A tale of lockdown policies on the transmission of COVID-19 within and between Chinese cities: A study based on heterogeneous treatment effect

IF 2.2 3区 医学 Q2 ECONOMICS Economics & Human Biology Pub Date : 2024-02-05 DOI:10.1016/j.ehb.2024.101365
Jingjing Li , Chu Zhuang , Wei Zou
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Abstract

During the early outbreak phase of COVID-19 in China, lockdowns prevailed as the only available policy tools to mitigate the spread of infection. To evaluate the impact of lockdown policies in the context of the first phase of COVID-19 pandemic, we leverage data on daily confirmed cases per million people and related characteristics of a large set of cities. The study analyzed 369 Chinese cities, among which 188 implemented lockdowns of varying severity levels from January 23 to March 31, 2020. We use nationwide Baidu Mobility data to estimate the impact of lockdown policies on mitigating COVID-19 cases through reducing human mobility. We adopt a heterogeneous treatment effect model to quantify the effect of lockdown policies on containing confirmed case counts. Our results suggest that lockdowns substantially reduced human mobility, and larger reduction in mobility occurred within-city compared to between-city. The COVID-19 daily confirmed cases per million people decreased by 9% - 9.2% for every ten-percentage point fall in within-city travel intensity in t+7 timeframe. We also find that one city’s lockdowns can effectively reduce the spillover cases of the traveler’s destination cities. We find no evidence that stricter lockdowns are more effective at mitigating COVID-19 risks. Our findings provide practical insights about the effectiveness of NPI during the early outbreak phase of the unprecedented pandemic.

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封锁政策对 COVID-19 在中国城市内部和城市之间传播的影响:基于异质性治疗效果的研究。
在 COVID-19 在中国的早期爆发阶段,封锁是缓解感染传播的唯一可用政策工具。为了评估封锁政策在 COVID-19 大流行第一阶段的影响,我们利用了大量城市的每日每百万人确诊病例数据和相关特征。研究分析了中国 369 个城市,其中 188 个城市在 2020 年 1 月 23 日至 3 月 31 日期间实施了不同严重程度的封锁。我们使用全国范围内的百度移动数据来估算封锁政策对通过减少人员流动来减轻 COVID-19 病例的影响。我们采用异质性处理效应模型来量化封锁政策对控制确诊病例数的影响。我们的结果表明,封锁大大减少了人员流动,而且城市内流动的减少幅度大于城市间流动的减少幅度。在 t+7 时间段内,每百万人中 COVID-19 每日确诊病例数每下降 10 个百分点,就会减少 9% - 9.2%。我们还发现,一个城市的封锁可以有效减少旅行者目的地城市的外溢病例。我们没有发现证据表明更严格的封锁能更有效地降低 COVID-19 风险。我们的研究结果为在史无前例的大流行病早期爆发阶段 NPI 的有效性提供了切实可行的见解。
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来源期刊
Economics & Human Biology
Economics & Human Biology 医学-公共卫生、环境卫生与职业卫生
CiteScore
4.50
自引率
12.00%
发文量
85
审稿时长
61 days
期刊介绍: Economics and Human Biology is devoted to the exploration of the effect of socio-economic processes on human beings as biological organisms. Research covered in this (quarterly) interdisciplinary journal is not bound by temporal or geographic limitations.
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