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Geomedicine: Area-based socioeconomic measures for assessing risk of hospital reutilization among children admitted for asthma

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  • Beck, A.F.
  • Simmons, J.M.
  • Huang, B.
  • Kahn, R.S.

Abstract

Objectives: We assessed whether geographic information available at the time of asthma admission predicts time to reutilization (readmission or emergency department revisit). Methods: For a prospective cohort of children hospitalized with asthma in 2008 and 2009 in Cincinnati, Ohio, we constructed a geographic social risk index from geocoded home addresses linked to census tract extreme poverty and high school graduation rates and median home values. We examined geographic risk associations with reutilization and caregiver report of hardship. Results: Thirty-nine percent of patients reutilized within 12 months. Compared with those in the lowest geographic risk stratum, those at medium and high risk had 1.3 (95% confidence interval [CI] = 0.9, 1.9) and 1.8 (95% CI = 1.4, 2.4) the risk of reutilization, respectively. Caregivers of children at highest geographic risk were 5 times as likely to report more than 2 financial hardships (P

Suggested Citation

  • Beck, A.F. & Simmons, J.M. & Huang, B. & Kahn, R.S., 2012. "Geomedicine: Area-based socioeconomic measures for assessing risk of hospital reutilization among children admitted for asthma," American Journal of Public Health, American Public Health Association, vol. 102(12), pages 2308-2314.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2012.300806_0
    DOI: 10.2105/AJPH.2012.300806
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    Cited by:

    1. Kane, Natalie, 2022. "Revealing the racial and spatial disparity in pediatric asthma: A Kansas City case study," Social Science & Medicine, Elsevier, vol. 292(C).

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