Short-Range Forecasting of COVID-19 During Early Onset at County, Health District, and State Geographic Levels Using Seven Methods: Comparative Forecasting Study.

BACKGROUND: Forecasting methods rely on trends and averages of prior observations to forecast COVID-19 case counts. COVID-19 forecasts have received much media attention, and numerous platforms have been created to inform the public. However, forecasting effectiveness varies by geographic scope and is affected by changing assumptions in behaviors and preventative measures in response to the pandemic. Due to time requirements for developing a COVID-19 vaccine, evidence is needed to inform short-term forecasting method selection at county, health district, and state levels. OBJECTIVE: COVID-19 forecasts keep the public informed and contribute to public policy. As such, proper understanding of forecasting purposes and outcomes is needed to advance knowledge of health statistics for policy makers and the public. Using publicly available real-time data provided online, we aimed to evaluate the performance of seven forecasting methods utilized to forecast cumulative COVID-19 case counts. Forecasts were evaluated based on how well they forecast 1, 3, and 7 days forward when utilizing 1-, 3-, 7-, or all prior-day cumulative case counts during early virus onset. This study provides an objective evaluation of the forecasting methods to identify forecasting model assumptions that contribute to lower error in forecasting COVID-19 cumulative case growth. This information benefits professionals, decision makers, and the public relying on the data provided by short-term case count estimates at varied geographic levels. METHODS: We created 1-, 3-, and 7-day forecasts at the county, health district, and state levels using (1) a naïve approach, (2) Holt-Winters (HW) exponential smoothing, (3) a growth rate approach, (4) a moving average (MA) approach, (5) an autoregressive (AR) approach, (6) an autoregressive moving average (ARMA) approach, and (7) an autoregressive integrated moving average (ARIMA) approach. Forecasts relied on Virginia's 3464 historical county-level cumulative case counts from March 7 to April 22, 2020, as reported by The New York Times. Statistically significant results were identified using 95% CIs of median absolute error (MdAE) and median absolute percentage error (MdAPE) metrics of the resulting 216,698 forecasts. RESULTS: The next-day MA forecast with 3-day look-back length obtained the lowest MdAE (median 0.67, 95% CI 0.49-0.84, P<.001) and statistically significantly differed from 39 out of 59 alternatives (66%) to 53 out of 59 alternatives (90%) at each geographic level at a significance level of .01. For short-range forecasting, methods assuming stationary means of prior days' counts outperformed methods with assumptions of weak stationarity or nonstationarity means. MdAPE results revealed statistically significant differences across geographic levels. CONCLUSIONS: For short-range COVID-19 cumulative case count forecasting at the county, health district, and state levels during early onset, the following were found: (1) the MA method was effective for forecasting 1-, 3-, and 7-day cumulative case counts; (2) exponential growth was not the best representation of case growth during early virus onset when the public was aware of the virus; and (3) geographic resolution was a factor in the selection of forecasting methods.

Estimating the Health Effects of Adding Bicycle and Pedestrian Paths at the Census Tract Level: Multiple Model Comparison.

