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Tag: public health
May 25, 2021
Socioeconomic and Racial Inequities in Breast Cancer Screening During the COVID-19 Pandemic in Washington State
Breast cancer screening declined by 49% in Washington State during the COVID-19 pandemic compared to pre-pandemic screening, according to an analysis of completed mammograms within a large non-profit community health care system. 55,678 screenings were conducted between April to December 2019 whereas only 27,522 screenings occurred during the same period in 2020. Greater declines in…
Public Trust and Willingness to Vaccinate Against COVID-19 in the US From October 14, 2020, to March 29, 2021
Estimated vaccine hesitancy in the US declined from 46% in October 2020 to 35% in March 2021, according to an analysis of 42,154 survey responses from 7,420 participants in 7 waves of the probability-based Understanding America Study (UAS). Declines in hesitancy were observed across demographic groups and were largest among Hispanic (52% to 37%) and…
May 24, 2021
Impact of the COVID-19 Pandemic on Chlamydia and Gonorrhea Screening in the U.S.
Chlamydia and gonorrhea testing in the US during the COVID-19 pandemic were at their lowest during April 2020, with decreases of 59% among female and 63% among male patients relative to baseline levels. Declines in testing were strongly associated with increases in weekly positivity rates for chlamydia (R2=0.96) and gonorrhea (R2=0.85). The study estimates that…
Mortality From Drug Overdoses, Homicides, Unintentional Injuries, Motor Vehicle Crashes, and Suicides During the Pandemic, March-August 2020
An analysis of excess mortality in the US during the first six months of the COVID-19 pandemic (March – August 2020) found higher-than-expected deaths due to drug overdoses (n = 10,443 excess deaths), homicides (n = 2,014), and unintentional injuries (n = 7,497), and lower-than-expected numbers of suicides (n = 2,432 fewer deaths). Drug overdoses…
Public Health and Health Systems Impacts of SARS-CoV-2 Variants of Concern A Rapid Scoping Review
[Pre-print, not peer-reviewed] A rapid review of the B.1.1.7, B.1.351, and P.1 SARS-CoV-2 variants (n=37 studies and 21 guidance documents) found evidence for potential increased risks of hospitalization and death associated with the B.1.1.7 variant. While six studies in the review found higher mortality risk associated with B.1.1.7, ranging from 15-67%, three found no differences….
Childhood Immunization during the COVID-19 Pandemic in Texas
Childhood immunization rates in Texas declined by 47% between 2019 and 2020 among 5-month-olds, along with a 58% decline among 16-month-olds. Small decreases (5%) occurred among 24-month-olds, and there was no decline in vaccines received at birth (i.e., Hepatitis B). Decreases tended to be larger in rural than urban counties. The authors note that these…
May 21, 2021
COVID-19 and Excess Mortality in the United States: A County-Level Analysis
An ecological, cross-sectional analysis of 2020 US county-level (N=2,096) National Center for Health Statistics data on COVID-19 and all-cause mortality found that direct COVID-19 death counts substantially underestimated total excess mortality attributable to COVID-19. The authors calculated total excess deaths as the proportion of deaths that occurred beyond the expected number of deaths based on…
May 19, 2021
Community Factors Associated With Telemedicine Use During the COVID-19 Pandemic
Telemedicine visits comprised 20% of total outpatient visits early in the COVID-19 pandemic (from March 18 to July 14, 2020), according to an analysis of deidentified medical claims data. Across 2,800 US counties with at least 100 Medicare Advantage enrollees, less telemedicine use (below the median) was observed in counties with a lower median income,…
May 17, 2021
Significant Impact of COVID-19 on HIV Care in Hospitals Affecting the First Pillar of the HIV Care Continuum
A study evaluating COVID-19 restrictions in the Netherlands between January and June 2020 found disruptions in clinical HIV care. During lockdown (March 16th through May 31st), there was a significant reduction in the weekly number of HIV tests. The proportion of individuals newly diagnosed with HIV was also lower during lockdown, with a higher proportion…
May 14, 2021
Trends in Pediatric Primary Care Visits during the COVID-19 Pandemic
A retrospective review of a large US commercial medical claims database found that pediatric primary care visits were 60% lower between March 25 and April 21, 2020 compared to the same period in 2019, and problem-focused visits were 63% lower. Primary care visits and problem-focused visits remained 17% and 31% lower in October 2020 compared…
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