scholarly journals Multilevel modeling of county-level excessive alcohol use, rurality, and COVID-19 case fatality rates in the US

PLoS ONE ◽  
2021 ◽  
Vol 16 (6) ◽  
pp. e0253466
Author(s):  
George Pro ◽  
Paul A. Gilbert ◽  
Julie A. Baldwin ◽  
Clare C. Brown ◽  
Sean Young ◽  
...  

Objective Reports of disparities in COVID-19 mortality rates are emerging in the public health literature as the pandemic continues to unfold. Alcohol misuse varies across the US and is related to poorer health and comorbidities that likely affect the severity of COVID-19 infection. High levels of pre-pandemic alcohol misuse in some counties may have set the stage for worse COVID-19 outcomes. Furthermore, this relationship may depend on how rural a county is, as access to healthcare in rural communities has lagged behind more urban areas. The objective of this study was to test for associations between county-level COVID-19 mortality, pre-pandemic county-level excessive drinking, and county rurality. Method We used national COVID-19 data from the New York Times to calculate county-level case fatality rates (n = 3,039 counties and county equivalents; October 1 –December 31, 2020) and other external county-level data sources for indicators of rurality and health. We used beta regression to model case fatality rates, adjusted for several county-level population characteristics. We included a multilevel component to our model and defined state as a random intercept. Our focal predictor was a single variable representing nine possible combinations of low/mid/high alcohol misuse and low/mid/high rurality. Results The median county-level COVID-19 case fatality rate was 1.57%. Compared to counties with low alcohol misuse and low rurality (referent), counties with high levels of alcohol and mid (β = -0.17, p = 0.008) or high levels of rurality (β = -0.24, p<0.001) demonstrated significantly lower case fatality rates. Conclusions Our findings highlight the intersecting roles of county-level alcohol consumption, rurality, and COVID-19 mortality.

2020 ◽  
Author(s):  
Gina Cahill ◽  
Carleigh Kutac ◽  
Nicholas L Rider

Objective: Like most of the world, the United States public health and economy are impacted by the COVID19 pandemic. However, discrete pandemic effects may not be fully realized on the macro-scale. With this perspective, our goal is to visualize spread of the pandemic and measure county-level features which may portend vulnerability. Materials and Methods: We accessed the New York Times GitHub repository COVID19 data and 2018 US Census data for all US Counties. The disparate datasets were merged and filtered to allow for visualization and assessments about case fatality rate (CFR%) and associated demographic, ethnic and economic features. Results: Our results suggest that county-level COVID19 fatality rates are related to advanced population age (p <0.001) and less diversity as evidenced by higher proportion of Caucasians in High CFR% counties (p < 0.001). Also, lower CFR% counties had a greater proportion of the population reporting has having 2 or more races (p <0.001). We noted no significant differences between High and Low CFR% counties with respect to mean income or poverty rate. Conclusions: Unique COVID19 impacts are realized at the county level. Use of public datasets, data science skills and information visualization can yield helpful insights to drive understanding about community-level vulnerability.


2020 ◽  
Vol Volume 4 (Issue 2) ◽  
pp. 454-477
Author(s):  
Ashraf Iqbal ◽  
Dr. Tanveer Hussain ◽  
Javed

The main purpose of the present research is to investigate Pak-Afghan relations in the editorials of US newspapers, The Washington Post & The New York Times and Pakistani newspapers Dawn & The News related to the following issues during the period 1997-2005; A) US as a factor in Pak-Afghan relation, B) Coverage of Islam/Muslims regarding war on terrorism, C) Pakistan’s stance on Pak-Afghan bilateral relations, and D) US’s stance on Pak-Afghan bilateral relations. The time period to be examined in this proposed study spans over eight years regarding the editorial coverage of Pak-Afghan relations in the US and Pakistani leading English Press. Triangulation method based on qualitative and quantitative method was used to conduct the present research. The results show that the editorial contents of USA and Pakistani newspapers were not different regarding Pak-Afghan relations before and after 9/11. The incident of 9/11 changed the American foreign policy towards developing and least developing nations especially Muslims states like Pakistan, Afghanistan, Iraq, and Iran etc. Pakistani press highlighted the issues regarding the Pak-Afghan relations before and after 9/11 as a favorable and conducive, related to Muslim/Islam regarding war on terrorism. The study suggested that instead of the focus on military resolution of the different problems, rather social bilateral negations should be prioritized which would be long lasting and full of mutual respects and honor.


