Church Closings Were Associated with Higher COVID-19 Infection Rates: Implications for Community Health Equity.

IF 4.3 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL Journal of Urban Health-Bulletin of the New York Academy of Medicine Pub Date : 2023-12-01 Epub Date: 2023-11-21 DOI:10.1007/s11524-023-00791-2
Yusuf Ransome, Hui Luan, Insang Song, Dustin T Duncan
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Abstract

This study investigates the changes in physical church closings years 2013 to 2019 in New York City (NYC), Philadelphia, and Baltimore and the association with COVID-19 infection rates. We applied Bayesian spatial binomial models to analyze confirmed cases of COVID-19 as of February 28, 2022, in each city at the zip code-level. A one unit increase in the number of churches closed corresponded to a 5% higher COVID-19 infection rate, in NYC (rate ratio = 1.05, 95% credible interval = 1.02-1.08%), where the association was significant. Church closings appears to be an important indicator of neighborhood social vulnerability. Church closings should be routinely monitored as a structural determinant of community health and to advance health equity.

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教堂关闭与更高的COVID-19感染率有关:对社区卫生公平的影响
本研究调查了2013年至2019年纽约市、费城和巴尔的摩实体教堂关闭的变化及其与COVID-19感染率的关系。我们应用贝叶斯空间二项模型对截至2022年2月28日的每个城市的新冠肺炎确诊病例进行了邮政编码级别的分析。在纽约市,关闭的教堂数量每增加一个单位,COVID-19感染率就会增加5%(比率比= 1.05,95%可信区间= 1.02-1.08%),两者之间的关联是显著的。教堂关闭似乎是社区社会脆弱性的一个重要指标。应定期监测教堂的关闭,将其作为社区卫生的结构性决定因素,并促进卫生公平。
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来源期刊
Journal of Urban Health-Bulletin of the New York Academy of Medicine
Journal of Urban Health-Bulletin of the New York Academy of Medicine 医学-公共卫生、环境卫生与职业卫生
CiteScore
9.10
自引率
3.00%
发文量
105
审稿时长
6-12 weeks
期刊介绍: The Journal of Urban Health is the premier and authoritative source of rigorous analyses to advance the health and well-being of people in cities. The Journal provides a platform for interdisciplinary exploration of the evidence base for the broader determinants of health and health inequities needed to strengthen policies, programs, and governance for urban health. The Journal publishes original data, case studies, commentaries, book reviews, executive summaries of selected reports, and proceedings from important global meetings. It welcomes submissions presenting new analytic methods, including systems science approaches to urban problem solving. Finally, the Journal provides a forum linking scholars, practitioners, civil society, and policy makers from the multiple sectors that can influence the health of urban populations.
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