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Comparing Patient-reported Impact of COVID-19 Shelter-in-place Policies and Access to Containment and Mitigation Strategies Overall and in Vulnerable Populations, United States, 2020-2022 (ICPSR 39218)

Released/updated on: 2025-08-05
Geographic coverage: United States
Time period: 2020-04-22--2021-12-31, 2020-03-26--2023-10-26

The COVID-19 Citizen Science (CCS) Study was launched early in the pandemic to collect patient-reported information about exposures, risk behaviors and outcomes relevant to the pandemic. The Patient-Centered Outcomes Research Institute (PCORI) funded the research team to expand recruitment into CCS using PCORnet, the National Patient-Centered Clinical Research Network, and to use the resulting data to compare the patient-reported impact of pandemic associated policies. The research team systematically collected pandemic-associated policies enacted by counties across the United States (focusing in areas where there were many CCS participants), and to do so on a weekly basis from the beginning of the pandemic using publicly available sources.

Researchers combined data from various sources to answer two primary research questions (RQ):

  1. What is the comparative impact of different shelter-in-place/reopening policies, overall and in vulnerable populations, on patient-reported financial insecurity, mental health, and other subjective outcomes important to patients?
  2. What is the comparative effectiveness of county-level containment and mitigation strategies at achieving timely access to COVID-19 vaccination, testing, healthcare, information and contact tracing?

The research team collected patient-reported data from the CCS study and policy data from the U.S COVID-19 County Policy (UCCP) database. Electronic health record (EHR) data were also available from some participants recruited from health systems located across 7 U.S. states who consented and authorized use of these data for the study. Data for these participants were extracted from the PCORnet Common Data Model (CDM). Additional county-level contextual variables were included in analysis.

This collection contains CCS survey data on patient-reported anxiety with county-level policies data (DS1), respondent demographics (DS2), baseline survey results (DS3), daily (DS4) and weekly (DS5) COVID-19 symptoms reports, COVID-19 vaccination surveys repeated monthly (DS6) as well as a one-time vaccination survey (DS7), and pandemic impacts check-in surveys (DS8). CDM datasets include logistic regression model outcomes to predict study enrollment among all invited participants (DS9), codes for immunizations (DS10), laboratory tests (DS11), and procedures (DS12). County-level variables are also available for years 2021 (DS13) and 2023 (DS14).

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United States COVID-19 County Policy Database, 2020-2021 (ICPSR 39109)

Released/updated on: 2024-06-11
Geographic coverage: United States
Time period: 2020-01-01--2021-12-01
The objective of the U.S. COVID-19 County Policy (UCCP) Database was to systematically gather, characterize, and assess geographic and longitudinal variation in U.S. COVID-19-related policies at the county and state levels. The research team gathered policy data on a weekly basis for 309 counties in 50 states and Washington D.C. Although these counties were not nationally representative, they included over half of the U.S. population and were diverse with respect to geography, the race/ethnicity of residents, and political climate. Weekly data were collected between January 2020 and December 2021 on a wide range of COVID-19-related policies that were in effect, providing a longitudinal picture of county policies during that period.