Abstract

The spread of COVID-19 is not evenly distributed. Neighborhood environments may structure risks and resources that produce COVID-19 disparities. Neighborhood built environments that allow greater flow of people into an area or impede social distancing practices may increase residents’ risk for contracting the virus. We leveraged Google Street View (GSV) images and computer vision to detect built environment features (presence of a crosswalk, non-single family home, single-lane roads, dilapidated building and visible wires). We utilized Poisson regression models to determine associations of built environment characteristics with COVID-19 cases. Indicators of mixed land use (non-single family home), walkability (sidewalks), and physical disorder (dilapidated buildings and visible wires) were connected with higher COVID-19 cases. Indicators of lower urban development (single lane roads and green streets) were connected with fewer COVID-19 cases. Percent black and percent with less than a high school education were associated with more COVID-19 cases. Our findings suggest that built environment characteristics can help characterize community-level COVID-19 risk. Sociodemographic disparities also highlight differential COVID-19 risk across groups of people. Computer vision and big data image sources make national studies of built environment effects on COVID-19 risk possible, to inform local area decision-making.

Highlights

  • The COVID-19 pandemic has caused approximately 150,000 deaths in the United States as of29 July 2020 [1], and has had unprecedented negative effects on the U.S economy and households in numerous ways

  • We investigated whether zip code built environments can help explain some of the variation in COVID-19 cases across 20 states

  • Leveraging Google Street View Images, we found that single-lane/residential roads and green streets were associated with fewer cases, while non-single family homes, sidewalks, and physical disorder were associated with more cases in the neighborhood

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Summary

Introduction

The COVID-19 pandemic has caused approximately 150,000 deaths in the United States as of29 July 2020 [1], and has had unprecedented negative effects on the U.S economy and households in numerous ways. Public Health 2020, 17, 6359; doi:10.3390/ijerph17176359 www.mdpi.com/journal/ijerph

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