BACKGROUND: Adding additional bicycle and pedestrian paths to an area can lead to improved health outcomes for residents over time. However, quantitatively determining which areas benefit more from bicycle and pedestrian paths, how many miles of bicycle and pedestrian paths are needed, and the health outcomes that may be most improved remain open questions. OBJECTIVE: Our work provides and evaluates a methodology that offers actionable insight for city-level planners, public health officials, and decision makers tasked with the question "To what extent will adding specified bicycle and pedestrian path mileage to a census tract improve residents' health outcomes over time?" METHODS: We conducted a factor analysis of data from the American Community Survey, Center for Disease Control 500 Cities project, Strava, and bicycle and pedestrian path location and use data from two different cities (Norfolk, Virginia, and San Francisco, California). We constructed 2 city-specific factor models and used an algorithm to predict the expected mean improvement that a specified number of bicycle and pedestrian path miles contributes to the identified health outcomes. RESULTS: We show that given a factor model constructed from data from 2011 to 2015, the number of additional bicycle and pedestrian path miles in 2016, and a specific census tract, our models forecast health outcome improvements in 2020 more accurately than 2 alternative approaches for both Norfolk, Virginia, and San Francisco, California. Furthermore, for each city, we show that the additional accuracy is a statistically significant improvement (P<.001 in every case) when compared with the alternate approaches. For Norfolk, Virginia (n=31 census tracts), our approach estimated, on average, the percentage of individuals with high blood pressure in the census tract within 1.49% (SD 0.85%), the percentage of individuals with diabetes in the census tract within 1.63% (SD 0.59%), and the percentage of individuals who had >2 weeks of poor physical health days in the census tract within 1.83% (SD 0.57%). For San Francisco (n=49 census tracts), our approach estimates, on average, that the percentage of individuals who had a stroke in the census tract is within 1.81% (SD 0.52%), and the percentage of individuals with diabetes in the census tract is within 1.26% (SD 0.91%). CONCLUSIONS: We propose and evaluate a methodology to enable decision makers to weigh the extent to which 2 bicycle and pedestrian paths of equal cost, which were proposed in different census tracts, improve residents' health outcomes; identify areas where bicycle and pedestrian paths are unlikely to be effective interventions and other strategies should be used; and quantify the minimum amount of additional bicycle path miles needed to maximize health outcome improvements. Our methodology shows statistically significant improvements, compared with alternative approaches, in historical accuracy for 2 large cities (for 2016) within different geographic areas and with different demographics.

Application of one-, three-, and seven-day forecasts during early onset on the COVID-19 epidemic dataset using moving average, autoregressive, autoregressive moving average, autoregressive integrated moving average, and naïve forecasting methods.

The coronavirus disease 2019 (COVID-19) spread rapidly across the world since its appearance in December 2019. This data set creates one-, three-, and seven-day forecasts of the COVID-19 pandemic's cumulative case counts at the county, health district, and state geographic levels for the state of Virginia. Forecasts are created over the first 46 days of reported COVID-19 cases using the cumulative case count data provided by The New York Times as of April 22, 2020. From this historical data, one-, three-, seven, and all-days prior to the forecast start date are used to generate the forecasts. Forecasts are created using: (1) a Naïve approach; (2) Holt-Winters exponential smoothing (HW); (3) growth rate (Growth); (4) moving average (MA); (5) autoregressive (AR); (6) autoregressive moving average (ARMA); and (7) autoregressive integrated moving average (ARIMA). Median Absolute Error (MdAE) and Median Absolute Percentage Error (MdAPE) metrics are created with each forecast to evaluate the forecast with respect to existing historical data. These error metrics are aggregated to provide a means for assessing which combination of forecast method, forecast length, and lookback length are best fits, based on lowest aggregated error at each geographic level. The data set is comprised of an R-Project file, four R source code files, all 1,329,404 generated short-range forecasts, MdAE and MdAPE error metric data for each forecast, copies of the input files, and the generated comparison tables. All code and data files are provided to provide transparency and facilitate replicability and reproducibility. This package opens directly in RStudio through the R Project file. The R Project file removes the need to set path locations for the folders contained within the data set to simplify setup requirements. This data set provides two avenues for reproducing results: 1) Use the provided code to generate the forecasts from scratch and then run the analyses; or 2) Load the saved forecast data and run the analyses on the stored data. Code annotations provide the instructions needed to accomplish both routes. This data can be used to generate the same set of forecasts and error metrics for any US state by altering the state parameter within the source code. Users can also generate health district forecasts for any other state, by providing a file which maps each county within a state to its respective health-district. The source code can be connected to the most up-to-date version of The New York Times COVID-19 dataset allows for the generation of forecasts up to the most recently reported data to facilitate near real-time forecasting.

Dimensionality and factorial invariance of religiosity among Christians and the religiously unaffiliated: A cross-cultural analysis based on the International Social Survey Programme.

