ArticleSSM - population health2021
Overcrowding and COVID-19 mortality across U.S. counties: Are disparities growing over time?
Article in SSM - population health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 33 papers.
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Who cites it
33 citing papers in PubMed.
- A chain mediation analysis of the effects of psychological inflexibility, perception of threat, and behavioral adherence among refugees during crisis: The case of the COVID-19 pandemic.PLOS mental health · 2026Article
- A retrospective cross-sectional analysis of the economic impact of environmental risk factors on inpatient hospital separations in the Northern Territory.The Medical journal of Australia · 2025Article
- Household crowding and mortality before and during the COVID-19 pandemic among adults: Findings from longitudinal population surveillance data in rural and peri-urban settings in Limpopo, South Africa.Population health metrics · 2025Article
- Closing the Gap in Race-based Inequities for Seasonal Influenza Hospitalizations: A Modeling Study.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025Article
- Stability and Volatility in the Contextual Predictors of Working-Age Mortality in the United States.Journal of health and social behavior · 2025Article
- Intrastate inequality of COVID-19 vaccination coverage: spatial analysis and socioeconomic, Santa Catarina, 2021-2023.Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil · 2025Article
- Timing of Infection as a Key Driver of Racial/Ethnic Disparities in Coronavirus Disease 2019 Mortality Rates During the Prevaccine Period.Open forum infectious diseases · 2025Article
- Household Sanitation and Crowding Status in Addis Health and Demographic Surveillance System (Addis-HDSS) in Addis Ababa, Ethiopia.Ethiopian journal of health sciences · 2024Article
- Evaluating equity-promoting interventions to prevent race-based inequities in influenza outcomes.medRxiv : the preprint server for health sciences · 2024Article
- Characteristics of Hospitalized COVID-19 Patients at Admission and Factors Associated with Clinical Severity in Low- and Middle-Income Countries: An Observational Study.The American journal of tropical medicine and hygiene · 2024Observational
- Substandard housing and the risk of COVID-19 infection and disease severity: A retrospective cohort study.SSM - population health · 2024Article
- Article
- Inequality in COVID-19 mortality in Quebec associated with neighbourhood-level vulnerability domains.Canadian journal of public health = Revue canadienne de sante publique · 2024Article
- Spatial distribution of SARS-CoV-2 incidence, social inequality, housing conditions, and density in South-Eastern France: keys for future epidemics.Frontiers in public health · 2024Article
- Association of race/ethnicity and severe housing problems with COVID-19 deaths in the United States: Analysis of the first three waves.PloS one · 2024Article
- Racial Disparities in COVID-19 Case Positivity and Social Context: The Role of Housing, Neighborhood, and Health Insurance.Housing policy debate · 2024Article
- Evolving patterns of COVID-19 mortality in US counties: A longitudinal study of healthcare, socioeconomic, and vaccination associations.PLOS global public health · 2024Article
- Assessing health impact of COVID-19 and associated household socioeconomic factors in Papua New Guinea: evidence from the Comprehensive Health and Epidemiological Surveillance System.BMJ public health · 2023Article
- The Structure of Pandemic Vulnerability: Housing Wealth, Residential Segregation, and COVID‑19 Mortality.Population research and policy review · 2023Article
- Explaining the higher COVID-19 mortality rates among disproportionately Black counties: A decomposition analysis.SSM - population health · 2023Article
Corrections and comments
- Erratum issued
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
A growing line of research underscores that sociodemographic factors may contribute to disparities in the impact of COVID-19. Further, stages of disease theory suggests that disparities may grow as the pandemic unfolds and more advantaged areas are better able to apply growing knowledge and mitigation strategies. In this paper, we focus on the role of county-level household overcrowding on disparities in COVID-19 mortality in U.S. counties. We examine this relationship across three theoretically important periods of the pandemic from April-October 2020, that mark both separate stages of community knowledge and national mortality levels. We find evidence that the percentage of overcrowded households is a stronger predictor of COVID-19 mortality during later periods of the pandemic. Moreover, despite a relationship between overcrowding and poverty at the county-level, overcrowding plays an independent role in predicting COVID-19 mortality. Our findings underscore that areas disadvantaged by overcrowding may be more vulnerable to the effects of COVID-19 and that this vulnerability may lead to changing disparities over time.
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