Abstract:
INTRODUCTION:Previously estimated effects of social distancing do not account for changes in individual behavior before the implementation of stay-at-home policies or model this behavior in relation to the burden of disease. This study aims to assess the asynchrony between individual behavior and government stay-at-home orders, quantify the true impact of social distancing using mobility data, and explore the sociodemographic variables linked to variation in social distancing practices. METHODS:This study was a retrospective investigation that leveraged mobility data to quantify the time to behavioral change in relation to the initial presence of COVID-19 and the implementation of government stay-at-home orders. The impact of social distancing that accounts for both individual behavior and testing data was calculated using generalized mixed models. The role of sociodemographics in accounting for variation in social distancing behavior was modeled using a 10-fold cross-validated elastic net (linear machine learning model). Analysis was conducted in April‒July 2020. RESULTS:Across all the 1,124 counties included in this analysis, individuals began to socially distance at a median of 5 days (IQR=3-8) after 10 cumulative cases of COVID-19 were confirmed in their state, with state governments taking a median of 15 days (IQR=12-19) to enact stay-at-home orders. Overall, people began social distancing at a median of 12 days (IQR=8-17) before their state enacted stay-at-home orders. Of the 16 studies included in the review, 13 exclusively used government dates as a proxy for social distancing behavior, and none accounted for both testing and mobility. Using government stay-at-home dates as a proxy for social distancing (10.2% decrease in the number of daily cases) accounted for only 55% of the true impact of the intervention when compared with estimates using mobility (18.6% reduction). Using 10-fold cross-validation, 23 of 43 sociodemographic variables were significantly and independently predictive of variation in individual social distancing, with delays corresponding to an increase in a county's proportion of people without a high school diploma and proportion of racial and ethnic minorities. CONCLUSIONS:This retrospective analysis of mobility patterns found that social distancing behavior occurred well before the onset of government stay-at-home dates. This asynchrony leads to the underestimation of the impact of social distancing. Sociodemographic characteristics associated with delays in social distancing can help explain the disproportionate case burden and mortality among vulnerable communities.
journal_name
Am J Prev Medjournal_title
American journal of preventive medicineauthors
Abdalla M,Abar A,Beiter ER,Saad Mdoi
10.1016/j.amepre.2020.10.012subject
Has Abstractpub_date
2020-11-13 00:00:00eissn
0749-3797issn
1873-2607pii
S0749-3797(20)30472-4pub_type
杂志文章abstract:BACKGROUND:Since 2006-2007, education agencies (e.g., school districts) participating in U.S. federal meal programs are required to have wellness policies. To date, this is the only federal policy that addresses foods and beverages sold outside of school meals (in competitive venues). PURPOSE:To examine the extent to ...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2013.03.015
更新日期:2013-08-01 00:00:00
abstract::A questionnaire was sent in 1988 to all sites conducting mammographic studies registered with the radiologic licensing division of the West Virginia State Department of Health Laboratory Services to determine the number of women served and the costs of the procedures. The number of sites, 61, appears excessive in view...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:
更新日期:1993-05-01 00:00:00
abstract:BACKGROUND:A substantial challenge in addressing adolescent tobacco use is that smoking behaviors occur in complex environments that involve the school setting and larger community context. PURPOSE:This study provides an integrated description of factors from the school and community environment that affect youth smok...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2010.08.019
更新日期:2010-12-01 00:00:00
abstract:BACKGROUND:Although the majority of smokers initiate smoking during their teenage years, significant rates of initiation occur among young adults. Adolescents are more price sensitive than adults, but little is known about the impact of tobacco taxation on smoking initiation among young adults. Using a longitudinal des...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2006.02.001
更新日期:2006-06-01 00:00:00
abstract::Because the instruments used to measure current practices among primary care physicians in a broad range of prevention activities are limited, we developed a study to test a tool that would evaluate current prevention knowledge and applications, including items regarding activities to prevent AIDS and other sexually t...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:
更新日期:1991-05-01 00:00:00
abstract:INTRODUCTION:This study sought to determine the association between changes in state-level beer excise tax and firearm homicide rates among individuals aged 15-34years. METHODS:A time series analysis with synthetic controls was conducted for the years 2003-2015. Exposed states changed the beer excise tax during the st...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2019.01.009
更新日期:2019-05-01 00:00:00
