reflective of the unique societal context in which the pandemic has unfolded.


Subject(s)
COVID-19 Vaccines/administration & dosage , COVID-19/psychology , Healthcare Disparities/statistics & numerical data , Politics , Vaccination/psychology , COVID-19/epidemiology , COVID-19/prevention & control , Health Knowledge, Attitudes, Practice , Humans , Income , Influenza Vaccines/pharmacology , Influenza, Human/prevention & control , Pandemics , Race Factors , Racism , SARS-CoV-2/isolation & purification , Socioeconomic Factors , United States/epidemiology , Vaccination/economics , Vaccination/statistics & numerical data
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