Evidence map›Paper›PMID 39724050›Full record

ArticleJournal of public health management and practice : JPHMP

The Association of County-Level Presidential Election Outcome and COVID-19 Mortality in Colorado, 2020-2022.

Kelly A DeBie, Margaret J Gutilla, Kayleigh P Keller, Jennifer L Peel, David Rojas-Rueda, Andreas M Neophytou

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Article in Journal of public health management and practice : JPHMP. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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.

2 · The registry

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Kelly A DeBieAuthor Affiliations: Department of Environmental and Radiological Health Sciences (Drs DeBie, Peel, Rojas-Rueda, and Neophytou), Colorado School of Public Health (Drs Gutilla, Keller, Peel, Rojas-Rueda, and Neophytou), Department of Health and Exercise Science (Dr Gutilla), and Department of Statistics (Dr Keller), Colorado State University, Fort Collins, Colorado.
Margaret J GutillaAuthor Affiliations: Department of Environmental and Radiological Health Sciences (Drs DeBie, Peel, Rojas-Rueda, and Neophytou), Colorado School of Public Health (Drs Gutilla, Keller, Peel, Rojas-Rueda, and Neophytou), Department of Health and Exercise Science (Dr Gutilla), and Department of Statistics (Dr Keller), Colorado State University, Fort Collins, Colorado.
Kayleigh P KellerAuthor Affiliations: Department of Environmental and Radiological Health Sciences (Drs DeBie, Peel, Rojas-Rueda, and Neophytou), Colorado School of Public Health (Drs Gutilla, Keller, Peel, Rojas-Rueda, and Neophytou), Department of Health and Exercise Science (Dr Gutilla), and Department of Statistics (Dr Keller), Colorado State University, Fort Collins, Colorado.
Jennifer L PeelAuthor Affiliations: Department of Environmental and Radiological Health Sciences (Drs DeBie, Peel, Rojas-Rueda, and Neophytou), Colorado School of Public Health (Drs Gutilla, Keller, Peel, Rojas-Rueda, and Neophytou), Department of Health and Exercise Science (Dr Gutilla), and Department of Statistics (Dr Keller), Colorado State University, Fort Collins, Colorado.
David Rojas-RuedaAuthor Affiliations: Department of Environmental and Radiological Health Sciences (Drs DeBie, Peel, Rojas-Rueda, and Neophytou), Colorado School of Public Health (Drs Gutilla, Keller, Peel, Rojas-Rueda, and Neophytou), Department of Health and Exercise Science (Dr Gutilla), and Department of Statistics (Dr Keller), Colorado State University, Fort Collins, Colorado.
Andreas M NeophytouAuthor Affiliations: Department of Environmental and Radiological Health Sciences (Drs DeBie, Peel, Rojas-Rueda, and Neophytou), Colorado School of Public Health (Drs Gutilla, Keller, Peel, Rojas-Rueda, and Neophytou), Department of Health and Exercise Science (Dr Gutilla), and Department of Statistics (Dr Keller), Colorado State University, Fort Collins, Colorado.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextThe Coronavirus disease 2019 (COVID-19) pandemic occurred during a time of political tension in the United States. County-level political environment may have been influential in COVID-19 outcomes.

objectiveThis study examined the association between county-level political environment and age-adjusted COVID-19 mortality rates from 2020 to 2022. DESIGN

settingPolitical environment was measured by the 2020 Presidential election results and compared with age-adjusted COVID-19 mortality rates by county in Colorado.

main outcome measuresRate ratios (RR) and 95% confidence intervals (CI) were estimated using negative binomial regression incorporating a population offset term. Models adjusted for populational differences using the demographics percentile from Colorado's EnviroScreen Environmental Justice Tool.

resultsAge-adjusted county mortality rates ranged from 14.3 to 446.8.0 per 100 000. 2021 COVID-19 mortality rates were nearly twice as high in counties voting for Donald Trump compared to those voting for Joseph Biden (adjusted RR = 1.98, 95% CI: 1.59, 2.47). Results for 2020 and 2022 mortality models were also in the positive direction, though the confidence intervals crossed null values.

conclusionThese results build on a growing body of evidence that political environment may have been influential for COVID-19 mortality, helping to understand the drivers of health outcomes. Implications for the public health system as we shift into the endemic period of COVID-19 include motivation for collaborative work to restore and rebuild trust among and between stakeholders and the community, as well as increase health education given its' influence on both individual and community behaviors.

Indexed as

COVID-19PoliticsColoradoHumansPandemicsSARS-CoV-2

Identifiers

PMID39724050
PMCPMC12316127

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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.