ArticleLancet regional health. Americas2022
Relationship of political ideology of US federal and state elected officials and key COVID pandemic outcomes following vaccine rollout to adults: April 2021-March 2022.
Article in Lancet regional health. Americas, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
What it found
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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.
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Who cites it
17 citing papers in PubMed.
- State minimum wage laws and state-level rates of new HIV diagnoses among Black, Latine, and White US women and men, 2010-2019.Journal of epidemiology and community health · 2026Article
- Electoral governance as a political determinant of health: state policy context, risk perception, and voter safety.Frontiers in public health · 2026Article
- Political determinants of US states' screening-amenable cancer stage at diagnosis and premature cancer mortality.JNCI cancer spectrum · 2025Observational
- Structural Racism-Related State Laws and Healthcare Access Among Black, Latine, and White U.S. Adults.Journal of racial and ethnic health disparities · 2025Article
- Healthcare provider recommendations for COVID-19 vaccination: Prevalence, disparities, and correlates.Patient education and counseling · 2025Article
- Politicians, power, and the people's health: US elections and state health outcomes, 2012-2024.Health affairs scholar · 2024Article
- Theorizing epidemiology, the stories bodies tell, and embodied truths: a status update on contending 21International journal of social determinants of health and health services · 2024Review
- The faces of Long-COVID: interplay of symptom burden with socioeconomic, behavioral and healthcare factors.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2024Article
- Vaccine safety beliefs in the state of Alaska.Public health in practice (Oxford, England) · 2024Article
- Reports of COVID-19 Vaccine Adverse Events in Predominantly Republican vs Democratic States.JAMA network open · 2024Article
- 1965 US Voting Rights Act Impact on Black and Black Versus White Infant Death Rates in Jim Crow States, 1959-1980 and 2017-2021.American journal of public health · 2024Article
- Assessing vaccine hesitancy and health literacy using a new Italian vaccine confidence index and a modified Italian medical term recognition test: A cross-sectional survey on Italian parents.Human vaccines & immunotherapeutics · 2023Article
- Is fair representation good for children? effects of electoral partisan bias in state legislatures on policies affecting children's health and well-being.Social science & medicine (1982) · 2023Article
- Factors Associated with Vaccine Hesitancy in the State of Alaska.Journal of community health · 2023Article
- To advance global surgery and anaesthesia, train more advocates.BMJ global health · 2023Article
- State Government Policy Responses to the COVID-19 Pandemic in the United States 2020-2022: Concordant Heterogeneity?Medical research archives · 2023Article
- Homelessness, Politics, and Policy: Predicting Spatial Variation in COVID-19 Cases and Deaths.International journal of environmental research and public health · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Scant research, including in the United States, has quantified relationships between the political ideologies of elected representatives and COVID-19 outcomes among their constituents. Methods: We analyzed observational cross-sectional data on COVID-19 mortality rates (age-standardized) and stress on hospital intensive care unit (ICU) capacity for all 435 US Congressional Districts (CDs) in a period of adult vaccine availability (April 2021-March 2022). Political metrics comprised: (1) ideological scores based on each US Representative's and Senator's concurrent overall voting record and their specific COVID-19 votes, and (2) state trifectas (Governor, State House, and State Senate under the same political party control). Analyses controlled for CD social metrics, population density, vaccination rates, the prevalence of diabetes and obesity, and voter political lean. Findings: During the study period, the higher the exposure to conservatism across several political metrics, the higher the COVID-19 age-standardized mortality rates, even after taking into account the CD's social characteristics; similar patterns occurred for stress on hospital ICU capacity for Republican trifectas and US Senator political ideology scores. For example, in models mutually adjusting for CD political and social metrics and vaccination rates, Republican trifecta and conservative voter political lean independently remained significantly associated with an 11%-26% higher COVID-19 mortality rate. Interpretation: Associations between the political ideologies of US federal elected officials and state concentrations of political party power with population health warrant greater consideration in public health analyses and monitoring dashboards. Funding: This research received no specific grant from any funding agency in the public, commercial or not-for-profit sectors.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.