ArticleAnnals of epidemiology2021
Social vulnerability and county stay-at-home behavior during COVID-19 stay-at-home orders, United States, April 7-April 20, 2020.
Article in Annals of epidemiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.
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Who cites it
31 citing papers in PubMed, 1 synthesis or guideline pooled it.
- What Makes Urban Communities More Resilient to COVID-19? A Systematic Review of Current Evidence.International journal of environmental research and public health · 2022Pooled it
- Assessments of social vulnerability on central nervous system cancer disparities in the United States.Communications medicine · 2026Article
- Social vulnerability and the risk of respiratory virus infection in households: a case-ascertained study.BMC infectious diseases · 2025Article
- Increased prevalence, ER visits, and hospitalizations in medicare systemic lupus erythematosus patients living in socially vulnerable counties: A cross-sectional study.The American journal of the medical sciences · 2025Article
- Is home where the heat is? comparing residence-based with mobility-based measures of heat exposure in San Diego, California.Journal of exposure science & environmental epidemiology · 2025Article
- Special Report from the CDC: The association between social vulnerability and unintentional fatal drowning in the United States, 1999-2023.Journal of safety research · 2025Article
- Towards optimization of community vulnerability indices for COVID-19 prevalence.BMC public health · 2025Article
- Social vulnerability and the prevalence of autism spectrum disorder among 8-year-old children, Autism and Developmental Disabilities Monitoring Network, 2020.Annals of epidemiology · 2025Article
- A social identity approach to crisis leadership.The British journal of social psychology · 2025Article
- Socioeconomic, racial-ethnic, household, and infrastructural disparities of hematologic cancer outcomes in the United States.Blood advances · 2025Article
- Article
- Associations between Minority Health Social Vulnerability Index Scores, Rurality, and Histoplasmosis Incidence, 8 US States.Emerging infectious diseases · 2024Article
- Assessment of Social Vulnerabilities of Care and Prognosis in Adult Ocular Melanomas in the US.Annals of surgical oncology · 2024Article
- Hydroxyurea Adherence for Personal Best in Sickle Cell Treatment (HABIT) efficacy trial: Community health worker support may increase hydroxyurea adherence of youth with sickle cell disease.Pediatric blood & cancer · 2024Article
- Association of social vulnerability index and masking adherence among children enrolled in COVID-19 community research partnership study.BMC public health · 2024Article
- Exploring the role of the social vulnerability index in understanding COVID-19 immunization rates.PloS one · 2024Article
- Transitioning to a Mixed-Mode Study Design in a National Household Panel Study: Effects on Fieldwork Outcomes, Sample Composition and Costs.Survey research methods · 2023Article
- Association between social vulnerability factors and unintentional fatal injury rates - United States, 2015-2019.Journal of safety research · 2023Article
- Staying Home, Tweeting Hope: Mixed Methods Study of Twitter Sentiment Geographical Index During US Stay-At-Home Orders.Journal of medical Internet research · 2023Article
- Social vulnerability and prevalence of Autism Spectrum Disorder, Metropolitan Atlanta Developmental Disabilities Surveillance Program (MADDSP).Annals of epidemiology · 2023Article
Corrections and comments
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Authors and funding
14 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeEarly COVID-19 mitigation relied on people staying home except for essential trips. The ability to stay home may differ by sociodemographic factors. We analyzed how factors related to social vulnerability impact a community's ability to stay home during a stay-at-home order.
methodsUsing generalized, linear mixed models stratified by stay-at-home order (mandatory or not mandatory), we analyzed county-level stay-at-home behavior (inferred from mobile devices) during a period when a majority of United States counties had stay-at-home orders (April 7-April 20, 2020) with the Centers for Disease Control and Prevention Social Vulnerability Index (CDC SVI).
resultsCounties with higher percentages of single-parent households, mobile homes, and persons with lower educational attainment were associated with lower stay-at-home behavior compared with counties with lower respective percentages. Counties with higher unemployment, higher percentages of limited-English-language speakers, and more multi-unit housing were associated with increases in stay-at-home behavior compared with counties with lower respective percentages. Stronger effects were found in counties with mandatory orders.
conclusionsSociodemographic factors impact a community's ability to stay home during COVID-19 stay-at-home orders. Communities with higher social vulnerability may have more essential workers without work-from-home options or fewer resources to stay home for extended periods, which may increase risk for COVID-19. Results are useful for tailoring messaging, COVID-19 vaccine delivery, and public health responses to future outbreaks.
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