Urban-Rural Disparities for COVID-19: Evidence from 10 Countries and Areas in the Western Pacific.

Health data science Pub Date : 2021-06-18 eCollection Date: 2021-01-01 DOI:10.34133/2021/9790275
Minah Park, Jue Tao Lim, Lin Wang, Alex R Cook, Borame L Dickens
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引用次数: 10

Abstract

Background: Limited evidence on the effectiveness of various types of social distancing measures, from voluntary physical distancing to a community-wide quarantine, exists for the Western Pacific Region (WPR) which has large urban and rural populations.

Methods: We estimated the time-varying reproduction number (R t ) in a Bayesian framework using district-level mobility data provided by Facebook (i) to assess how various social distancing policies have contributed to the reduction in transmissibility of SARS-COV-2 and (ii) to examine within-country variations in behavioural responses, quantified by reductions in mobility, for urban and rural areas.

Results: Social distancing measures were largely effective in reducing transmissibility, with R t estimates decreased to around the threshold of 1. Within-country analysis showed substantial variation in public compliance across regions. Reductions in mobility were significantly lower in rural and remote areas than in urban areas and metropolitan cities (p < 0.001) which had the same scale of social distancing orders in place.

Conclusions: Our findings provide empirical evidence that public compliance and consequent intervention effectiveness differ between urban and rural areas in the WPR. Further work is required to ascertain the factors affecting these differing behavioural responses, which can assist in policy-making efforts and increase public compliance in rural areas where populations are older and have poorer access to healthcare.

COVID-19的城乡差异:来自西太平洋10个国家和地区的证据
背景:对于拥有大量城市和农村人口的西太平洋区域(WPR),关于从自愿保持身体距离到社区范围隔离等各种社会距离措施有效性的证据有限。方法:我们使用Facebook提供的区级流动性数据,在贝叶斯框架中估计了时变繁殖数(R t),以(i)评估各种社会距离政策如何有助于降低SARS-COV-2的传播性;(ii)检查城市和农村地区行为反应的国内差异,并通过流动性减少进行量化。结果:社会距离措施在很大程度上有效降低了传播性,估计的rt降至1左右。国内分析显示,各区域的公众遵守情况存在很大差异。农村和偏远地区的流动性减少明显低于城市地区和大城市(p < 0.001),后者具有相同的社会距离秩序规模。结论:我们的研究结果提供了实证证据,表明城市和农村地区在WPR中的公众依从性和随之而来的干预效果存在差异。需要开展进一步的工作,以确定影响这些不同行为反应的因素,从而有助于制定政策的努力,并提高农村地区人口老龄化和获得医疗保健的机会较少的公众的依从性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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CiteScore
3.70
自引率
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