PEDIATRICS ◽  
1986 ◽  
Vol 77 (5) ◽  
pp. 781-782
Author(s):  
KATHERINE K. CHRISTOFFEL ◽  
TOM CHRISTOFFEL

THE ISSUE There are an estimated 40 to 50 million handguns in the United States, with approximately 2 million more being manufactured annually1 (The New York Times, July 9, 1985, p 16). The high prevalence of handgun injury in the United States is unique in all the world and is increasing. Children are among the growing legions of US citizens harmed by the handgun epidemic.2 The effort to control handguns is focussed on developing laws to control their manufacture, importation, purchase, possession, and use. Opponents of these legal approaches claim that gun control endangers constitutional freedoms. When asked, the US Supreme court has consistently rejected that position in favor of the view that the Second Amendment protects a collective, not a personal, right to bear arms.3,4


Author(s):  
Bibi Imre-Millei

How is gendered language utilised to position the United States in relation to target states to morally justify Remotely Piloted Aircraft (RPA) strikes? State discourse of the US during the George W. Bush and Barrack Obama administrations projected an image of remotely piloted systems as mechanisms of masculine protection. US officials assert that RPAs not only protected Americans at home, they protected populations vulnerable to terrorist attack abroad. While the RPA itself was coded as masculine, RPA pilots are feminised because they are protected from battle while using the RPA. The RPA takes the position of the ultimate masculine protector and its operators become feminised in US rhetoric. The surveillant assemblage of pilot, RPA, and sensor-analytics systems sustaining the RPA, is examined through a rigorous discourse analysis of state officials’ statements during the Bush and Obama administrations. Statements are taken from a number of reputable publications including The New York Times, The New Yorker, The Atlantic, Al Jazeera, CNN, and BCC, among others. Statements are also taken from the report “Living Under Drones,” from the law schools of Stanford and New York University. This research begins to answer the question of how technology is gendered in relation to RPAs and RPA strikes.


2019 ◽  
Vol 2 (4) ◽  
pp. 255-275
Author(s):  
Yiqin Ruan ◽  
Jing Yang ◽  
Jianbin Jin

Biotechnology, as an emerging technology, has drawn much attention from the public and elicited hot debates in countries around the world and among various stakeholders. Due to the public's limited access to front-line scientific information and scientists, as well as the difficulty of processing complex scientific knowledge, the media have become one of the most important channels for the public to get news about scientific issues such as genetically modified organisms (GMOs). According to framing theory, how the media portray GMO issues may influence audiences’ perceptions of those issues. Moreover, different countries and societies have various GMO regulations, policies and public opinion, which also affect the way media cover GMO issues. Thus, it is necessary to investigate how GMO issues are covered in different media outlets across different countries. We conducted a comparative content analysis of media coverage of GMO issues in China, the US and the UK. One mainstream news portal in each of the three countries was chosen ( People's Daily for China, The New York Times for the US, and The Guardian for the UK). We collected coverage over eight years, from 2008 to 2015, which yielded 749 pieces of news in total. We examined the sentiments expressed and the generic frames used in coverage of GMO issues. We found that the factual, human interest, conflict and regulation frames were the most common frames used on the three portals, while the sentiments expressed under those frames varied across the media outlets, indicating differences in the state of GMO development, promotion and regulation among the three countries.


Author(s):  
Richard Titmuss

This book's author was a pioneer in the field of social administration (now social policy). In this reissued classic, listed by the New York Times as one of the 10 most important books of the year when it was first published in 1970, the author compares blood donation in the US and UK, contrasting the British system of reliance on voluntary donors to the American one in which the blood supply is in the hands of for-profit enterprises, concluding that a system based on altruism is both safer and more economically efficient. The argument about how altruism binds societies together has proved a powerful tool in the analysis of welfare provision. This analysis is even more topical now in an age of ever-changing health care policy and at a time when health and welfare systems are under sustained attack from many quarters.


