The Relationship Between Air Quality, Health Outcomes, and Socioeconomic Impacts of the COVID-19 Pandemic in the US.

COVID-19 lockdowns caused significant improvements in air quality in US states where traffic emissions are the main pollution source. In this study, we investigate the socioeconomic impacts of the COVID-19-related lockdowns in states which experienced the greatest changes in air quality, especially among different demographic populations and those with contraindications to health. We administered a 47-question survey and collected 1,000 valid responses in these cities. Our results show that 74% of respondents within our survey sample had some level of concern regarding air quality. In agreement with previous literature, perceptions of air quality were not significantly correlated with measured air quality criteria but rather seemed to be influenced by other factors. Respondents in Los Angeles were the most concerned about air quality followed by Miami, San Francisco, and New York City. However, those from Chicago and Tampa Bay expressed the least amount of concern about air quality. Age, education, and ethnicity were all factors affecting peoples' concerns about air quality. Respiratory conditions, living in proximity to industrial areas, and financial impacts from the COVID-19 lockdowns influenced concerns about air quality. About 40% of the survey sample reported greater concern for air quality during the pandemic, while approximately 50% stated that the lockdown didn't affect their perception. Furthermore, respondents seemed concerned about air quality in general, not a specific pollutant, and are willing to adopt additional measures and more stringent policies to improve air quality in all investigated cities.