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  1. Article ; Online: A population level study on the determinants of COVID-19 vaccination rates at the U.S. county level.

    Dong, Ensheng / Nixon, Kristen / Gardner, Lauren M

    Scientific reports

    2024  Volume 14, Issue 1, Page(s) 4277

    Abstract: Multiple COVID-19 vaccines were proven to be safe and effective in curbing severe illness, but despite vaccine availability, vaccination rates were relatively low in the United States (U.S.). To better understand factors associated with low COVID-19 ... ...

    Abstract Multiple COVID-19 vaccines were proven to be safe and effective in curbing severe illness, but despite vaccine availability, vaccination rates were relatively low in the United States (U.S.). To better understand factors associated with low COVID-19 vaccine uptake in the U.S., our study provides a comprehensive, data-driven population-level statistical analysis at the county level. We find that political affiliation, as determined by the proportion of votes received by the Republican candidate in the 2020 presidential election, has the strongest association with our response variable, the percent of the population that received no COVID-19 vaccine. The next strongest association was median household income, which has a negative association. The percentage of Black people and the average number of vehicles per household are positively associated with the percent unvaccinated. In contrast, COVID-19 infection rate, percentage of Latinx people, postsecondary education percentage, median age, and prior non-COVID-19 childhood vaccination coverage are negatively associated with percent unvaccinated. Unlike previous studies, we do not find significant relationships between cable TV news viewership or Twitter misinformation variables with COVID-19 vaccine uptake. These results shed light on some factors that may impact vaccination choice in the U.S. and can be used to target specific populations for educational outreach and vaccine campaign strategies in efforts to increase vaccination uptake.
    MeSH term(s) Humans ; COVID-19 Vaccines ; COVID-19/epidemiology ; COVID-19/prevention & control ; Vaccination ; Biological Transport ; Educational Status
    Chemical Substances COVID-19 Vaccines
    Language English
    Publishing date 2024-02-21
    Publishing country England
    Document type Journal Article
    ZDB-ID 2615211-3
    ISSN 2045-2322 ; 2045-2322
    ISSN (online) 2045-2322
    ISSN 2045-2322
    DOI 10.1038/s41598-024-54441-x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: A Population Level Study on the Determinants of COVID-19 Vaccine Hesitancy at the U.S. County Level

    Dong, Ensheng / Nixon, Kristen / Gardner, Lauren Marie

    medRxiv

    Abstract: Multiple COVID-19 vaccines were proven to be safe and effective in curbing severe illness, but despite vaccine availability, uptake rates were relatively low in the United States (U.S.), primarily due to vaccine hesitancy. To better understand factors ... ...

    Abstract Multiple COVID-19 vaccines were proven to be safe and effective in curbing severe illness, but despite vaccine availability, uptake rates were relatively low in the United States (U.S.), primarily due to vaccine hesitancy. To better understand factors associated with COVID-19 vaccine hesitancy in the U.S., our study provides a comprehensive, data-driven population-level statistical analysis at the county level. We find that political affiliation, as determined by the proportion of votes received by the Republican candidate in the 2020 presidential election, has the strongest association with COVID-19 vaccine hesitancy. The next strongest association was median household income, which has a negative association. The percentage of Black people and the average number of vehicles per household are also positively associated with vaccine hesitancy. In contrast, COVID-19 infection rate, percentage of Hispanic people, postsecondary education percentage, median age, and prior non-COVID-19 childhood vaccination coverage are other factors negatively associated with vaccine hesitancy. Unlike previous studies, we do not find significant relationships between cable TV news viewership or Twitter misinformation variables with COVID-19 vaccine hesitancy. These results shed light on some factors that may impact vaccination choice in the U.S. and can be used to target specific populations for educational outreach and vaccine campaign strategies in efforts to reduce vaccine hesitancy.
    Keywords covid19
    Language English
    Publishing date 2023-07-13
    Publisher Cold Spring Harbor Laboratory Press
    Document type Article ; Online
    DOI 10.1101/2023.07.12.23292582
    Database COVID19

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  3. Article ; Online: Incorporating variant frequencies data into short-term forecasting for COVID-19 cases and deaths in the USA: a deep learning approach.

    Du, Hongru / Dong, Ensheng / Badr, Hamada S / Petrone, Mary E / Grubaugh, Nathan D / Gardner, Lauren M

    EBioMedicine

    2023  Volume 89, Page(s) 104482

    Abstract: Background: Since the US reported its first COVID-19 case on January 21, 2020, the science community has been applying various techniques to forecast incident cases and deaths. To date, providing an accurate and robust forecast at a high spatial ... ...

    Abstract Background: Since the US reported its first COVID-19 case on January 21, 2020, the science community has been applying various techniques to forecast incident cases and deaths. To date, providing an accurate and robust forecast at a high spatial resolution has proved challenging, even in the short term.
    Method: Here we present a novel multi-stage deep learning model to forecast the number of COVID-19 cases and deaths for each US state at a weekly level for a forecast horizon of 1-4 weeks. The model is heavily data driven, and relies on epidemiological, mobility, survey, climate, demographic, and SARS-CoV-2 variant frequencies data. We implement a rigorous and robust evaluation of our model-specifically we report on weekly performance over a one-year period based on multiple error metrics, and explicitly assess how our model performance varies over space, chronological time, and different outbreak phases.
    Findings: The proposed model is shown to consistently outperform the CDC ensemble model for all evaluation metrics in multiple spatiotemporal settings, especially for the longer-term (3 and 4 weeks ahead) forecast horizon. Our case study also highlights the potential value of variant frequencies data for use in short-term forecasting to identify forthcoming surges driven by new variants.
    Interpretation: Based on our findings, the proposed forecasting framework improves upon the available state-of-the-art forecasting tools currently used to support public health decision making with respect to COVID-19 risk.
    Funding: This work was funded the NSF Rapid Response Research (RAPID) grant Award ID 2108526 and the CDC Contract #75D30120C09570.
    MeSH term(s) Humans ; United States ; COVID-19 ; SARS-CoV-2 ; Deep Learning ; Benchmarking ; Forecasting
    Language English
    Publishing date 2023-02-21
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 2851331-9
    ISSN 2352-3964
    ISSN (online) 2352-3964
    DOI 10.1016/j.ebiom.2023.104482
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Evolving Patterns of COVID-19 Mortality in US Counties: A Longitudinal Study of Healthcare, Socioeconomic, and Vaccination Associations

