Associations Between State Public Health Agency Structure and Pace and Extent of Implementation of Social Distancing Control Measures.
J Public Health Manag Pract
; 27(3): 299-304, 2021.
Article
in English
| MEDLINE | ID: covidwho-831819
ABSTRACT
OBJECTIVE:
To assess associations between state public health agency governance and timing and extent of implementation of social distancing control measures during COVID-19 response.DESIGN:
State public health agencies were stratified by governance, and data on timing and extent of social distancing were collected from the Institute for Health Metrics and Evaluation. Multinomial logistic regression and time-to-event analyses were conducted to quantify impacts of governance structure on timing and extent of social distancing.SETTING:
State health departments in the United States.RESULTS:
States operating under centralized public health governance structures enacted social distancing 4 days after decentralized states and had a 73% reduced likelihood of enacting a social distancing policy (hazard ratio = 0.27; 95% CI, 0.08 to 0.86).CONCLUSION:
State health department governance structure may have implications on timing and extent of social distancing control measures implemented during a public health emergency.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Public Health Administration
/
State Government
/
Quarantine
/
Physical Distancing
/
COVID-19
/
Government Agencies
Type of study:
Experimental Studies
/
Observational study
Limits:
Humans
Country/Region as subject:
North America
Language:
English
Journal:
J Public Health Manag Pract
Journal subject:
Public Health
/
Health Services
Year:
2021
Document Type:
Article
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