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1.
British Food Journal ; 125(7):2350-2367, 2023.
Article in English | ProQuest Central | ID: covidwho-20244754

ABSTRACT

PurposeThe purpose of this paper was to determine the profile of dairy product consumers in the organic market.Design/methodology/approachThe study was based on a survey questionnaire developed by the author and administered to a total of 1,108 respondents. The statistical analysis (including descriptive statistics, the analysis of the discriminative function and the Chi2 test was performed with the use of Statistica 13.1 PL. The respondents' gender was the factor behind the differences in how they behaved.FindingsThe consumers indicated the channels they rely upon to find information on organic dairy products;in addition to trusting the opinions of their family members and experts, they also use web platforms. Further, they specified their preferred locations for buying favorite products during the pandemic: specialized organic food shops, large distribution chains and online stores.Practical implicationsThese outcomes will help in identifying target consumer segments and information channels for specific information and advertising messages. They also form an important resource for developing some potential strategies which the supply chain stakeholders could implement to promote organic consumption of dairy products.Originality/valueThis study identifies consumers' preferred dairy products;motives for purchasing organic dairy products;barriers that consumers believe exist in the market;sources of knowledge about products purchased by consumers;and consumers' preferred channels for purchasing organic dairy products. To the best of the author's knowledge, this is the first study of dairy product consumers in the organic market in Poland.

2.
International Journal of Energy Economics and Policy ; 13(3):20-27, 2023.
Article in English | ProQuest Central | ID: covidwho-20237818

ABSTRACT

The objective of the study was to identify the impact of renewable energy on Saudi economy during 2000-2021. Analytical techniques were used to conduct this study. An analysis of the study used a set of variables, in which Renewable energy perceives as independent variable and the dependent variables are GDP per capita, net foreign direct investment, unemployment, fixed capital formation, and net foreign trade. The data of the study were analyzed using the E-views program. According to the study, renewable energy has an impact on certain economic variables and does not have an impact on others. A partial validity is found for the study's central hypothesis. According to our findings, renewable energy contributes significantly to net foreign direct investment, unemployment, and fixed capital formation, but not to GDP per capita, net foreign trade, or fixed capital formation.

3.
Cogent Business & Management ; 10(1), 2023.
Article in English | ProQuest Central | ID: covidwho-20236587

ABSTRACT

ASEAN is predicted to be the world's largest single market by 2030, after the US, China, and the EU. This study aims to discover research performance in all ASEAN countries, including identifying output levels, research focus, and influential authors in the region. The approach used in this study is a bibliometric analysis of publications indexed in the WoS database for the past two decades (2002–2021). Of the more than 20,000 documents analyzed, it was indicated that each ASEAN country has exclusive and non-exclusive keywords. Singapore has the highest number of citations among the other ASEAN countries.

4.
International Journal of Business Intelligence and Data Mining ; 22(3):287-309, 2023.
Article in English | Scopus | ID: covidwho-2314087

ABSTRACT

Outlier is a value that lies outside most of the other values in a dataset. Outlier exploration has a huge importance in almost all the industry applications like medical diagnosis, credit card fraudulence and intrusion detection systems. Similarly, in economic domain, it can be applied to analyse many unexpected events to harvest new knowledge like sudden crash of stock market, mismatch between country's per capita incomes and overall development, abrupt change in unemployment rate and steep falling of bank interest. These situations can arise due to several reasons, out of which the present COVID-19 pandemic is a leading one. This motivates the present researchers to identify a few such vulnerable areas in the economic sphere and ferret out the most affected countries for each of them. Two well-known machine-learning techniques DBSCAN and Z-score are utilised to get these insights, which can serve as a guideline towards improving the overall scenario subsequently. Copyright © 2023 Inderscience Enterprises Ltd.

5.
Economy of Regions ; 19(1):111-121, 2023.
Article in English | Scopus | ID: covidwho-2313936

ABSTRACT

Human capital is an important factor for economic growth and the development of socio-economic systems. However, the appropriate expression of the value of human capital, the mechanism and its impact on economic development are still under discussion. It is hypothesised that there is a relationship between human capital and economic growth. To test this hypothesis, data on the group of Visegrad (V4) countries for the period 2000–2019 was analysed. The study examines the presence of a causal link between some attributes of human capital and economic growth and the conditions, under which its positive effects can be expected based on statistical methods. It also deals with the role and the applicability of some of its characteristics to express the impact of human capital on economic growth. The model revealed a positive, statistically significant relationship between gross domestic product per capita and the innovative capacity of human capital and the qualifications of employees. The impact of tools for human capital creation and development extends over a longer period and is reduced by the simultaneous action of other labour market factors. Currently, economies are affected by the Covid-19 pandemic. Corresponding changes are also noticeable in the way work is done, with more weight on the home office. It will be interesting to examine how this transformation will affect economic growth. The changes in the position of employees and the care of companies for human capital are also a good topic for further research that can be conducted every few years. © Daňová M., Širá E. Text. 2023.

