ArticleFamily medicine and community health2021
Mobility and social deprivation on primary care utilisation among paediatric patients with asthma.
Article in Family medicine and community health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Use of point-of-care resources for management of paediatric asthma: frequency, types and temporal trends in early-career general practitioners.Family medicine and community health · 2026Article
- Relationship Between Social Determinants of Health and Domains of Care Addressed During Pediatric Palliative Care Visits for Children with Cancer.Children (Basel, Switzerland) · 2025Article
- Cervical Cancer Screening among Older Latina Migrant and Seasonal Farmworkers in a Network of Community Health Centers.Ethnicity & disease · 2025Observational
- Association between neighborhood deprivation and type 2 diabetes risks among asthma patients: a nationwide population-based cohort study.Scientific reports · 2025Article
- Racial Disparities in Hospitalization Rates During Long-Term Follow-Up After Deceased-Donor Kidney Transplantation.Journal of racial and ethnic health disparities · 2025Article
- Neighborhood-level social determinants of health measures independently predict receipt of living donor liver transplantation in the United States.Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society · 2024Article
- Disaggregating Latino nativity in equity research using electronic health records.Health services research · 2023Article
- Quality of Care for Latinx Children with Asthma: Associations with Language Concordance and Continuity of Care.Journal of the American Board of Family Medicine : JABFM · 2023Article
- The Association of Mobility, Social Deprivation, and Pediatric Primary Care Outcomes in Community Health Centers.The Journal of pediatrics · 2023Article
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Authors and funding
8 authors.
Funding
Abstract
objectiveAsthma care is negatively impacted by neighbourhood social and environmental factors, and moving is associated with undesirable asthma outcomes. However, little is known about how movement into and living in areas of high deprivation relate to primary care use. We examined associations between neighbourhood characteristics, mobility and primary care utilisation of children with asthma to explore the relevance of these social factors in a primary care setting.
designIn this cohort study, we conducted negative binomial regression to examine the rates of primary care visits and annual influenza vaccination and logistic regression to study receipt of pneumococcal vaccination. All models were adjusted for patient-level covariates.
settingWe used data from community health centres in 15 OCHIN states.
participantsThe sample included 23 773 children with asthma aged 3-17 across neighbourhoods with different levels of social deprivation from 2012 to 2017. We conducted negative binomial regression to examine the rates of primary care visits and annual influenza vaccination and logistic regression to study receipt of pneumococcal vaccination. All models were adjusted for patient-level covariates.
resultsClinic visit rates were higher among children living in or moving to areas with higher deprivation than those living in areas with low deprivation (rate ratio (RR) 1.09, 95% CI 1.02 to 1.17; RR 1.05, 95% CI 1.00 to 1.11). Children moving across neighbourhoods with similarly high levels of deprivation had increased RRs of influenza vaccination (RR 1.13, 95% CI 1.03 to 1.23) than those who moved but stayed in neighbourhoods of low deprivation.
conclusionsMovement into and living within areas of high deprivation is associated with more primary care use, and presumably greater opportunity to reduce undesirable asthma outcomes. These results highlight the need to attend to patient movement in primary care visits, and increase neighbourhood-targeted population management to improve equity and care for children with asthma.
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