abstract:BACKGROUND:The Council of State and Territorial Epidemiologists (CSTE) implemented the Applied Epidemiology Fellowship (AEF) in 2003 to train public health professionals in applied epidemiology and strengthen applied epidemiology capacity within public health institutions to address the identified challenges. The CSTE ...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2014.07.022
更新日期:2014-11-01 00:00:00
abstract:OBJECTIVES:To estimate the number of visits coded as general medical or gynecologic examinations (GMGEs) per 100 nonpregnant women aged > or = 18 years per year, to examine the content of the services provided during those examinations, to examine the degree of agreement between the patient's stated reason for visits a...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/s0749-3797(01)00366-x
更新日期:2001-11-01 00:00:00
abstract::Although the need for universal and better health education has been recognized, no nationwide comprehensive program has been established. Consequently, we are proposing founding a national program of statewide health education networks, comparable in some ways to the Cooperative Extension Services of Land-Grant and S...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:
更新日期:1985-09-01 00:00:00
abstract::To determine the incidence of a particular phenomenon, one has to know how that phenomenon is defined. The term "shaken baby syndrome" (SBS) came into general usage in the 1980s, followed by shaken impact syndrome (SIS), inflicted childhood neurotrauma, abusive head trauma (AHT), inflicted traumatic brain injury (infl...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2007.11.005
更新日期:2008-04-01 00:00:00
abstract:BACKGROUND:Prior national surveys capture smoking behaviors of the aggregated U.S. Hispanic/Latino population, possibly obscuring subgroup variation. PURPOSE:To describe cigarette use among Hispanic/Latino adults across subgroups of age, gender, national background, SES, birthplace, and degree of acculturation to the ...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2014.01.014
更新日期:2014-05-01 00:00:00
abstract:INTRODUCTION:This study examines the frequency, associated factors, and characteristics of healthcare personnel coronavirus disease 2019 cases in a healthcare department that comprises a tertiary hospital and its associated 12 primary healthcare centers. METHODS:This study included healthcare personnel that showed sym...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2020.07.014
更新日期:2020-12-01 00:00:00
abstract:BACKGROUND:Physicians have limited time for weight-loss counseling, and there is a lack of resources to which they can refer patients for assistance with weight loss. Weight-loss mobile applications (apps) have the potential to be a helpful tool, but the extent to which they include the behavioral strategies included i...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2013.04.025
更新日期:2013-11-01 00:00:00
abstract:BACKGROUND:Pentavalent rotavirus vaccine (RV5) was recommended for routine use in 2006 followed by monovalent rotavirus vaccine (RV1) in 2008. PURPOSE:To describe, among a U.S. sample of pediatricians (n=289 respondents) and family medicine physicians (n=243 respondents), (1) current practices regarding rotavirus vacc...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2012.10.001
更新日期:2013-01-01 00:00:00
abstract:INTRODUCTION:States in the Mid-South region are among the least healthy in the nation. This descriptive study examines sociodemographic differences in the distribution of chronic diseases and health-related behaviors in the Mid-South versus the rest of the U.S., identifying subgroups at increased risk of chronic diseas...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2016.09.004
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:Most research regarding the perpetration of occupational homicide has focused on robbery-related violence; relatively little is known about the circumstances surrounding non-robbery-related occupational homicides and interventions that may prevent these events. A case series was assembled and utilized to exa...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2009.03.013
更新日期:2009-07-01 00:00:00
abstract:BACKGROUND:Little is known about health and health behavior differences among military service veterans, active duty service members, National Guard/Reserve members, and civilians. Several important differences were identified among U.S. women from these subpopulations; to identify areas for targeted intervention, stud...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2012.07.029
更新日期:2012-11-01 00:00:00
abstract:BACKGROUND:Prior research has shown a high prevalence of sexual violence against women with disabilities. However, no previous population-based studies have examined such victimization against men with disabilities. PURPOSE:The purpose of this paper is to document the prevalence of lifetime and past-year sexual violen...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2011.07.014
更新日期:2011-11-01 00:00:00
abstract:BACKGROUND:Approximately 1% of U.S. women may have an undiagnosed bleeding disorder, which can diminish quality of life and lead to life-threatening complications during menstruation, childbirth, and surgery. PURPOSE:To understand young women's knowledge, attitudes, and perceptions about bleeding disorders and determi...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2014.07.040
更新日期:2014-11-01 00:00:00
abstract:BACKGROUND:Drug users are at increased risk for latent tuberculosis infection (LTBI) and also at increased risk for noncompletion of medication regimens for treatment of LTBI or tuberculosis disease. Directly observed therapy (DOT) provided by outreach workers, the use of incentives, or both have been suggested as a me...
