The impacts of the built environment on the incidence rate of COVID-19: A case study of King County, Washington.

With COVID-19 prevalent worldwide, current studies have focused on the factors influencing the epidemic. In particular, the built environment deserves immediate attention to produce place-specific strategies to prevent the further spread of coronavirus. This research assessed the impact of the built environment on the incidence rate in King County, US and explored methods of researching infectious diseases in urban areas. Using principal component analysis and the Pearson correlation coefficient to process the data, we built multiple linear regression and geographically weighted regression models at the ZIP code scale. Results indicated that although socio-economic indicators were the primary factors influencing COVID-19, the built environment affected COVID-19 cases from different aspects. Built environment density was positively associated with incidence rates. Specifically, increased open space was conducive to reducing incidence rates. Within each community, overcrowded households led to an increase in incidence rates. This study confirmed previous research into the importance of socio-economic variables and extended the discussion on spatial and temporal variation in the impacts of urban density on the spread of COVID, effectively guiding sustainable urban development.