论文标题
采用非药物干预措施以及在哥伦比亚，厄瓜多尔和埃尔·萨尔瓦多（El Salvador）期间的数字基础设施的作用
The adoption of non-pharmaceutical interventions and the role of digital infrastructure during the COVID-19 Pandemic in Colombia, Ecuador, and El Salvador
论文作者
论文摘要
遵守非药物干预措施（NPI）以减轻传染病的传播是一个多方面的问题。社会人口统计学，社会经济和流行病学因素可能会影响已知会影响行为的感知敏感性和风险。此外，NPI的采用取决于与其实施相关的真实或感知的障碍。我们研究了哥伦比亚，厄瓜多尔和萨尔瓦多的Covid-19大流行第一波中NPI依从性的决定因素。分析在市政当局级别进行，包括社会经济，社会人口统计学和流行病学指标。此外，通过利用独特的数据集，其中包括Ookla的数千万次互联网速度测量测量，我们研究了数字基础架构的质量，以作为可能采用的障碍。我们使用元数据捕获汇总的移动性更改提供的公开可用数据作为遵守NPI的依从性。在考虑的这三个国家中，我们发现移动性下降与数字基础设施质量之间存在显着相关性。控制了几个因素，包括社会经济状况，人口规模和报道的1900案例，这种关系仍然很重要。这一发现表明，连通性更好的市政当局能够减少移动性。在NPIS的高峰期，移动性下降与数字基础设施质量之间的联系更强。我们还发现，在更大，更密集和更富裕的市政当局中，降低移动性更为明显。我们的工作为访问数字工具的重要性提供了新的见解，这是影响健康紧急情况下遵循社会距离准则能力的另一个因素
Adherence to the non-pharmaceutical interventions (NPIs) put in place to mitigate the spreading of infectious diseases is a multifaceted problem. Socio-demographic, socio-economic, and epidemiological factors can influence the perceived susceptibility and risk which are known to affect behavior. Furthermore, the adoption of NPIs is dependent upon the barriers, real or perceived, associated with their implementation. We study the determinants of NPIs adherence during the first wave of the COVID-19 Pandemic in Colombia, Ecuador, and El Salvador. Analyses are performed at the level of municipalities and include socio-economic, socio-demographic, and epidemiological indicators. Furthermore, by leveraging a unique dataset comprising tens of millions of internet Speedtest measurements from Ookla, we investigate the quality of the digital infrastructure as a possible barrier to adoption. We use publicly available data provided by Meta capturing aggregated mobility changes as a proxy of adherence to NPIs. Across the three countries considered, we find a significant correlation between mobility drops and digital infrastructure quality. The relationship remains significant after controlling for several factors including socio-economic status, population size, and reported COVID-19 cases. This finding suggests that municipalities with better connectivity were able to afford higher mobility reductions. The link between mobility drops and digital infrastructure quality is stronger at the peak of NPIs stringency. We also find that mobility reductions were more pronounced in larger, denser, and wealthier municipalities. Our work provides new insights on the significance of access to digital tools as an additional factor influencing the ability to follow social distancing guidelines during a health emergency
