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Article

The Geographical Distribution and Influencing Factors of COVID-19 in China

1
Department of Landscape and Architectural Engineering, Guangxi Agricultural Vocational University, Nanning 530007, China
2
College of Civil Engineering and Architecture, Jiaxing University, Jiaxing 314001, China
3
College of Architecture and Urban Planning, Lanzhou Jiaotong University, Lanzhou 730070, China
4
College of Urban and Environmental Science, Northwest University, Xi’an 710127, China
5
School of Architecture, Southeast University, Nanjing 210096, China
*
Author to whom correspondence should be addressed.
Trop. Med. Infect. Dis. 2022, 7(3), 45; https://doi.org/10.3390/tropicalmed7030045
Submission received: 8 January 2022 / Revised: 20 February 2022 / Accepted: 3 March 2022 / Published: 6 March 2022
(This article belongs to the Special Issue Spatial Epidemiology of Infectious Diseases)

Abstract

The study of the spatial differentiation of COVID-19 in cities and its driving mechanism is helpful to reveal the spatial distribution pattern, transmission mechanism and diffusion model, and evolution mechanism of the epidemic and can lay the foundation for constructing the spatial dynamics model of the epidemic and provide theoretical basis for the policy design, spatial planning and implementation of epidemic prevention and control and social governance. Geodetector (Origin version, Beijing, China) is a great tool for analysis of spatial differentiation and its influencing factors, and it provides decision support for differentiated policy design and its implementation in executing the city-specific policies. Using factor detection and interaction analysis of Geodetector, 15 indicators of economic, social, ecological, and environmental dimensions were integrated, and 143 cities were selected for the empirical research in China. The research shows that, first of all, risks of both infection and death show positive spatial autocorrelation, but the geographical distribution of local spatial autocorrelation differs significantly between the two. Secondly, the inequalities in urban economic, social, and residential environments interact with COVID-19 spatial heterogeneity, with stronger explanatory power especially when multidimensional inequalities are superimposed. Thirdly, the spatial distribution and spread of COVID-19 are highly spatially heterogeneous and correlated due to the complex influence of multiple factors, with factors such as Area of Urban Construction Land, GDP, Industrial Smoke and Dust Emission, and Expenditure having the strongest influence, the factors such as Area of Green, Number of Hospital Beds and Parks, and Industrial NOx Emissions having unignorable influence, while the factors such as Number of Free Parks and Industrial Enterprises, Per-GDP, and Population Density play an indirect role mainly by means of interaction. Fourthly, the factor interaction effect from the infected person’s perspective mainly shows a nonlinear enhancement effect, that is, the joint influence of the two factors is greater than the sum of their direct influences; but from the perspective of the dead, it mainly shows a two-factor enhancement effect, that is, the joint influence of the two factors is greater than the maximum of their direct influences but less than their sum. Fifthly, some suggestions are put forward from the perspectives of building a healthy, resilient, safe, and smart city, providing valuable reference and decision basis for city governments to carry out differentiated policy design.
Keywords: COVID-19; urban inequalities; infectious diseases; spatial distribution; China COVID-19; urban inequalities; infectious diseases; spatial distribution; China

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MDPI and ACS Style

Li, W.; Zhang, P.; Zhao, K.; Zhao, S. The Geographical Distribution and Influencing Factors of COVID-19 in China. Trop. Med. Infect. Dis. 2022, 7, 45. https://doi.org/10.3390/tropicalmed7030045

AMA Style

Li W, Zhang P, Zhao K, Zhao S. The Geographical Distribution and Influencing Factors of COVID-19 in China. Tropical Medicine and Infectious Disease. 2022; 7(3):45. https://doi.org/10.3390/tropicalmed7030045

Chicago/Turabian Style

Li, Weiwei, Ping Zhang, Kaixu Zhao, and Sidong Zhao. 2022. "The Geographical Distribution and Influencing Factors of COVID-19 in China" Tropical Medicine and Infectious Disease 7, no. 3: 45. https://doi.org/10.3390/tropicalmed7030045

APA Style

Li, W., Zhang, P., Zhao, K., & Zhao, S. (2022). The Geographical Distribution and Influencing Factors of COVID-19 in China. Tropical Medicine and Infectious Disease, 7(3), 45. https://doi.org/10.3390/tropicalmed7030045

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