6.
Health Science Journal ; 17(4):1-11, 2023.
Article in English | ProQuest Central | ID: covidwho-2312222

ABSTRACT

Within the framework of Sustainable Development, Social Work has established areas and fields of intervention around which social services have been developed, mainly those related to water care with respect to quality of life and subjective well-being, determinants of evaluation of public policies, environmental programs and attention strategies for migrant communities [4]. In this scheme, Environmental Social Work acts as a mediator of supply policies and civil demands considering the limitations of space, time and infrastructure, but the generality of its dimensions, categories and variables inhibit the analysis of the subjectivity inherent in the objective indicators. of sustainability. [...]it is necessary to delve into the psychological, cognitive and behavioral dimension, in order to be able to establish the needs, expectations, demands and individual or community capacities in the face of environmental crises and the shortage of water resources [5]. From This Nomenclature, It Is Possible To Notice That Sustainable Development Is A Central Issue Or Node That Involves Climate Change, Global Warming, The Greenhouse Effect And Carbon Emissions As Environmental Factors That Have A Direct Impact On The Quality Of The Environment. Air And Respiratory Health In Economically Developed Cities And Economies, But In Addition To Air Pollution, Water And Municipal Waste Problems Are Central Issues In The Economic And Urban Periphery Because The Natural Resources Of The Southern Hemisphere They Are Transformed Into Satisfiers For The Northern Hemisphere, As Is The Case Of Crude Oil And Its Derivatives [5].

7.
Environment & Planning A ; : 1, 2023.
Article in English | Academic Search Complete | ID: covidwho-2292731

ABSTRACT

Solitude is a rising phenomenon in the western world. The share of people affected by solitude has been rising for some time and the Covid-19 pandemic has further brought this trend to the fore. Yet, we know next to nothing about the aggregate subnational economic impact of the rise in solitude. In this paper, we analyse the consequences of solitude on regional economic performance across Europe, distinguishing between two of its key dimensions: alone living, proxied by the regional share of single-person households and loneliness, proxied by the aggregate share of social interactions. We find that solitude has important implications for economic development, but that these go in different directions. While alone living is a substantial driver of economic growth across European regions, high shares of lonely people undermine it. The connection of loneliness with economic growth is, however, dependent on the frequency of in-person meetings, with large shares of the population meeting others socially on a weekly basis, alongside a small percentage of people who never meet others, yielding the best economic returns. [ FROM AUTHOR] Copyright of Environment & Planning A is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)

8.
The Journal of Business Strategy ; 44(3):161-167, 2023.
Article in English | ProQuest Central | ID: covidwho-2291620

ABSTRACT

PurposeThe conceptualization of the Base of Pyramid (BOP) proposes that low-income markets can lead to profitable opportunities for businesses. The purpose of this study is to identify key success factors of a BOP business strategy based on a case study of the discount retailer, Dollar General, in the USA.Design/methodology/approachThe research design used in this research is an in-depth case study of Dollar General in the USA. Qualitative methods are applied in both the primary and secondary data collection and during the follow-on data analysis of Dollar General.FindingsDollar General's strategic profile is achieved through the combination of the following four actions which are tailored to compete effectively at the BOP in the USA: creating the neighborhood discounter, raising aspirational appeal, reducing service and eliminating internationalization.Research limitations/implicationsThe case is specific to Dollar General in a US cultural context.Practical implicationsThe case of Dollar General demonstrates how a discounter retailer should not only follow a low-cost strategy to compete at the BOP. Its ability to craft a distinctive strategy is coherent with meeting the logistical, rational and emotional needs of the low-income consumer in the USA.Social implicationsMany businesses have neglected rural areas of the USA as being unprofitable. The ability for businesses such as Dollar General to serve the BOP segment can foster the socio-economic well-being of communities.Originality/valueThe overwhelming body of the BOP literature is based on emerging markets. To the best of the authors' knowledge, this is one of the few studies to investigate BOP business strategy in the USA.

