Neighborhood socioeconomic status and influenza hospitalizations among children: New Haven County, Connecticut, 2003-2010.
Am J Public Health
; 101(9): 1785-9, 2011 Sep.
Article
em En
| MEDLINE
| ID: mdl-21778498
ABSTRACT
OBJECTIVES:
We examined surveillance data for disparities in pediatric influenza-associated hospitalizations according to neighborhood socioeconomic status (SES) measures in New Haven County, Connecticut.METHODS:
We geocoded influenza-associated hospitalization case data from the past 7 years for children from birth to age 17 years and linked these to US Census 2000 tract-level SES data. Following the methods of Harvard's Public Health Disparities Geocoding Project, we examined neighborhood SES variables, including measures of poverty and crowding. We calculated influenza-associated hospitalization incidence by influenza season and individual case characteristics, stratified by SES measures.RESULTS:
Overall, the mean annual incidence of pediatric influenza-associated hospitalization in high-poverty and high-crowding census tracts was at least 3 times greater than that in low-poverty and low-crowding tracts. This disparity could not be fully explained by prevalence of underlying conditions or receipt of influenza vaccination.CONCLUSIONS:
Linkage of geocoded surveillance data and census information allows for ongoing monitoring of SES correlates of health and may help target interventions. Our analysis indicates a correlation between residence in impoverished or crowded neighborhoods and incidence of influenza-associated hospitalization among children in Connecticut.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Características de Residência
/
Influenza Humana
/
Hospitalização
Tipo de estudo:
Incidence_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adolescent
/
Child
/
Child, preschool
/
Female
/
Humans
/
Infant
/
Male
/
Newborn
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Am J Public Health
Ano de publicação:
2011
Tipo de documento:
Article
País de afiliação:
Estados Unidos