Exposure density and neighbourhood disparities in COVID-19 infection risk: Study

Researchers report that neighbourhood changes in exposure density a measure of activity associated with increased risk of exposure to COVID-19-infected individuals in New York City in response to a statewide stay-at-home order were associated with COVID-19 case, fatality, and test positivity rates; low-income and predominantly minority communities had the smallest relative decreases in exposure density and disproportionately poor health outcomes, according to the authors.

The researchers present a computational approach to measure exposure density at a high spatial and temporal resolution to understand neighbourhood disparities in transmission risk of COVID-19.

The researchers analyse the differential behavioural response to social distancing policies based on local risk factors, built-environment characteristics, and socioeconomic inequality.

Our results highlight the significant disparities in health outcomes for racial and ethnic minorities and lower-income households.

Exposure density provides an additional metric to further explain and understand the disparate impact of COVID-19 on vulnerable communities.

Researchers define exposure density as a measure of both the localised volume of activity in a defined area and the proportion of activity occurring in distinct land-use types.

Next, researchers analyse disparities in community social distancing by estimating variations in neighbourhood activity by land-use type before and after a mandated stay-at-home order.

Finally, they evaluate the effects of localized demographic, socioeconomic, and built-environment density characteristics on infection rates and deaths in order to identify disparities in health outcomes related to exposure risk.

The findings demonstrate distinct behavioural patterns across neighbourhoods after the stay-at-home order and that these variations in exposure density had a direct and measurable impact on the risk of infection.

Notably, they find that an additional 10 per cent reduction in exposure density citywide could have saved between 1,849 and 4,068 lives during the study period, predominantly in lower-income and minority communities.