Journal article
Social vulnerability, medical care access and asthma related emergency department visits and hospitalization: An observational study
HEART & LUNG, v 55
Sep 2022
PMID: 35588567
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Background: The Social Vulnerability Index (SVI) is a publicly available dataset to identify communities in greatest need of resources. Objective: To examine the utility of using the county-level SVI as predictors of asthma-related outcomes. Methods: We used the American Community Survey-derived SVI and the National Environmental Public Health Tracking Network-Query Tool to retrieve data for all counties with available SVI data and at least one matched outcome of interest. Then, we tested SVI as a predictor for emergency department visits (EDV) and hospitalizations, with investigating disparities in primary care physician (PCP) density and emergency department physicians (EDP) density. Linear and logistic regression models were used. Results: Compared to counties of the lowest SVI quartile, counties of mid-low, mid-high, and highest SVI quartiles had 1%, 4%, and 5% higher odds of asthma-related EDV per 10,000 population, respectively, and 4%, 21%, and 24% higher odds of asthma-related hospitalization per 10,000 population, respectively. Moreover, the data showed an apparent resources mismatch between the EDP densities per 10,000 populations and the SVI quartiles, and the effect of the county level SVI on the asthma-related EDV and hospitalization is not strongly affected by PCP or EDP densities. Conclusion: The counties with the highest SVI- and the most vulnerable to asthma hazards-have a lower coverage of PCP and EDP. Interventions directed to address persistent social vulnerability would offer the opportunity of primary prevention with less exhaustion for the medical resources. (C) 2022 Elsevier Inc. All rights reserved.
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Details
- Title
- Social vulnerability, medical care access and asthma related emergency department visits and hospitalization: An observational study
- Publication Details
- HEART & LUNG, v 55
- Publisher
- MOSBY-ELSEVIER; NEW YORK
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Drexel University
- Web of Science ID
- WOS:000800385000007
- Scopus ID
- 2-s2.0-85130151212
- Other Identifier
- 991021861172504721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Cardiac & Cardiovascular Systems
- Nursing
- Respiratory System