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. 2022 Mar;87(1):94-118.
doi: 10.1111/ruso.12404. Epub 2021 Aug 23.

COVID-19 in Rural America: Impacts of Politics and Disadvantage

Don E Albrecht  1
Affiliations

COVID-19 in Rural America: Impacts of Politics and Disadvantage

Don E Albrecht. Rural Sociol. 2022 Mar.

Abstract

Early in the COVID-19 pandemic, people living in cities were much more likely than rural residents to become infected with and die from the virus. Beginning in the summer of 2020, however, the proportional increase in virus spread became much greater in rural areas. By March 2021, per capita cases and deaths were greater in nonmetro than in metro areas. Multi-variate regression analysis found that political views were the most important variable explaining per capita COVID-19 cases, while measures of disadvantage were the best predictors of COVID-19 deaths. Counties with high proportions of Trump voters had higher per capita cases, and in nonmetro areas, these counties had higher death rates. Overall, the best predictor of COVID-19 death rates is low levels of educational attainment, high poverty rates, and high minority populations.

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Figures

Figure 1
Figure 1
County‐Level Map Showing Cases of COVID‐19 per 100,000 as of March 1, 2021. *Counties appearing as white, indicate missing or incomplete data. [Colour figure can be viewed at wileyonlinelibrary.com
Figure 2
Figure 2
County‐Level Map Showing Deaths From COVID‐19 per 100,000 as of March 1, 2021. *Counties appearing as white, indicate missing or incomplete data. [Colour figure can be viewed at wileyonlinelibrary.com
See this image and copyright information in PMC

References

    1. Adhikari, Samrachana , Pantaleo Nicholas P., Feldman Justin M., Ogedegbe Olugbenga, Thorpe Lorna, and Troxel Andrea B.. 2020. “Assessment of Community‐Level Disparities in Coronavirus Disease 2019 (COVID‐19) Infections and Deaths in Large US Metropolitan Areas.” JAMA Network Open 3(7):e2016938. - PMC - PubMed
    1. Ahmed, Faheem , Ahmed Na'eem, Pissarides Christopher, and Stiglitz Joseph. 2020. “Why Inequality Could Spread COVID‐19.” The Lancet Public Health 5(5):e240. - PMC - PubMed
    1. Albrecht, Don E . 2012. “A Comparison of Metro and Nonmetro Incomes in a Twenty‐First Century Economy.” Journal of Rural Social Sciences 27(1). Retrieved March 1, 2021 (https://egrove.olemiss.edu/jrss/vol27/iss1/1).
    1. Albrecht, Don E. and Albrecht Stan L.. 2000. “Poverty in Nonmetropolitan America: Impacts of Industrial, Employment, and Family Structure Variables.” Rural Sociology 65(1):87–103.
    1. Allcott, Hunt , Boxell Levi, Conway Jacob, Gentzkow Matthew, Thaler Michael, and Yang David. 2020. “Polarization and Public Health: Partisan Differences in Social Distancing During the Coronavirus Pandemic.” National Bureau of Economic Research Working Paper 26946. - PMC - PubMed