9.
ISPRS International Journal of Geo-Information ; 12(4):163, 2023.
Article in English | ProQuest Central | ID: covidwho-2306508

ABSTRACT

In recent years, environmental degradation and the COVID-19 pandemic have seriously affected economic development and social stability. Addressing the impact of major public health events on residents' willingness to pay for environmental protection (WTPEP) and analyzing the drivers are necessary for improving human well-being and environmental sustainability. We designed a questionnaire to analyze the change in residents' WTPEP before and during COVID-19 and an established ordinary least squares (OLS), spatial lag model (SLM), spatial error model (SEM), geographically weighted regression (GWR), and multiscale GWR to explore driver factors and scale effects of WTPEP based on the theory of environment Kuznets curve (EKC). The results show that (1) WTPEP is 0–20,000 yuan before COVID-19 and 0–50,000 yuan during COVID-19. Residents' WTPEP improved during COVID-19, which indicates that residents' demand for an ecological environment is increasing;(2) The shapes and inflection points of the relationships between income and WTPEP are spatially heterogeneous before and during COVID-19, but the northern WTPEP is larger than southern, which indicates that there is a spatial imbalance in WTPEP;(3) Environmental degradation, health, environmental quality, and education are WTPEP's significant macro-drivers, whereas income, age, and gender are significant micro-drivers. Those factors can help policymakers better understand which factors are more suitable for macro or micro environmental policy-making and what targeted measures could be taken to solve the contradiction between the growing ecological environment demand of residents and the spatial imbalance of WTPEP in the future.

10.
Sustainability ; 15(7):6131, 2023.
Article in English | ProQuest Central | ID: covidwho-2306387

ABSTRACT

The global value chain has promoted foreign direct investments in emerging markets. Not only resources but also public policies can affect the inflows or outflows of foreign direct investments (FDI). This study investigates the effect of economic policy uncertainty on net foreign direct investment inflows in 48 Asian countries. We use the panel dataset from different sources from 1995 to 2020. Our core dependent variable is net foreign direct investment inflows, and the explanatory variable is economic policy uncertainty. The study's control variables include trade, GDP per capita, GDP growth, population, financial development, inflation, and employment. We use the generalized system method of moment (SYS_GMM). Furthermore, the robustness of our empirical results is checked by using the different proxy variables of policy uncertainty. Our results confirm the negative effect of policy uncertainty on foreign direct investment inflows in 48 Asian countries. Our results show that foreign investment inflows are more sensitive than domestic investment. The influence of domestic and global uncertainty on inward FDI is greater than domestic investment. Furthermore, the interaction effect of financial development (FD) shows that FD does not affect mitigation of the negative impact of global economic policy uncertainty on foreign investment inflow. In contrast, FD mitigates the adverse effects of domestic policy uncertainty on foreign and domestic investment. The findings imply that policies need to be attractive, effective, and transparent to woo FDI to the emerging markets.

11.
The American Journal of Managed Care ; 2023.
Article in English | ProQuest Central | ID: covidwho-2295547

ABSTRACT

Objectives: To compare how in-person evaluation and management (E&M) visits and telehealth use differed during the COVID-19 pandemic between commercially insured and Medicaid enrollees, and to assess how insurance plan type—fee-for-service (FFS) vs managed care (MC)—and enrollee characteristics contributed to these differences. Study Design: Retrospective cohort analysis of 2019 and 2020 data from the commercially insured California Public Employees' Retirement System (CalPERS) and the California Medicaid program (Medi-Cal). Am J Manag Care. 2023;29(1):In Press _____ Takeaway Points * Increased use of telehealth during the COVID-19 pandemic has raised concerns about equitable access among lower-resourced populations, but few direct comparisons of telehealth use exist. * Compared with enrollees in a large, commercially insured managed care plan, Medicaid managed care enrollees had lower use of telehealth. * However, compared with enrollees in a large, commercially insured fee-for-service plan, Medicaid fee-for-service enrollees had higher use of telehealth. * Both insurer and plan type interact to affect uptake of telehealth, indicating heterogeneity that policy makers may wish to address when writing future telehealth policies. _____ The COVID-19 pandemic prompted a large shift to the provision of telehealth, due to benefits that include reduced risks of COVID-19 transmission and more convenient access to care. CalPERS enrollees select their insurance plan from several options, including a fully integrated health plan offered by Kaiser Permanente, several non-Kaiser health maintenance organization (HMO) plans, and preferred provider organization (PPO) plans.

