Associations between county-level public health expenditures and community health planning activities with COVID-19 incidence and mortality.

ABSTRACT: The COVID-19 pandemic has revealed consequences of past defunding of the U.S. public health system, but the extent to which public health infrastructure is associated with COVID-19 burden is unknown. We aimed to determine whether previous county-level public health expenditures and community health planning activities are associated with COVID-19 cases and deaths. We examined 3050 of 3143 U.S. counties and county equivalents from March 1, 2020 to February 28, 2022. Multivariable-adjusted linear regression and generalized additive models were used to estimate associations between county-level public health expenditures and completion of community health planning activities by a county health department with outcomes of county-level COVID-19 cases and deaths per 100,000 population. After adj

SUBMITTER: Liang R 

PROVIDER: S-EPMC10507150 | biostudies-literature | 2023 Dec

REPOSITORIES: biostudies-literature