ArticleAmerican journal of public health2014
Community socioeconomic disadvantage and the survival of infants with congenital heart defects.
Article in American journal of public health, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 4 of them syntheses that pooled it.
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The trial behind it
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Who cites it
44 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- The Association of Race and Ethnicity with Mortality in Pediatric Patients with Congenital Heart Disease: a Systematic Review.Journal of racial and ethnic health disparities · 2024Pooled it
- Assessing the Impact of Neighborhood and Built Environment on Pediatric Perioperative Care: A Systematic Review of the Literature.Journal of pediatric surgery · 2024Pooled it
- Social Determinants of Disparities in Mortality Outcomes in Congenital Heart Disease: A Systematic Review and Meta-Analysis.Frontiers in cardiovascular medicine · 2022Pooled it
- Social determinants of health and outcomes for children and adults with congenital heart disease: a systematic review.Pediatric research · 2021Pooled it
- Trial
- Parent Perspectives on Optimal Communication About a New Prenatal Diagnosis of Complex Congenital Heart Disease: A Concept Mapping Study.Pediatric cardiology · 2026Article
- Neighborhood-level socioeconomic position and mortality among children born with critical congenital heart defects.American journal of epidemiology · 2026Article
- Fetal Cardiology Prenatal Care Quality and Social Determinants of Health in Critical Congenital Heart Disease.Pediatric cardiology · 2026Article
- An Examination of Social Determinants of Health and their Association with Preventable and Urgent Readmissions in Pediatric Acute Care Cardiology.Pediatric cardiology · 2026Article
- Unplanned Readmissions in Pediatric Cardiac Disease: Impacts of Social Determinants of Health.Pediatric cardiology · 2026Article
- Association of Material Hardship and Clinical Outcomes in Infants with Congenital Heart Disease.Pediatric cardiology · 2026Article
- Mortality amongst European children with congenital anomalies: Associations with socio-economic status in the EUROLINKCAT cohort.PloS one · 2026Observational
- Racial and Educational Isolation are Associated with Worse Outcomes in Congenital Heart Disease.Pediatric cardiology · 2026Article
- [Formula: see text] Unraveling the impact of child opportunity and medical factors on neuropsychological outcomes in school-age patients with critical congenital heart disease.Child neuropsychology : a journal on normal and abnormal development in childhood and adolescence · 2026Observational
- Foster Care Status as an Understudied Social Driver of Health Outcomes for Children Needing Cardiac Surgery.Journal of the American Heart Association · 2025Article
- Maternal Socioeconomic Opportunity and Race-Ethnicity Intersect to Influence Fetal Brain Volumes in Congenital Heart Disease.Journal of the American Heart Association · 2025Article
- Neighborhood Income Disparities in Unplanned Hospital Admission and In-Hospital Outcomes Among Children with Congenital Heart Disease.Pediatric cardiology · 2025Article
- Assessing the Impact of Social Factors on Survival Among Infants Born with Transposition of the Great Arteries, Tetralogy of Fallot, and Diaphragmatic Hernia in Texas, 2011-2019.Maternal and child health journal · 2025Article
- Family Socioeconomic Status and Neurodevelopment Among Patients With Dextro-Transposition of the Great Arteries.JAMA network open · 2024Article
- Impact of Remoteness of Residence and Socioeconomic Status on Outcomes Among Children With Heart Disease in Alberta.JACC. Advances · 2024Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
objectivesWe examined the association between survival of infants with severe congenital heart defects (CHDs) and community-level indicators of socioeconomic status.
methodsWe identified infants born to residents of Arizona, New Jersey, New York, and Texas between 1999 and 2007 with selected CHDs from 4 population-based, statewide birth defect surveillance programs. We linked data to the 2000 US Census to obtain 11 census tract-level socioeconomic indicators. We estimated survival probabilities and hazard ratios adjusted for individual characteristics.
resultsWe observed differences in infant survival for 8 community socioeconomic indicators (P < .05). The greatest mortality risk was associated with residing in communities in the most disadvantaged deciles for poverty (adjusted hazard ratio [AHR] = 1.49; 95% confidence interval [CI] = 1.11, 1.99), education (AHR = 1.51; 95% CI = 1.16, 1.96), and operator or laborer occupations (AHR = 1.54; 95% CI = 1.16, 1.96). Survival decreased with increasing numbers of indicators that were in the most disadvantaged decile. Community-level mortality risk persisted when we adjusted for individual-level characteristics.
conclusionsThe increased mortality risk among infants with CHDs living in socioeconomically deprived communities might indicate barriers to quality and timely care at which public health interventions might be targeted.
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