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DOI10.1073/pnas.2008814118
Measuring voluntary and policy-induced social distancing behavior during the COVID-19 pandemic
Yan Y.; Malik A.A.; Bayham J.; Fenichel E.P.; Couzens C.; Omer S.B.
发表日期2021
ISSN00278424
卷号118期号:16
英文摘要Staying home and avoiding unnecessary contact is an important part of the effort to contain COVID-19 and limit deaths. Every state in the United States enacted policies to encourage distancing and some mandated staying home. Understanding how these policies interact with individuals' voluntary responses to the COVID-19 epidemic is a critical initial step in understanding the role of these nonpharmaceutical interventions in transmission dynamics and assessing policy impacts. We use variation in policy responses along with smart device data that measures the amount of time Americans stayed home to disentangle the extent that observed shifts in staying home behavior are induced by policy. We find evidence that stay-at-home orders and voluntary response to locally reported COVID-19 cases and deaths led to behavioral change. For the median county, which implemented a stay-at-home order with about two cases, we find that the response to stay-at-home orders increased time at home as if the county had experienced 29 additional local cases. However, the relative effect of stay-at-home orders was much greater in select counties. On the one hand, the mandate can be viewed as displacing a voluntary response to this rise in cases. On the other hand, policy accelerated the response, which likely helped reduce spread in the early phase of the pandemic. It is important to be able to attribute the relative role of self-interested behavior or policy mandates to understand the limits and opportunities for relying on voluntary behavior as opposed to imposing stay-at-home orders. © 2021 National Academy of Sciences. All rights reserved.
英文关键词Avoidance behavior; COVID-19; Nonpharmaceutical interventions; Social distancing; Stay-at-home order
语种英语
scopus关键词behavior; epidemiology; health care policy; human; pandemic; physiology; regression analysis; United States; virology; Behavior; COVID-19; Health Policy; Humans; Pandemics; Physical Distancing; Regression Analysis; SARS-CoV-2; United States
来源期刊Proceedings of the National Academy of Sciences of the United States of America
文献类型期刊论文
条目标识符http://gcip.llas.ac.cn/handle/2XKMVOVA/179857
作者单位School of the Environment, Yale University, New Haven, CT 06511, United States; Yale Institute for Global Health, New Haven, CT 06510, United States; Department of Internal Medicine, Yale School of Medicine, New Haven, CT 06510, United States; Department of Agricultural and Resource Economics, Colorado State University, Fort Collins, CO 80523, United States; Department of Epidemiology of Microbial Diseases, Yale School of Public Health, New Haven, CT 06510, United States; Yale School of Nursing, Orange, CT 06477, United States
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Yan Y.,Malik A.A.,Bayham J.,et al. Measuring voluntary and policy-induced social distancing behavior during the COVID-19 pandemic[J],2021,118(16).
APA Yan Y.,Malik A.A.,Bayham J.,Fenichel E.P.,Couzens C.,&Omer S.B..(2021).Measuring voluntary and policy-induced social distancing behavior during the COVID-19 pandemic.Proceedings of the National Academy of Sciences of the United States of America,118(16).
MLA Yan Y.,et al."Measuring voluntary and policy-induced social distancing behavior during the COVID-19 pandemic".Proceedings of the National Academy of Sciences of the United States of America 118.16(2021).
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