Journal of Public Health Management and Practice, Journal Year: 2024, Volume and Issue: unknown
Published: Dec. 26, 2024
Objective: To examine the association between local health department (LHD) accreditation and COVID-19 community outcomes, including rates of adult vaccination, hospitalization, death. Design: We examined county level death by LHD status over course COVID pandemic. Additional independent variables included time period, Community Vulnerability Index (CCVI), state public governance structure, policy environment. used hierarchal linear mixed modeling with random intercept for data to account repeated observations fixed effects all other variables. Setting: This study communities in United States America. Participants: LHDs they serve. Main Outcome Measures: Rates due COVID-19. Results: Among accredited LHDs, population was more likely be fully vaccinated when compared unaccredited ( P < .01). model, which were also significant, CCVI, environment, structure. There no significant differences hospitalization jurisdictions an where is not accredited. Death statistically significantly lower than .001). relationship key time, Conclusions: demonstrates that there outcomes. Furthermore, we found factors, such as social determinants health, structure impact
Language: Английский