ArticleMayo Clinic proceedings2019
Socioeconomic Status, Race/Ethnicity, and Health Disparities in Children and Adolescents in a Mixed Rural-Urban Community-Olmsted County, Minnesota.
Article in Mayo Clinic proceedings, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.
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Who cites it
30 citing papers in PubMed.
- Artificial intelligence biomarker detects high-risk childhood asthma subgroup for respiratory infections and exacerbations.The Journal of allergy and clinical immunology · 2025Article
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- Association of delayed asthma diagnosis with asthma exacerbations in children.The journal of allergy and clinical immunology. Global · 2025Article
- Probabilistic bias analysis for exposure misclassification of household income by neighbourhood in a cohort of individuals with colorectal cancer.International journal of epidemiology · 2024Article
- Sex differences in sociodemographic, clinical, and laboratory variables in childhood asthma: A birth cohort study.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2024Article
- Cause of Death by Race and Ethnicity in Minnesota Before and During the COVID-19 Pandemic, 2019-2020.Journal of racial and ethnic health disparities · 2024Article
- The influence of social and environmental determinants of health on hospitalizations for pediatric asthma.The Journal of asthma : official journal of the Association for the Care of Asthma · 2024Article
- Disparities in Epilepsy Diagnosis and Management in High-Income Countries: A Review of the Literature.Neurology. Clinical practice · 2024Review
- Rural Health Disparities in Allergy, Asthma, and Immunologic Diseases: The Current State and Future Direction for Clinical Care and Research.The journal of allergy and clinical immunology. In practice · 2024Review
- Evaluating the Association Between Sociodemographic and Health Variables With Baseline Concussion Testing in Young Athletes.Orthopaedic journal of sports medicine · 2023Article
- Family income as a moderator of relations between sleep and physical health during adolescence.Sleep health · 2023Article
- Cause of Death by Race and Ethnicity in Minnesota Before and During the COVID-19 Pandemic, 2019-2020.medRxiv : the preprint server for health sciences · 2023Article
- Incidence and Epidemiology of Symptomatic Capitellar Osteochondritis Dissecans of the Elbow: A United States Population-Based Study Over a 25-Year Period.Orthopaedic journal of sports medicine · 2022Article
- Clinical and demographic factors associated with pediatric difficult intravenous access in the operating room.Paediatric anaesthesia · 2022Article
- Risk of pneumonia in asthmatic children using inhaled corticosteroids: a nested case-control study in a birth cohort.BMJ open · 2022Article
- Role of geographic risk factors and social determinants of health in COVID-19 epidemiology: Longitudinal geospatial analysis in a midwest rural region.Journal of clinical and translational science · 2022Article
- State-level political partisanship strongly correlates with health outcomes for US children.European journal of pediatrics · 2022Article
- Parental Keratoconus Literacy: A Socioeconomic Perspective.Clinical ophthalmology (Auckland, N.Z.) · 2022Article
- The Risk of Esophageal Food Impaction in Eosinophilic Esophagitis Patients: The Role of Clinical and Socioeconomic Factors.Clinical and experimental gastroenterology · 2022Article
- Racial and ethnic disparities in bronchiolitis management in freestanding children's hospitals.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2021Article
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Authors and funding
7 authors.
Funding
Abstract
objectiveTo characterize disparities in childhood health outcomes by socioeconomic status (SES) and race/ethnicity in a mixed rural-urban US community.
methodsThis was a retrospective population-based study of children 18 years and younger residing in Olmsted County, Minnesota, in 2009. The prevalence rates of childhood health outcomes were determined using International Classification of Diseases, Ninth Revision codes. Socioeconomic status was measured using the HOUsing-based SocioEconomic Status index (HOUSES), derived from real property data. Adjusting for age and sex, logistic regression models were used to examine the relationships among HOUSES, race/ethnicity, and prevalence of childhood health outcomes considering an interaction between HOUSES and race/ethnicity. Odds ratios were calculated using the lowest SES quartile and non-Hispanic white participants as the reference groups.
resultsOf 31,523 eligible children, 51% were male and 86% were of non-Hispanic white race/ethnicity. Overall, lower SES was associated with higher prevalence of bronchiolitis, urinary tract infection, asthma, mood disorder, and accidents/adverse childhood experiences (physical and sexual abuse) in a dose-response manner (P<.04). Prevalence rates of all childhood conditions considered except for epilepsy were significantly different across races/ethnicities (P<.002). Racial/ethnic disparities for asthma and mood disorder were greater with higher SES.
conclusionSignificant health disparities are present in a predominantly affluent, non-Hispanic white, mixed rural-urban community. Socioeconomic status modifies disparities by race/ethnicity in clinically less overt conditions. Interpretation of future health disparity research should account for the nature of disease.
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