ArticleThe Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association2020
Community Susceptibility and Resiliency to COVID-19 Across the Rural-Urban Continuum in the United States.
Article in The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04533360 (Seroprevalence of SARS CoV2 Antibodies Among Adults in Kingman AZ), which is not on this map. Cited by 121 papers, 2 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Seroprevalence of SARS CoV2 Antibodies Among Adults in Kingman AZ
Who cites it
121 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Key Influencing Factors and Optimization Strategy of Epidemic Resilience in Urban Communities-A Case Study of Nanjing, China.International journal of environmental research and public health · 2022Pooled it
- The Impact of the COVID-19 Pandemic on Rural Food Security in High Income Countries: A Systematic Literature Review.International journal of environmental research and public health · 2022Pooled it
- COVID Diaries, State Response to COVID Vaccination Program, December 2020 to September 2021.Scientific data · 2026Article
- COVID-19 and multidimensional poverty: a spatio-temporal analysis of urban vs. rural areas in Jashore, Bangladesh.BMC public health · 2026Article
- Article
- Musculoskeletal Complications in COVID-19: Exploring the Role of Key Biomarkers.International journal of molecular sciences · 2025Review
- The hidden crisis: classifying unmet healthcare needs in European older adults during COVID-19.European journal of ageing · 2025Article
- Reflections of rural primary care physicians on the impact of the COVID-19 pandemic: a qualitative study.BMC primary care · 2025Article
- Associations between COVID-19 therapies and outcomes in rural and urban America: A multisite, temporal analysis from the Alpha to Omicron SARS-CoV-2 variants.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025Article
- Factors associated with death in severe patients with COVID-19/diabetes mellitus in Brazil.Revista brasileira de enfermagem · 2025Article
- Adverse childhood experiences and COVID-19 vaccination uptake: Examining the intersection of sex and urban-rural residence.PloS one · 2025Article
- Evaluation of the Implementation of Urban and Rural Local Government Unit (LGU) Responses to the COVID-19 Pandemic in Selected Communities in Luzon.Acta medica Philippina · 2025Article
- Prediction models for COVID-19 disease outcomes.Emerging microbes & infections · 2024Article
- Social Vulnerability and Prevalence and Treatment for Mental Health and Substance Use Disorders.JAMA psychiatry · 2024Article
- Trends in Vaccination Coverage among Children Aged 2-6 Years in Tennessee Counties, 2017-2023.Vaccines · 2024Article
- Rural-urban differences in the perceived impact of COVID-19 on mental health by European women.Archives of women's mental health · 2024Article
- The social stratification of internal migration and daily mobility during the COVID-19 pandemic.Scientific reports · 2024Article
- Article
- Internet use and difficulties in acquiring health resources among older adults with disabilities during the COVID-19 pandemic: a population-based cross-sectional study.BMC public health · 2024Article
- Informal modes of social support among residents of the rural American West during the COVID-19 pandemic.Rural sociology · 2023Article
61 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
1 author.
Funding
Abstract
purposeThis study creates a COVID-19 susceptibility scale at the county level, describes its components, and then assesses the health and socioeconomic resiliency of susceptible places across the rural-urban continuum.
methodsFactor analysis grouped 11 indicators into 7 distinct susceptibility factors for 3,079 counties in the conterminous United States. Unconditional mean differences are assessed using a multivariate general linear model. Data from 2018 are primarily taken from the US Census Bureau and CDC.
resultsAbout 33% of rural counties are highly susceptible to COVID-19, driven by older and health-compromised populations, and care facilities for the elderly. Major vulnerabilities in rural counties include fewer physicians, lack of mental health services, higher disability, and more uninsured. Poor Internet access limits telemedicine. Lack of social capital and social services may hinder local pandemic recovery. Meat processing facilities drive risk in micropolitan counties. Although metropolitan counties are less susceptible due to healthier and younger populations, about 6% are at risk due to community spread from dense populations. Metropolitan vulnerabilities include minorities at higher health and diabetes risk, language barriers, being a transportation hub that helps spread infection, and acute housing distress.
conclusionsThere is an immediate need to know specific types of susceptibilities and vulnerabilities ahead of time to allow local and state health officials to plan and allocate resources accordingly. In rural areas it is essential to shelter-in-place vulnerable populations, whereas in large metropolitan areas general closure orders are needed to stop community spread. Pandemic response plans should address vulnerabilities.
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