journal_title:American journal of preventive medicine
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/s0749-3797(00)00283-x
更新日期:2001-02-01 00:00:00
abstract::Epidemiology, as the core science underpinning public health, encompasses methods and concepts that are fundamental to understanding health-related information and health policy. Thus, understanding these concepts would enhance the lay public's ability to make informed decisions with respect to health and prevention, ...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2008.06.007
更新日期:2008-09-01 00:00:00
abstract:BACKGROUND:This study assessed the extent to which 20 large jail systems have implemented national recommendations for tuberculosis (TB) prevention and control in correctional facilities. METHODS:Data were collected through questionnaires to jail medical directors and TB control directors, observation at the jails, an...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2005.10.018
更新日期:2006-02-01 00:00:00
abstract:INTRODUCTION:In basic combat training, women experience twice as many injuries as men; however, evidence at the operational Army level is limited. This study aims to investigate the association between gender and injury likelihood while controlling for certain confounding factors in the operational Army. METHODS:Data ...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2016.11.012
更新日期:2017-05-01 00:00:00
abstract:BACKGROUND:Developing effective programs to promote colorectal cancer (CRC) screening requires understanding of the effect of healthcare system factors on access to screening and adherence to guidelines. METHODS:This study assessed the role of insurance status, type of plan, the frequency of preventive health visits, ...
journal_title:American journal of preventive medicine
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/s0749-3797(02)00444-0
更新日期:2002-07-01 00:00:00
abstract::The Robert Wood Johnson Foundation Commission to Build a Healthier America was charged to identify strategies beyond medical care to address health disparities in the U.S. related to social and economic disadvantage. Based on insights gained while providing scientific support for the commission's efforts, this paper p...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2010.09.026
更新日期:2011-01-01 00:00:00
abstract:BACKGROUND:New Mexico has the highest rate of drug-induced mortality in the United States. The contribution of prescription drugs to the total overdose death rate has not been adequately described. METHODS:A total of 1,906 unintentional drug overdose deaths occurring in 1994 to 2003 in New Mexico were analyzed. Uninte...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2005.12.011
更新日期:2006-05-01 00:00:00
abstract:CONTEXT:The risk of chronic kidney disease (CKD) in the U.S. is higher in individuals with low SES than in those with high SES. However, differences in these risks between African Americans and whites are unclear. EVIDENCE ACQUISITION:Studies published through August 30, 2016 in Medline and EMBASE were searched. From ...
journal_title:American journal of preventive medicine
pub_type: 杂志文章,meta分析,评审
doi:10.1016/j.amepre.2017.06.036
更新日期:2017-11-01 00:00:00
abstract:BACKGROUND:Mortality differentials by level and intensity of physical activity have been widely documented. A comprehensive review of scientific evidence of the health benefits of physical activity led the USDHHS to issue new Federal Guidelines for physical activity in 2008. Reductions in mortality risk associated with...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2010.12.029
更新日期:2011-05-01 00:00:00
abstract:BACKGROUND:Childhood obesity is a major risk factor for adult obesity, and obese children tend to be taller than their normal-weight peers. PURPOSE:The aim of this study is to evaluate whether childhood height influences the probability that normal or overweight children become overweight young adults. METHODS:The st...
journal_title:American journal of preventive medicine
pub_type: 杂志文章,多中心研究
doi:10.1016/j.amepre.2009.09.033
更新日期:2010-01-01 00:00:00
abstract:BACKGROUND:Unintentional poisoning deaths have been increasing dramatically over the past decade, and the majority of this increase has resulted from overdoses of specific prescription drugs. Despite this trend, there are limited existing data examining hospitalizations for poisonings, both unintentional and intentiona...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2010.01.022
更新日期:2010-05-01 00:00:00