Spatiotemporal patterns of childhood asthma hospitalization and utilization in Memphis Metropolitan Area from 2005 to 2015
| العنوان: | Spatiotemporal patterns of childhood asthma hospitalization and utilization in Memphis Metropolitan Area from 2005 to 2015 |
|---|---|
| المؤلفون: | Tonny J. Oyana, Stephania A. Cormier, Slawo Lomnicki, Jagila Wesley, Pradeep S. B. Podila |
| المصدر: | Journal of Asthma. 54:842-855 |
| بيانات النشر: | Informa UK Limited, 2017. |
| سنة النشر: | 2017 |
| مصطلحات موضوعية: | Male, Pulmonary and Respiratory Medicine, Adolescent, Urban Population, Article, White People, Census tract level, 03 medical and health sciences, Age Distribution, Spatio-Temporal Analysis, 0302 clinical medicine, Residence Characteristics, Risk Factors, Humans, Immunology and Allergy, Medicine, 030212 general & internal medicine, Sex Distribution, Child, Retrospective Studies, Asthma, Childhood asthma, 030505 public health, biology, business.industry, Downtown, Racial Groups, Hispanic or Latino, Emergency department, medicine.disease, biology.organism_classification, Tennessee, Metropolitan area, Black or African American, Logistic Models, Socioeconomic Factors, Child, Preschool, Pediatrics, Perinatology and Child Health, Geographic Information Systems, Female, Medical emergency, Emergency Service, Hospital, 0305 other medical science, business, Memphis, Demography, Healthcare system |
| الوصف: | To identify the key risk factors and explain the spatiotemporal patterns of childhood asthma in the Memphis metropolitan area (MMA) over an 11-year period (2005-2015). We hypothesize that in the MMA region this burden is more prevalent among urban children living south, downtown, and north of Memphis than in other areas.We used a large-scale longitudinal electronic health record database from an integrated healthcare system, Geographic information systems (GIS), and statistical and space-time models to study the spatiotemporal distributions of childhood asthma at census tract level.We found statistically significant spatiotemporal clusters of childhood asthma in the south, west, and north of Memphis city after adjusting for key covariates. The results further show a significant increase in temporal gradient in frequency of emergency department (ED) visits and inpatient hospitalizations from 2009 to 2013, and an upward trajectory from 4 per 1,000 children in 2005 to 16 per 1,000 children in 2015. The multivariate logistic regression identified age, race, insurance, admit source, encounter type, and frequency of visits as significant risk factors for childhood asthma (p0.05). We observed a greater asthma burden and healthcare utilization for African American (AA) patients living in a high-risk area than those living in a low-risk area in comparison to the white patients: AA vs. white [odds ratio (OR) = 3.03, 95% confidence interval (CI): 2.75-3.34]; and Hispanic vs. white (OR = 1.62, 95% CI: 1.21-2.17).These findings provide a strong basis for developing geographically tailored population health strategies at the neighborhood level for young children with chronic respiratory conditions. |
| تدمد: | 1532-4303 0277-0903 |
| DOI: | 10.1080/02770903.2016.1277537 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::5db6a37bda6f4ba10817091dee3d744c https://doi.org/10.1080/02770903.2016.1277537 |
| Rights: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....5db6a37bda6f4ba10817091dee3d744c |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15324303 02770903 |
|---|---|
| DOI: | 10.1080/02770903.2016.1277537 |