Evidence map›Paper›PMID 40238305›Full record

ArticleInternational journal of environmental research and public health2025

Unveiling Community Vulnerability to COVID-19 Incidence: A Population-Based Spatial Analysis in Clark County, Nevada.

Lung-Chang Chien, L-W Antony Chen, Chad L Cross, Edom Gelaw, Cheryl Collins, Lei Zhang, Anil T Mangla, Cassius Lockett

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Lung-Chang ChienDepartment of Epidemiology and Biostatistics, University of Nevada, Las Vegas, NV 89154, USA.ORCID 0000-0003-4515-0080
L-W Antony ChenDepartment of Environmental and Occupational Health, University of Nevada, Las Vegas, NV 89154, USA.ORCID 0000-0002-2311-7506
Chad L CrossDepartment of Epidemiology and Biostatistics, University of Nevada, Las Vegas, NV 89154, USA.ORCID 0000-0002-8756-5607
Edom GelawDepartment of Epidemiology and Biostatistics, University of Nevada, Las Vegas, NV 89154, USA.
Cheryl CollinsDesert Research Institute, Las Vegas, NV 89119, USA.ORCID 0000-0003-0608-9299
Lei ZhangSouthern Nevada Health District, Las Vegas, NV 89107, USA.
Anil T ManglaSouthern Nevada Health District, Las Vegas, NV 89107, USA.ORCID 0009-0001-1759-1105
Cassius LockettSouthern Nevada Health District, Las Vegas, NV 89107, USA.

Funding

CDC HHS NH75OT000057-01-00
6 · The paper itself

Abstract

Community vulnerability is influenced by various determinants beyond socioeconomic status and plays a crucial role in COVID-19 disparities. This study aimed to develop and evaluate a novel community vulnerability index (CVI) related to temporal variations in COVID-19 incidence to provide insights into spatial disparities and inform targeted public health interventions in Clark County, Nevada. Utilizing data from the American Community Survey and other sources, 23 community measures were identified at the census tract level. The CVI was constructed using a lagged weighted quantile sum (LWQS) regression linking these measures to the monthly COVID-19 incidence from March 2020 to November 2021. The Besag-York-Mollié model subsequently evaluated the spatial association between the CVI and COVID-19 incidence, controlling for temporal and spatial autocorrelations. This study identified minority status, housing inadequacy, and inactive commuting as primary contributors to the CVI that consistently influenced COVID-19 vulnerability over time. The CVI demonstrated significant spatial disparities, with higher values found in northern Clark County and the northeastern Las Vegas metropolitan area. Spatial analyses revealed varying associations between COVID-19 incidence and the CVI across census tracts, with significant associations clustered in the northern and eastern regions of the Las Vegas metropolitan area. These findings advance our understanding of the complex interplay between community conditions and COVID-19. The CVI framework may be applied to other COVID-19 outcomes such as testing, vaccination, and hospitalization, offering a valuable tool for assessing and addressing community vulnerability.

Indexed as

COVID-19Vulnerable PopulationsHumansIncidenceNevadaResidence CharacteristicsSARS-CoV-2Spatial Analysiscommunity vulnerability indexCOVID-19 disparitylagged weighted quantile sum

Identifiers

PMID40238305
PMCPMC11942437

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Registered trials

None linked

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.