Compact living or policy inaction? Effects of urban density and lockdown on the COVID-19 outbreak in the US

Urban Stud. 2023 Jul;60(9):1588-1609. doi: 10.1177/00420980221127401. Epub 2022 Dec 14.

Abstract

The coronavirus pandemic has reignited the debate over urban density. Popular media has been quick to blame density as a key contributor to rapid disease transmission, questioning whether compact cities are still a desirable planning goal. Past research on the density-pandemic connection have produced mixed results. This article offers a critical perspective on this debate by unpacking the effects of alternative measures of urban density, and examining the impacts of mandatory lockdowns and the stringency of other government restrictions on cumulative Covid-19 infection and mortality rates during the early phase of the pandemic in the US. Our results show a consistent positive effect of density on Covid-19 outcomes across urban areas during the first six months of the outbreak. However, we find modest variations in the density-pandemic relationship depending on how densities are measured. We also find relatively longer duration mandatory lockdowns to be associated with lower infection and mortality rates, and lockdown duration's effect to be relatively more pronounced in high-density urban areas. Moreover, we find that the timing of lockdown imposition and the stringency of the government's response additionally influence Covid-19 outcomes, and that the effects vary by urban density. We argue that the adverse impact of density on pandemics could be mitigated by adopting strict lockdowns and other stringent human mobility and interaction restriction policies in a spatially targeted manner. Our study helps to inform current and future government policies to contain the virus, and to make our cities more resilient against future shocks and threats.

新冠疫情重新激起了关于城市密度的争论。大众媒体马上将矛头指向了城市密度,认为其是疾病快速传播的关键因素,对紧凑型城市是否仍然是理想的规划目标提出了质疑。之前关于城市密度与疫情之间关系的研究得出的结论不一。本文针对这场争论提供了一个批判性的视角,分析了城市密度替代措施的影响,并研究了强制封锁和其他政府限制措施的严格度对美国新冠肺炎疫情早期累积感染率和死亡率的影响。我们的结果表明,在疫情爆发的前六个月,城市密度与整个城市地区的新冠肺炎感染结果呈一致的正相关。然而,我们发现,不同的城市密度测量方式得出的城市密度与疫情的关系存在适度差异。我们还发现,相对较长的强制封锁时间与较低的感染率和死亡率有关,而在高密度城市地区,封锁时间的影响相对更为明显。此外,我们发现实施封锁的时机和政府应对措施的严格程度还影响新冠肺炎的传播结果,并且影响因城市密度而异。我们认为,针对特定空间,通过采取严格的封锁以及其他严格的人员流动和交往限制政策,可以减轻因为密度而造成的流行病传播的不利影响。我们的研究有助于为政府当前和未来遏制病毒的政策提供参考,并使我们的城市在面对未来的冲击和威胁时更具有复原力。.

Keywords: Covid-19; built environment; density; health; lockdown; planning; policy.