1972 ◽  
Vol 34 (4) ◽  
pp. 26-43 ◽  
Author(s):  
Richard A. Lamanna

In any Discussion of American community life two beliefs are likely to quickly come to the fore. First, that we have over the last 50 years undergone a revolution in community settlement patterns and today we are an urban nation with more and more of our population crowding into our urban areas. Many now speak with disdain about the runaway urbanization and the emerging “ant-hill society.” A second theme that almost always accompanies the first is that the quality of life in our urban communities is deteriorating rapidly. One can hardly read a daily metropolitan newspaper without spotting a headline which sounds the alarm. Not long ago, for example, the New York Times had a front-page spread with the startling headline, “Eleven Mayors Warn Here of Collapse of U.S. Cities.” Stewart Alsop, in a Newsweek column with the foreboding title “The Cities Are Finished,” managed in the course of one page to inform his readers that the cities may be “finished” because they have become unlivable; that the net population of cities will continue to fall; that the future is statistically predictable—in another 10 years most of our cities will consist mostly of blacks; and that the cities will come to resemble reservations for the poor and the blacks surrounded by heavily guarded middle-class suburbs. More recently, Sol Linowitz, Chairman of the National Urban Coalition, declared, “We have abandoned our cities … [and while they] are not on fire today, most of the conditions that caused the civil disorders in recent years have worsened.”


2020 ◽  
Author(s):  
Benjamin Djulbegovic ◽  
David J Weiss ◽  
Iztok Hozo

Objectives To evaluate if the US governors decision to issue the stay-at-home orders reflects the classic Weber-Fechner law of psychophysics, the amount by which a stimulus (such as number of cases or deaths) must increase in order to be noticed-the just noticeable difference- as a fraction of the intensity of that stimulus. Design A prospective observational study using data on the daily number of infected patients and deaths from the New York Times daily database. Setting 50 States and the District of Columbia Participants All individuals judged to be positive for the coronavirus or to have died from COVID19. Main outcome measures Number of people diagnosed with or died from COVID19. Results We found that the decision to issue the state-at-home order reflects the Weber-Fechner law of psychophysics. Both the number of infections (p=<0.0001; R2=0.79) and deaths (p<0.0001; R2=0.63) were highly statistically significantly associated with the decision to issue the stay-at-home orders. The results indicate that for each doubling of infections or deaths within their state, an additional four to six governors will issue the stay-at-home order. We also observed a clear dose-response relationship in the Cox model: the larger the number of cases, or deaths, the higher the probability that the stay-at-home order will be made. When the number of deaths reached 256 or the number of infected people was greater than 16,384, the probability of issuing a stay-at-home order was close to 100%. Conclusions When there are not clearly articulated rules to follow, decision-makers in times of crisis such as COVID19 resort to use of simple heuristics consistent with the Weber-Fechner law of psychophysics. The findings are important for the public to understand how their elected officials make important public health decisions.


Jurnal ICMES ◽  
2019 ◽  
Vol 3 (1) ◽  
pp. 1-26
Author(s):  
Hilal Kholid Bajri ◽  
Nugrah Nurrohman ◽  
Muhammad Fakhri

This article is a study of the involvement of the United States (US) in the Yemeni War thas has already taken place since 2015 by using the 'CNN Effect' theory. The authors analyzed documents and mass media coverage and conducted discourse analysis on US mainstream media news, namely CNN and the New York Times. The result of this research shows that CNN and the New York Times did not report the Yemeni War proportionally so that public opinion ignored this war and did not encourage further action from the US government and United Nations to stop the war. This way of reporting is in line with US’ economic-political interests in Yemen and US support for the Saudi Arabia.


Author(s):  
Martina Topic ◽  
Etajha Gilmer

In this paper, we analysed Hillary Clinton’s relationship with the media starting from her first appointment at a US First Lady to her being the Democratic nominee for the US presidential elections in 2016. Thus, we analysed academic literature demonstrating Clinton’s problems with the media bias, and then added our own discourse analysis of articles on Clinton and feminism in two main national newspapers that have consistently demonstrated the power of setting the agenda and forming public opinion in the U.S. – The Washington Post and The New York Times. Discourse analysis has been used to analyse 20 selected articles that discussed Clinton’s feminist views in a period from September 2015 until September 2016, which was also a campaign period for 2016 U.S. elections. The findings add to the current research on the topic and show that the media undermined liberal feminism and its goals to undermine Hillary Clinton, whereas in the past Hillary was a subject of media criticism because of her refusal to fit into expected roles and be a supportive wife only. The discourse of criticism of Hillary Clinton has changed over time but every time with the same results, undermining the image and career advancement.


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