ArticleBMJ open2021
Role of social deprivation on asthma care quality among a cohort of children in US community health centres.
Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 15 citations in OpenAlex.
- Maternal Area of Residence and Outcomes for Mother-Infant Dyads with Perinatal Opioid Exposure.American journal of perinatology · 2026Trial
- Socioeconomic status associates with worse asthma morbidity among Black and Latinx adults.The Journal of allergy and clinical immunology · 2022Trial
- Social Determinants of Health Impact on Pediatric Type 1 Diabetes Outcomes Early after Diagnosis.Hormone research in paediatrics · 2026Article
- Associations of Community Material Neighborhood Deprivation With the Diagnosis of Asthma Among Infants With Bronchopulmonary Dysplasia (BPD).Pediatric pulmonology · 2026Article
- The Association Between HPV Vaccination and Neighborhood-Level Social Deprivation Among Latinos by Nativity.Journal of the American Board of Family Medicine : JABFM · 2026Article
- Association between neighborhood deprivation and type 2 diabetes risks among asthma patients: a nationwide population-based cohort study.Scientific reports · 2025Article
- Association Between a Mother's Cervical Cancer Screening and Child's Human Papillomavirus (HPV) Vaccination Status.Maternal and child health journal · 2024Article
- Article
- Level of education, but not occupation, is differentially associated with asthma phenotypes in adults.Clinical and translational allergy · 2024Article
- Neighborhood-level social determinants of health and cardioprotective behaviors among church members in New Orleans, Louisiana.The American journal of the medical sciences · 2024Article
- Socioeconomic Influences on Outcomes Following Congenital Heart Disease Surgery.Pediatric cardiology · 2024Article
- Article
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Authors and funding
9 authors at 3 institutions in 1 country.
Funding
Abstract
objectiveSocial deprivation is associated with worse asthma outcomes. The Social Deprivation Index is a composite measure of social determinants of health used to identify neighbourhood-level disadvantage in healthcare. Our objective was to determine if higher neighbourhood-level social deprivation is associated with documented asthma care quality measures among children treated at community health centres (CHCs). METHODS SETTING, PARTICIPANTS, OUTCOME MEASURES: We used data from CHCs in 15 states in the Accelerating Data Value Across a National Community Health Center Network (ADVANCE). The sample included 34 266 children with asthma from 2008 to 2017, aged 3-17 living in neighbourhoods with differing levels of social deprivation measured using quartiles of the Social Deprivation Index score. We conducted logistic regression to examine the odds of problem list documentation of asthma and asthma severity, and negative binomial regression for rates of albuterol, inhaled steroid and oral steroid prescription adjusted for patient-level covariates.
resultsChildren from the most deprived neighbourhoods had increased rates of albuterol (rate ratio (RR)=1.22, 95% CI 1.13 to 1.32) compared with those in the least deprived neighbourhoods, while the point estimate for inhaled steroids was higher, but fell just short of significance at the alpha=0.05 level (RR=1.16, 95% CI 0.99 to 1.34). We did not observe community-level differences in problem list documentation of asthma or asthma severity.
conclusionsHigher neighbourhood-level social deprivation was associated with more albuterol and inhaled steroid prescriptions among children with asthma, while problem list documentation of asthma and asthma severity varied little across neighbourhoods with differing deprivation scores. While the homogeneity of the CHC safety net setting studied may mitigate variation in diagnosis and documentation of asthma, enhanced clinician awareness of differences in community risk could help target paediatric patients at risk of lower quality asthma care.
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