The Immediate Effect of COVID-19 Policies on Social-Distancing Behavior in the United States. (March 2021)

• Record Type: Journal Article
• Authors: Abouk, Rahi; Heydari, Babak
• Is Part Of: Public health reports. Volume 136:Number 2(2021)
• Page Start: 245
• Page End: 252
• Publication Date: 2021-03
• Subjects: COVID-19 -- social distancing -- stay-at-home -- difference-in-differences; Public health -- United States -- Periodicals; 614.0973
• DOI: 10.1177/0033354920976575
• Languages: English
• ISSNs: 0033-3549

Abstract

Objective: Although anecdotal evidence indicates the effectiveness of coronavirus disease 2019 (COVID-19) social-distancing policies, their effectiveness in relation to what is driven by public awareness and voluntary actions needs to be determined. We evaluated the effectiveness of the 6 most common social-distancing policies in the United States (statewide stay-at-home orders, limited stay-at-home orders, nonessential business closures, bans on large gatherings, school closure mandates, and limits on restaurants and bars) during the early stage of the pandemic. Methods: We applied difference-in-differences and event-study methodologies to evaluate the effect of the 6 social-distancing policies on Google-released aggregated, anonymized daily location data on movement trends over time by state for all 50 states and the District of Columbia in 6 location categories: retail and recreation, grocery stores and pharmacies, parks, transit stations, workplaces, and residences. We compared the outcome of interest in states that adopted COVID-19–related policies with states that did not adopt such policies, before and after these policies took effect during February 15–April 25, 2020. Results: Statewide stay-at-home orders had the strongest effect on reducing out-of-home mobility and increased the time people spent at home by an estimated 2.5 percentage points (15.2%) from before to after policies took effect. Limits on restaurants and bars ranked second and resulted in an increase in presence at home by an estimated 1.4 percentage points (8.5%). The other 4 policies did not significantly reduce mobility. Conclusion: Statewide stay-at-home orders and limits on bars and restaurants were most closely linked to reduced mobility in the early stages of the COVID-19 pandemic, whereas the potential benefits of other such policies may have already been reaped from voluntary social distancing. Further research is needed to understand how the effect of social-distancing policies changes as voluntary social distancing wanes during later stages of a pandemic.