We present a study of the dimensionality and factorial invariance of religiosity for 26 countries with a Christian heritage, based on the 1998 and 2008 rounds of the International Social Survey Programme (ISSP) Religion survey, using both exploratory and multi-group confirmatory factor analyses. The results of the exploratory factor analysis showed that three factors, common to Christian and religiously unaffiliated respondents, could be extracted from our initially selected items and suggested the testing of four different three-factor models using multi-group confirmatory factor analysis. For the model with the best fit and measurement invariance properties, we labeled the three resulting factors as "Beliefs in afterlife and miracles", "Belief and importance of God" and "Religious involvement." The first factor is measured by four items related to the Supernatural Beliefs Scale (SBS-6); the second by three items related to belief in God and God's perceived roles as a supernatural agent; and the third one by three items with the same structure found in previous cross-cultural analyses of religiosity using the European Values Survey (ESS) and also by belief in God. Unexpectedly, we found that one item, belief in God, cross-loaded on to the second and third factors. We discussed possible interpretations for this finding, together with the potential limitations of the ISSP Religion questionnaire for revealing the structure of religiosity. Our tests of measurement invariance across gender, age, educational degree and religious (un)affiliation led to acceptance of the hypotheses of metric- and scalar-invariance for these groupings (units of analysis). However, in the measurement invariance tests across the countries, the criteria for metric invariance were met for twenty-three countries only, and partial scalar invariance was accepted for fourteen countries only. The present work shows that the exploration of large multinational and cross-cultural datasets for studying the dimensionality and invariance of social constructs (in our case, religiosity) yields useful results for cross-cultural comparisons, but is also limited by the structure of these datasets and the way specific items are coded.

Temporal and spatiotemporal investigation of tourist attraction visit sentiment on Twitter.

In this paper, we propose a sentiment-based approach to investigate the temporal and spatiotemporal effects on tourists' emotions when visiting a city's tourist destinations. Our approach consists of four steps: data collection and preprocessing from social media; visitor origin identification; visit sentiment identification; and temporal and spatiotemporal analysis. The temporal and spatiotemporal dimensions include day of the year, season of the year, day of the week, location sentiment progression, enjoyment measure, and multi-location sentiment progression. We apply this approach to the city of Chicago using over eight million tweets. Results show that seasonal weather, as well as special days and activities like concerts, impact tourists' emotions. In addition, our analysis suggests that tourists experience greater levels of enjoyment in places such as observatories rather than zoos. Finally, we find that local and international visitors tend to convey negative sentiment when visiting more than one attraction in a day whereas the opposite holds for out of state visitors.

Identifying key papers within a journal via network centrality measures.

This article examines the extent to which existing network centrality measures can be used (1) as filters to identify a set of papers to start reading within a journal and (2) as article-level metrics to identify the relative importance of a paper within a journal. We represent a dataset of published papers in the Public Library of Science (PLOS) via a co-citation network and compute three established centrality metrics for each paper in the network: closeness, betweenness, and eigenvector. Our results show that the network of papers in a journal is scale-free and that eigenvector centrality (1) is an effective filter and article-level metric and (2) correlates well with citation counts within a given journal. However, closeness centrality is a poor filter because articles fit within a small range of citations. We also show that betweenness centrality is a poor filter for journals with a narrow focus and a good filter for multidisciplinary journals where communities of papers can be identified.

You Are What You Tweet: Connecting the Geographic Variation in America's Obesity Rate to Twitter Content.

We conduct a detailed investigation of the relationship among the obesity rate of urban areas and expressions of happiness, diet and physical activity on social media. We do so by analyzing a massive, geo-tagged data set comprising over 200 million words generated over the course of 2012 and 2013 on the social network service Twitter. Among many results, we show that areas with lower obesity rates: (1) have happier tweets and frequently discuss (2) food, particularly fruits and vegetables, and (3) physical activities of any intensity. Additionally, we provide evidence that each of these results offer different and unique insight into the variation of the obesity rate in urban areas within the United States. Our work shows how the contents of social media may potentially be used to estimate real-time, population-scale measures of factors related to obesity.