Risk factors for increased COVID-19 case-fatality in the United States: A county-level analysis during the first wave

Jess A. Millar, Hanh Dung N. Dao, Marianne E. Stefopulos, Camila G. Estevam, Katharine Fagan-Garcia, Diana H. Taft, Christopher Park, Amaal Alruwaily, Angel N. Desai, Maimuna S. Majumder, Wen-Jun Tu
2021 PLoS ONE  
The ongoing COVID-19 pandemic is causing significant morbidity and mortality across the US. In this ecological study, we identified county-level variables associated with the COVID-19 case-fatality rate (CFR) using publicly available datasets and a negative binomial generalized linear model. Variables associated with decreased CFR included a greater number of hospitals per 10,000 people, banning religious gatherings, a higher percentage of people living in mobile homes, and a higher percentage
more » ... f uninsured people. Variables associated with increased CFR included a higher percentage of the population over age 65, a higher percentage of Black or African Americans, a higher asthma prevalence, and a greater number of hospitals in a county. By identifying factors that are associated with COVID-19 CFR in US counties, we hope to help officials target public health interventions and healthcare resources to locations that are at increased risk of COVID-19 fatalities.
doi:10.1371/journal.pone.0258308 pmid:34648525 fatcat:f7zdhqszxvaebkaxwbsir2penm