Association of COVID-19 mortality with politics and on-demand testing in 217 U.S. counties

Abstract Background Previous research found increased COVID-19 spread associated with politics and on-demand testing but not in the same study. The objective of this study is to estimate the contribution of each corrected for the other and a variety of known risk factors. Methods Using data from 217...

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Autor principal:	Leon S. Robertson
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	COVID testing COVID politics COVID mortality COVID risk factors Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/8bb319f0faa2498687df3a8b18f2f587
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spelling	oai:doaj.org-article:8bb319f0faa2498687df3a8b18f2f5872021-12-05T12:09:27ZAssociation of COVID-19 mortality with politics and on-demand testing in 217 U.S. counties10.1186/s12889-021-12063-21471-2458https://doaj.org/article/8bb319f0faa2498687df3a8b18f2f5872021-12-01T00:00:00Zhttps://doi.org/10.1186/s12889-021-12063-2https://doaj.org/toc/1471-2458Abstract Background Previous research found increased COVID-19 spread associated with politics and on-demand testing but not in the same study. The objective of this study is to estimate the contribution of each corrected for the other and a variety of known risk factors. Methods Using data from 217 U.S. counties of more than 50,000 population where testing data were available in April, 2021, the associations of COVID-19 deaths with politics, testing and other risk factors were examined by Poisson and least squares regression. Results Statistical controls for 15 risk factors failed to eliminate the association of COVID mortality risk with percent of vote for Donald Trump in 2016 or negative tests per population. Each is independently predictive of increased mortality. Conclusion Apparently, many people who test negative for the SARS-CoV-2 virus engage in activities that increase their risk, a problem likely to increase with the availability of home tests. There is no association of negative tests with the Trump vote but, according to polling data, Trump voters’ past resistance to public health recommendations has been extended to resistance to being vaccinated, threatening the goal of herd immunity.Leon S. RobertsonBMCarticleCOVID testingCOVID politicsCOVID mortalityCOVID risk factorsPublic aspects of medicineRA1-1270ENBMC Public Health, Vol 21, Iss 1, Pp 1-6 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	COVID testing COVID politics COVID mortality COVID risk factors Public aspects of medicine RA1-1270
spellingShingle	COVID testing COVID politics COVID mortality COVID risk factors Public aspects of medicine RA1-1270 Leon S. Robertson Association of COVID-19 mortality with politics and on-demand testing in 217 U.S. counties
description	Abstract Background Previous research found increased COVID-19 spread associated with politics and on-demand testing but not in the same study. The objective of this study is to estimate the contribution of each corrected for the other and a variety of known risk factors. Methods Using data from 217 U.S. counties of more than 50,000 population where testing data were available in April, 2021, the associations of COVID-19 deaths with politics, testing and other risk factors were examined by Poisson and least squares regression. Results Statistical controls for 15 risk factors failed to eliminate the association of COVID mortality risk with percent of vote for Donald Trump in 2016 or negative tests per population. Each is independently predictive of increased mortality. Conclusion Apparently, many people who test negative for the SARS-CoV-2 virus engage in activities that increase their risk, a problem likely to increase with the availability of home tests. There is no association of negative tests with the Trump vote but, according to polling data, Trump voters’ past resistance to public health recommendations has been extended to resistance to being vaccinated, threatening the goal of herd immunity.
format	article
author	Leon S. Robertson
author_facet	Leon S. Robertson
author_sort	Leon S. Robertson
title	Association of COVID-19 mortality with politics and on-demand testing in 217 U.S. counties
title_short	Association of COVID-19 mortality with politics and on-demand testing in 217 U.S. counties
title_full	Association of COVID-19 mortality with politics and on-demand testing in 217 U.S. counties
title_fullStr	Association of COVID-19 mortality with politics and on-demand testing in 217 U.S. counties
title_full_unstemmed	Association of COVID-19 mortality with politics and on-demand testing in 217 U.S. counties
title_sort	association of covid-19 mortality with politics and on-demand testing in 217 u.s. counties
publisher	BMC
publishDate	2021
url	https://doaj.org/article/8bb319f0faa2498687df3a8b18f2f587
work_keys_str_mv	AT leonsrobertson associationofcovid19mortalitywithpoliticsandondemandtestingin217uscounties
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Association of COVID-19 mortality with politics and on-demand testing in 217 U.S. counties

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