With the COVID-19 is continuing to spread around the world, regional disparities in the risk of COVID-19 have been reported. Thus, this study aims to identify risk factors associated with the incidence of COVID-19 using community-level data. In addition, we confirmed the characteristics of COVID-19 by comparison with National notifiable infectious diseases.
Data on the number of COVID-19 and the National notifiable infectious disease cases were collected from the Ministry of Health and Welfare and the Korea Disease Control and Prevention Agency’s reports. Secondary data of community-level were collected through the Korean Statistical Information Service (KOSIS). Then, a multiple linear regression analysis was performed with variables of demographic and socioeconomic factors, health status and resources, and health behavior factors.
As of February 16, 2021, the COVID-19 incidence rate was 123.0 per 100,000 people, ranging from 0 to 1,023 by region. The result shows that higher population density, financial independence, and practice rate of hand-washing and lower influenza vaccination coverage rate were associated with a higher incidence of COIVD-19.
Among them, population density, practice rate of hand-washing, and influenza vaccination coverage rate were associated with the National notifiable infectious disease in common with COVID-19. However, these factors affected the COVID-19 and the National notifiable infectious diseases in opposite directions. These findings indicate the outbreak pattern of COVID-19 in Korea, spread around specific groups in metropolitan areas.
This study is one of the early studies that explain the incidence of COVID-19 by considering community-level factors. This is meaningful in that it is academically confirmed that the risk factors of COVID-19 may differ from those of other infectious diseases.