12.
Economy Transdisciplinarity Cognition ; 25(2):5-15, 2022.
Article in English | ProQuest Central | ID: covidwho-2271832

ABSTRACT

Health is our fundamental right as citizens and, therefore, it must occupy a priority place in government programs. Despite the progress of recent years, Romania is still in the last places at the EU level in terms of the financing of the health system and its results. As a result, health financing is a priority even in the current period. Non-reimbursable financing, whether it is European funds or funds from the national budget, or other non-reimbursable sources, is the key to investments for the development and modernization of the health system. Ensuring a high degree of absorption of European funds dedicated to the health field in the period 2021-2027 and using these funds as an additional source of funding for the Romanian health system, represents a solution for investment in this field. Funds from the European Union can be used both for improving health, for faster recovery from the Covid-19 crisis, and for reducing health inequalities. The paper also includes a study on the contribution of funding from non-refundable funds to the modernization of the Moinesti Municipal Emergency Hospital, Bac&acaron;u County, a hospital that is in the top 10 nationally in terms of medical services. The focus is on the projects implemented over the years at the unit level and their impact on the medical activity.

13.
British Food Journal ; 124(11):3540-3562, 2022.
Article in English | ProQuest Central | ID: covidwho-2253692

ABSTRACT

PurposeThis study aims to identify and describe the relationships among different consumption values, anxiety and organic food purchase behaviour considering the moderating role of sustainable consumption attitude from the viewpoint of the theory of consumption values.Design/methodology/approachData were collected using a structured questionnaire survey in first-tier cities in China. A total of 344 consumers of organic foods participated in the study. Structural equation modelling and hierarchical regression analysis were employed for data analysis.FindingsThe results indicated the significant association of functional value-price, emotional value, social value and epistemic value with purchase behaviour. Anxiety had a positively significant influence on functional (quality), functional (price), emotional, social, conditional and epistemic values. In addition, the results indicated that functional (price), emotional, social and epistemic values played mediating effects in the relationships between anxiety and purchase behaviour. Moreover, sustainable consumption attitude had a positive moderating effect on functional value-price and purchase behaviour.Practical implicationsThe research not only provides novel and original insights for understanding organic consumption but also provides a reference for organic retailers to develop sales strategies and policymakers to formulate policies to guide organic consumption that are conducive to promoting sustainable consumption.Originality/valueFor the first time, this research attempts to explore the relationships among different consumption values, anxiety and purchase behaviour. It may improve the gap of inconsistency in attitude and behaviour in organic consumption, and provide a new perspective for the study of organic consumption.

14.
Sustainability ; 15(3):2719, 2023.
Article in English | ProQuest Central | ID: covidwho-2281142

ABSTRACT

Improving the cultural consumption level of rural residents is of great practical significance to help revitalize rural culture and achieve common prosperity. Based on this, this study empirically examines the role and impact mechanism of digital inclusive finance on enhancing the cultural consumption of rural residents using panel data of 30 provinces across China from 2011 to 2020. The results show that: (1) Digital inclusive finance can significantly improve the cultural consumption level of rural residents. After a robustness test and endogenous analysis, this conclusion is still stable. (2) Digital inclusive finance significantly improves the cultural consumption level of rural residents through three paths: raising the income level of farmers, promoting the level of urbanization, and improving the level of financial development. (3) Heterogeneity analysis shows that the breadth of digital inclusive financial coverage can significantly improve the cultural consumption level of rural residents, but the depth of digital inclusive financial use and the degree of digitization do not show an enhancing effect;the development of digital inclusive finance in the eastern area has a significant role in promoting the cultural consumption level of rural residents, but the role is not significant in the central and western areas.