    Ganjkhanloo, Fardin / Ahmadi, Farzin / Dong, Ensheng / Parker, Felix / Gardner, Lauren / Ghobadi, Kimia

    medRxiv

    Abstract: The COVID-19 pandemic emphasized the need for pandemic preparedness strategies to mitigate its impacts, particularly in the United States, which experienced multiple waves with varying policies, population response, and vaccination effects. This study ... ...

    Abstract The COVID-19 pandemic emphasized the need for pandemic preparedness strategies to mitigate its impacts, particularly in the United States, which experienced multiple waves with varying policies, population response, and vaccination effects. This study explores the relationships between county-level factors and COVID-19 mortality outcomes in the U.S. from 2020 to 2023, focusing on disparities in healthcare access, vaccination coverage, and socioeconomic characteristics. We conduct multi-variable rolling regression analyses to reveal associations between various factors and COVID-19 mortality outcomes, defined as Case Fatality Rate (CFR) and Overall Mortality to Hospitalization Rate (OMHR), at the U.S. county level. Each analysis examines the association between mortality outcomes and one of the three hierarchical levels of the Social Vulnerability Index (SVI), along with other factors such as access to hospital beds, vaccination coverage, and demographic characteristics. Our results reveal persistent and dynamic correlations between various factors and COVID-19 mortality measures. Access to hospital beds and higher vaccination coverage showed persistent protective effects, while higher Social Vulnerability Index was associated with worse outcomes persistently. Socioeconomic status and vulnerable household characteristics within the SVI consistently associated with elevated mortality. Poverty, lower education, unemployment, housing cost burden, single-parent households, and disability population showed significant associations with Case Fatality Rates during different stages of the pandemic. Vulnerable age groups demonstrated varying associations with mortality measures, with worse outcomes predominantly during the Original strain. Rural-Urban Continuum Code exhibited predominantly positive associations with CFR and OMHR, while it starts with a positive OMHR association during the Original strain. This study reveals longitudinal persistent and dynamic factors associated with two mortality rate measures throughout the pandemic, disproportionately affecting marginalized communities. The findings emphasize the urgency of implementing targeted policies and interventions to address disparities in the fight against future pandemics and the pursuit of improved public health outcomes.
    Keywords covid19
    Language English
    Publishing date 2024-04-26
    Publisher Cold Spring Harbor Laboratory Press
    Document type Article ; Online
    DOI 10.1101/2024.04.25.24306375
    Database COVID19

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  5. Article ; Online: Persistence of US measles risk due to vaccine hesitancy and outbreaks abroad.

    Gardner, Lauren / Dong, Ensheng / Khan, Kamran / Sarkar, Sahotra

    The Lancet. Infectious diseases

    2020  Volume 20, Issue 10, Page(s) 1114–1115

    MeSH term(s) Disease Outbreaks ; Global Health ; Humans ; Measles/epidemiology ; Measles/prevention & control ; Measles Vaccine/administration & dosage ; Risk Factors ; United States/epidemiology ; Vaccination Refusal
    Chemical Substances Measles Vaccine
    Keywords covid19
    Language English
    Publishing date 2020-07-30
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2061641-7
    ISSN 1474-4457 ; 1473-3099
    ISSN (online) 1474-4457
    ISSN 1473-3099
    DOI 10.1016/S1473-3099(20)30522-3
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: A need for open public data standards and sharing in light of COVID-19.

    Gardner, Lauren / Ratcliff, Jeremy / Dong, Ensheng / Katz, Aaron

    The Lancet. Infectious diseases

    2020  Volume 21, Issue 4, Page(s) e80

    MeSH term(s) Administrative Personnel ; COVID-19/epidemiology ; Consumer Health Information/standards ; Humans ; Information Dissemination ; Pandemics ; Public Health ; Reference Standards ; SARS-CoV-2/isolation & purification
    Keywords covid19
    Language English
    Publishing date 2020-08-10
    Publishing country United States
    Document type Letter
    ZDB-ID 2061641-7
    ISSN 1474-4457 ; 1473-3099
    ISSN (online) 1474-4457
    ISSN 1473-3099
    DOI 10.1016/S1473-3099(20)30635-6
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: An interactive web-based dashboard to track COVID-19 in real time.

    Dong, Ensheng / Du, Hongru / Gardner, Lauren

    The Lancet. Infectious diseases

    2020  Volume 20, Issue 5, Page(s) 533–534

    MeSH term(s) Betacoronavirus ; COVID-19 ; Coronavirus Infections/epidemiology ; Humans ; Pandemics ; Patient Identification Systems ; Pneumonia, Viral/epidemiology ; SARS-CoV-2 ; Time Factors ; Web Browser
    Keywords covid19
    Language English
    Publishing date 2020-02-19
    Publishing country United States
    Document type Letter
    ZDB-ID 2061641-7
    ISSN 1474-4457 ; 1473-3099
    ISSN (online) 1474-4457
    ISSN 1473-3099
    DOI 10.1016/S1473-3099(20)30120-1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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