Social Risks and Health Care Utilization Among a National Sample of Children With Asthma.
OBJECTIVES: Prior studies using single-center populations have established associations between social risks and health care utilization among children with asthma.We aimed to evaluate associations between social risks and health care utilization among a nationally representative sample of children...
| Publicado en: | Academic Pediatrics Vol. 23; no. 1; pp. 130 - 140 |
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| Autores principales: | , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Elsevier B.V.
Jan/Feb2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=174989711&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 174989711 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 18762859 8NBK jtl: Academic Pediatrics issn: 18762859 maglogo: N pubinfo: dt: Jan/Feb2023 vid: 23 iid: 1 pid: 467 pub: Elsevier B.V. place: New York, New York artinfo: ui: 174989711 174989711 174989711 10.1016/j.acap.2022.07.025 174989711 ppf: 130 ppct: 10 formats: fmt: @attributes: type: P tig: atl: Social Risks and Health Care Utilization Among a National Sample of Children With Asthma. aug: au: Tyris, Jordan Rodean, Jonathan Kulesa, John Dixon, Gabrina Bhansali, Priti Gayle, Tamara Akani, Damilola Magyar, Matthew Tamaskar, Nisha Parikh, Kavita affil: Division of Hospital Medicine, Children's National Hospital, Washington, DC sug: subj: Social Determinants of Health Health Resource Utilization Healthcare Disparities Asthma Psychosocial Factors Human Cross Sectional Studies Confidence Intervals Odds Ratio Descriptive Statistics Child Data Analysis Software Child: 6-12 years ab: OBJECTIVES: Prior studies using single-center populations have established associations between social risks and health care utilization among children with asthma.We aimed to evaluate associations between social risks and health care utilization among a nationally representative sample of children with asthma. STUDY DESIGN: In this cross-sectional study, we utilized the 2018-2019 National Survey of Children's Health to identify children 2 to 17 years old with asthma. Using the Healthy People (HP) 2030 social determinants of health (SDOH) framework, we identified 31 survey items assessing 18 caregiver-identified social risks as exposure variables and classified them into the 5 HP SDOH domains (Economy, Education, Health care, Community, and Environment). Primary outcome was caregiver-reported health care utilization. Associations between individual social risks and total number of SDOH domains experienced with health care utilization were assessed. RESULTS: The weighted study population included 8.05 million children, 96% of whom reported ≥1 social risk. Fourteen social risks, spanning all 5 SDOH domains, were significantly associated with increased health care utilization. The 3 risks with the highest adjusted odds ratios (aOR) of health care utilization included: experiencing discrimination (aOR 3.26 [95% confidence interval (CI): 1.75, 6.08]); receiving free/reduced lunch (aOR 2.16, [95% CI 1.57, 2.98]); and being a victim of violence (aOR 2.11, [95% CI 1.11, 4]). Children with risks across more SDOH domains reported significantly higher health care utilization. CONCLUSIONS: Among our national population of children with asthma, social risks are prevalent and associated with increased health care utilization, highlighting their potential contribution to pediatric asthma morbidity. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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