15.
Environ Sci Pollut Res Int ; 30(21): 59212-59232, 2023 May.
Article in English | MEDLINE | ID: covidwho-2250115

ABSTRACT

The SARS-CoV-2 is a deceptive virus. Despite the remarkable progress in genetic sequencing and subsequent vaccine development, the world continues to grapple with the ominous threats of rapidly appearing SARS-CoV-2 variants. The objective of this manuscript is to rank world countries based on the anticipated scope of COVID-19 morbidity and mortality, measured in terms of prevalence per 1 million persons, from the lowest to the highest. The ranking of 162 countries is based on predictions of empirical models, which include three explanatory variables: hospital beds per thousand persons, population density, and the median age of the country's population. Referring to the COVID-19 scope of morbidity, the lowest likelihood of infection is obtained in Niger and Mali, where the dominant characteristic is the young median age (15.1-16.4 years). Referring to the COVID-19 scope of mortality, the lowest likelihood is obtained in Singapore. For Singapore, the dominant feature is the high population density. The optimal solution is intensive vaccination campaigns in the initial phase of the pandemic, particularly among countries with low GDP per capita. Yet, vaccinations may work only where the personal immune system is healthy and thus respond by creating antibodies to the SARS-CoV2 virus. Referring to populations that lack the natural protection of the healthy immune system and thus cannot be vaccinated (e.g., old people, cancer patients undergoing chemotherapy treatments), a complementary solution might be coordination between countries and the establishment of field hospitals, testing laboratories, isolation of areas, humanitarian aid-in the same manner of treatment in other disasters like earthquakes.


Subject(s)
COVID-19 , Humans , Adolescent , COVID-19/epidemiology , SARS-CoV-2 , RNA, Viral , Morbidity
16.
Soc Sci Humanit Open ; : 100378, 2022 Nov 30.
Article in English | MEDLINE | ID: covidwho-2275472

ABSTRACT

Covid 19 pandemic has severe implications on health and life of people. Asia being the most populous region has higher fatalities burden. Health infrastructure, stringent preventive measures by the government and public participation through adhering to social distancing have influence to check on fatalities' burden. The level of Social capital as well as voters' participation in a particular country can have influence on containment of COVID cases and fatalities. In this context, the main objectives of this study are to analyse pattern and trend of death burden for 45 Asian countries and impact of stringency measures by government, and voters' turnout ratio on death burden. However, for regression analysis only 32 countries are taken into account considering the availability of data for all variables. Multiple linear regression analysis is employed in a cross-sectional framework and Ordinary least square estimation technique with heteroscedastic adjusted standard errors have been used for estimation of coefficients. The results show that southern Asia contributes the highest share of fatality cases in total fatality cases of Asia with 71.43% share. It also has the highest share of confirmed cases in total confirmed cases of Asia with 71.72%. However, when we take the population into account, Western Asia leads in the share of confirmed COVID-19 cases and its associated fatality cases per million populations in Asia as compared to other Asian regions. The factors like health infrastructure and voters' turnover ratio are found to be significant and potential in reducing the new deaths per million populations. Though the coefficient of Stringency index has been negative and it did not emerge to be significant in Asian countries. The COVID related fatalities in Asian region are urban centric and urbanization proxy is found to be positive and significant. Diabetes prevalence rate has some heterogeneous result and in the present study its coefficient is not in the hypothesized direction. . The Countries should ramp up health infrastructure and necessary preparedness to deal with the subsequent waves and COVID related fatalities. Importance need to be given people's participation and their shared responsibilities in dealing with COVID cases and checking on fatalities. The realisation of social responsibility among the masses can lead to community participation and adhering to the protocols imposed by the government and helps in checking on spread of virus and associated death.

17.
J Mater Cycles Waste Manag ; : 1-14, 2022 Oct 21.
Article in English | MEDLINE | ID: covidwho-2246170

ABSTRACT

Based on the medical waste quantity and patient data during the corona virus disease 2019 (COVID-19) outbreak in China, this study used scenario analysis to quantitatively analyze the temporal and spatial evolution of medical waste generation during the pandemics. First, the results show that the estimated medical waste per capita reached 15.4 kg/day if only patients were considered in Scenario 1, while the figures were reduced to 3.2 kg/day in Scenario 2 and 2.5 kg/day in Scenario 3 when the effects of both the patient type and the number of medical staffs were considered. The estimated results also demonstrated that the per capita medical waste related to the epidemic showed the characteristics of a U-shaped and trailing phenomenon over time. Then, the amount of medical waste related to the COVID-19 generated that generated due to COVID-19 was estimated in Hubei, Heilongjiang, Zhejiang, Henan and Hunan provinces under Scenario 2 and Scenario 3. The results indicated that the spatiotemporal evolution characteristics of five provinces show the significant differences, and the patient type has a remarkable influence on the generation of medical waste. Finally, a novel decomposition-ensemble approach was designed to make a better short-term forecasting effect for future medical waste generation in different provinces. Supplementary Information: The online version contains supplementary material available at 10.1007/s10163-022-01523-5.

