Structural equation modeling to shed light on the controversial role of climate on the spread of SARS-CoV-2

Sci Rep. 2021 Apr 16;11(1):8358. doi: 10.1038/s41598-021-87113-1.

Abstract

Climate seems to influence the spread of SARS-CoV-2, but the findings of the studies performed so far are conflicting. To overcome these issues, we performed a global scale study considering 134,871 virologic-climatic-demographic data (209 countries, first 16 weeks of the pandemic). To analyze the relation among COVID-19, population density, and climate, a theoretical path diagram was hypothesized and tested using structural equation modeling (SEM), a powerful statistical technique for the evaluation of causal assumptions. The results of the analysis showed that both climate and population density significantly influence the spread of COVID-19 (p < 0.001 and p < 0.01, respectively). Overall, climate outweighs population density (path coefficients: climate vs. incidence = 0.18, climate vs. prevalence = 0.11, population density vs. incidence = 0.04, population density vs. prevalence = 0.05). Among the climatic factors, irradiation plays the most relevant role, with a factor-loading of - 0.77, followed by temperature (- 0.56), humidity (0.52), precipitation (0.44), and pressure (0.073); for all p < 0.001. In conclusion, this study demonstrates that climatic factors significantly influence the spread of SARS-CoV-2. However, demographic factors, together with other determinants, can affect the transmission, and their influence may overcome the protective effect of climate, where favourable.

MeSH terms

  • Atmospheric Pressure
  • COVID-19 / epidemiology
  • COVID-19 / pathology
  • COVID-19 / transmission*
  • COVID-19 / virology
  • Climate*
  • Humans
  • Humidity
  • Models, Theoretical*
  • Population Density
  • Prevalence
  • Rain
  • SARS-CoV-2 / isolation & purification
  • Temperature