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Neighborhood Risk and Hospital Use for Pediatric Asthma, Rhode Island, 2005-2014
Journal article   Open access   Peer reviewed

Neighborhood Risk and Hospital Use for Pediatric Asthma, Rhode Island, 2005-2014

Annie Gjelsvik, Michelle L Rogers, Aris Garro, Adam Sullivan, Daphne Koinis-Mitchell, Elizabeth L McQuaid, Raul Smego and Patrick M Vivier
Preventing chronic disease, v 16(5), pp E68-E68
30 May 2019
DOI: https://doi.org/10.5888/pcd16.180490
PMID: 31146802
Featured in Collection :   UN Sustainable Development Goals @ Drexel
url
https://doi.org/10.5888/pcd16.180490View
Published, Version of Record (VoR) Open

Abstract

Adolescent Asthma - therapy Child Child, Preschool Female Hospitalization - statistics & numerical data Humans Male Pediatric Emergency Medicine - statistics & numerical data Residence Characteristics - statistics & numerical data Retrospective Studies Rhode Island Socioeconomic Factors
Studies consistently show that children living in poor neighborhoods have worse asthma outcomes. The objective of our study was to assess the association between negative neighborhood factors (ie, neighborhood risk) and pediatric asthma hospital use. This retrospective study used data from children aged 2 to 17 years in a statewide (Rhode Island) hospital network administrative database linked to US Census Bureau data. We defined an asthma visit as an International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) code of 493 in any diagnosis field. We used 8 highly correlated measures for each census-block group to construct an index of neighborhood risk. We used maps and linear regression to assess the association of neighborhood risk with average annual census-block-group rates of asthma emergency department visits and hospitalizations. We used multivariable analyses to identify child characteristics and neighborhood risk associated with an asthma revisit, accounting for the child's sociodemographic information, season, and multiple measurements per child. From 2005 through 2014, we counted 359,195 visits for 146,889 children. Of these, 12,699 children (8.6%) had one or more asthma visits. Linear regression results showed 1.18 (95% confidence interval, 1.06-1.30) more average annual emergency departments visits per 100 children and 0.41 (95% confidence interval, 0.34-0.47) more average annual hospitalizations per 100 children in neighborhoods in the highest-risk index quintile than in neighborhoods in the lowest-risk index quintile. Interventions to improve asthma outcomes among children should move beyond primary care or clinic settings and involve a careful evaluation of social context and environmental triggers.

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18 citations in Web of Science
16 citations in Scopus

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UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#3 Good Health and Well-Being

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Collaboration types
Domestic collaboration
Web of Science research areas
Public, Environmental & Occupational Health
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