18.
Int J Environ Res Public Health ; 20(2)2023 Jan 05.
Article in English | MEDLINE | ID: covidwho-2232980

ABSTRACT

COVID-19 has changed the world since 2020, and the field of water specifically, boosting scientific productivity (in terms of published articles). This paper focuses on the influence of COVID-19 on scientific productivity with respect to four water variables: (i) wastewater, (ii) renewable water resources, (iii) freshwater withdrawal, and (iv) access to improved and safe drinking water. The field's literature was firstly reviewed, and then the maps were built, emphasizing the strong connections between COVID-19 and water-related variables. A total of 94 countries with publications that assess COVID-19 vs. water were considered and evaluated for how they clustered. The final step of the research shows that, on average, scientific productivity on the water topic was mostly conducted in countries with lower COVID-19 infection rates but higher development levels as represented by gross domestic product (GDP) per capita and the human development index (HDI). According to the statistical analysis, the water-related variables are highly significant, with positive coefficients. This validates that countries with higher water-related values conducted more research on the relationship with COVID-19. Wastewater and freshwater withdrawal had the highest impact on the scientific productivity with respect to COVID-19. Access to safe drinking water becomes insignificant in the presence of the development parameters.


Subject(s)
COVID-19 , Drinking Water , Humans , Wastewater , COVID-19/epidemiology , Publications , Gross Domestic Product
19.
Glob Health J ; 7(1): 18-23, 2023 Mar.
Article in English | MEDLINE | ID: covidwho-2236794

ABSTRACT

Background: Understanding and minimizing existing global coronavirus disease 2019 (COVID-19) vaccination disparities is critical to global population health and eliminating health inequities. The study aims to investigate the disparities of vaccination coverage and progression and the associated economic and educational determinants to inform global COVID-19 vaccination strategies. Methods: COVID-19 vaccination coverage data from 206 countries used in the study were derived from "Our World in Data" website. After obtaining the vaccination coverage indicators, we fitted the progression indicators for vaccination. Correlation and multiple linear regression analysis were used to examine the effects of gross domestic product (GDP) per capita, Gini index, education, and their interactions on the coverage and progression of the COVID-19 vaccination. Results: The coverage of COVID-19 vaccination ranged from less than 30 doses to more than 150 doses per hundred people, from less than 15% to more than 75% for proportion of people vaccinated, from less than 15% to more than 60% for proportion of people fully vaccinated. Similarly, the progression of vaccination ranged from less than 0.1 to more than 0.6 for progression of total number of doses, from less than 0.1 to more than 0.3 for progression of proportion of people vaccinated, and from less than 0.1 to more than 0.4 for progression of proportion of people fully vaccinated. GDP per capita and education were positively associated with the coverage and progression, while Gini index was negatively associated with the coverage and progression. Negative interaction between GDP per capita and education was also observed for coverage (ß = -0.012 to -0.011, P < 0.05) and progression (ß = -0.012 to -0.011, P < 0.05). Conclusions: Substantial geographic disparities existed for the coverage and progression of COVID-19 vaccination. Economy and education are two important factors contributing to the disparities. Different countries may adopt varied strategies to promote the national distribution and vaccination of COVID-19 vaccines.

20.
Clin Infect Dis ; 2022 Jun 24.
Article in English | MEDLINE | ID: covidwho-2228914

ABSTRACT

BACKGROUND: COVID-19 testing is a critical component of public health surveillance and pandemic control, especially among the unvaccinated, as the nation resumes in-person activities.This study examined the relationships between COVID-19 testing rates, testing positivity rates and vaccination coverage across US counties. METHODS: Data from the Health and Human Services' Community Profile Report and 2016-2020 American Community Survey 5-Year Estimates were used. 3,114 US counties were analyzed from January through September 2021. Associations among the testing metrics and vaccination coverage were estimated using multiple linear regression models with fixed effects for states and adjusted for county demographics. COVID-19 testing rates (PCR testing per 1,000), testing positivity (percentage of all PCR tests that were positive), and vaccination coverage (percentage county population that was fully vaccinated). RESULTS: Nationally, median daily COVID-19 testing rates were highest in January and September (35.5 and 34.6 tests per capita, respectively) and lowest in July (13.2 tests per capita). Monthly testing positivity was between 0.03 and 0.12 percentage points (pp) lower for each pp of vaccination coverage, and monthly testing rates were between 0.08 and 0.22 tests per capita higher for each pp of vaccination coverage. CONCLUSIONS: The quantity of COVID-19 testing was associated with vaccination coverage, implying counties having populations with relatively lower protection against the virus are conducting less testing than counties with relatively more protection. Monitoring testing practices in relation to vaccination coverage may be used to monitor the sufficiency of COVID-19 testing based on population susceptibility to the virus.

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