Spatiotemporal clusters and the socioeconomic determinants of COVID-19 in Toronto neighbourhoods, Canada

Spat Spatiotemporal Epidemiol. 2022 Nov:43:100534. doi: 10.1016/j.sste.2022.100534. Epub 2022 Aug 26.

Abstract

The aim of this study is to identify spatiotemporal clusters and the socioeconomic drivers of COVID-19 in Toronto. Geographical, epidemiological, and socioeconomic data from the 140 neighbourhoods in Toronto were used in this study. We used local and global Moran's I, and space-time scan statistic to identify spatial and spatiotemporal clusters of COVID-19. We also used global (spatial regression models), and local geographically weighted regression (GWR) and Multiscale Geographically weighted regression (MGWR) models to identify the globally and locally varying socioeconomic drivers of COVID-19. The global regression model identified a lower percentage of educated people and a higher percentage of immigrants in the neighbourhoods as significant predictors of COVID-19. MGWR shows the best fit model to explain the variables affecting COVID-19. The findings imply that a single intervention package for the entire area would not be an effective strategy for controlling COVID-19; a locally adaptable intervention package would be beneficial.

Keywords: COVID-19; Clustering analysis; Multiscale geographically weighted regression (mgwr); Space-time clusters; Spatial regression.

MeSH terms

  • COVID-19* / epidemiology
  • Canada
  • Emigrants and Immigrants*
  • Humans
  • Socioeconomic Factors
  • Spatial Regression