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1.
Preprint em Inglês | medRxiv | ID: ppmedrxiv-21258971

RESUMO

This study examines how social determinants associated with COVID-19 mortality change over time. Using US county-level data from July 5 and December 28, 2020, the effect of 19 high-risk factors on COVID-19 mortality rate was quantified at each time point with negative binomial mixed models. Then, these high-risk factors were used as controls in two association studies between 40 social determinants and COVID-19 mortality rates using data from the same time points. The results indicate that counties with certain ethnic minorities and age groups, immigrants, prevalence of diseases like pediatric asthma and diabetes and cardiovascular disease, socioeconomic inequalities, and higher social association are associated with increased COVID-19 mortality rates. Meanwhile, more mental health providers, access to exercise, higher income, chronic lung disease in adults, suicide, and excessive drinking are associated with decreased mortality. Our temporal analysis also reveals a possible decreasing impact of socioeconomic disadvantage and air quality, and an increasing effect of factors like age, which suggests that public health policies may have been effective in protecting disadvantaged populations over time or that analysis utilizing earlier data may have exaggerated certain effects. Overall, we continue to recognize that social inequality still places disadvantaged groups at risk, and we identify possible relationships between lung disease, mental health, and COVID-19 that need to be explored on a clinical level. CCS CONCEPTSO_LIApplied computing [->] Health informatics. C_LI

2.
Preprint em Inglês | medRxiv | ID: ppmedrxiv-20183863

RESUMO

In this exploratory study, we scrutinize a database of over one million tweets collected from March to July 2020 to illustrate public attitudes towards mask usage during the COVID-19 pandemic. We employ natural language processing, clustering and sentiment analysis techniques to organize tweets relating to mask-wearing into high-level themes, then relay narratives for each theme using automatic text summarization. In recent months, a body of literature has highlighted the robustness of trends in online activity as proxies for the sociological impact of COVID-19. We find that topic clustering based on mask-related Twitter data offers revealing insights into societal perceptions of COVID-19 and techniques for its prevention. We observe that the volume and polarity of mask-related tweets has greatly increased. Importantly, the analysis pipeline presented may be leveraged by the health community for qualitative assessment of public response to health intervention techniques in real time.

3.
Preprint em Inglês | medRxiv | ID: ppmedrxiv-20183848

RESUMO

This study examines social determinants associated with disparities in COVID-19 mortality rates in the United States. Using county-level data, 42 negative binomial mixed models were used to evaluate the impact of social determinants on COVID-19 outcome. First, to identify proper controls, the effect of 24 high-risk factors on COVID-19 mortality rate was quantified. Then, the high-risk terms found to be significant were controlled for in an association study between 41 social determinants and COVID-19 mortality rates. The results describe that ethnic minorities, immigrants, socioeconomic inequalities, and early exposure to COVID-19 are associated with increased COVID-19 mortality, while the prevalence of asthma, suicide, and excessive drinking is associated with decreased mortality. Overall, we recognize that social inequality places disadvantaged groups at risk, which must be addressed through future policies and programs. Additionally, we reveal possible relationships between lung disease, mental health, and COVID-19 that need to be explored on a clinical level.

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