ArticleThe journal of allergy and clinical immunology. In practice2022
Geospatial Analysis of Social Determinants of Health Identifies Neighborhood Hot Spots Associated With Pediatric Intensive Care Use for Life-Threatening Asthma.
Article in The journal of allergy and clinical immunology. In practice, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 4 of them syntheses that pooled it.
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Who cites it
48 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Contextual nonmedical health factors and critical care-related outcomes: a systematic review.Critical care (London, England) · 2025Pooled it
- The Child Opportunity Index and Children's Health: A Meta-Analysis.Pediatrics · 2025Pooled it
- Application of Spatial Analysis on Electronic Health Records to Characterize Patient Phenotypes: Systematic Review.JMIR medical informatics · 2024Pooled it
- Social Vulnerability Index and Health Outcomes in the United States: A Systematic Review.Family & community healthPooled it
- Association of Social Drivers of Health With Hospitalizations for Pediatric Asthma.Pediatric pulmonology · 2026Article
- The Cost of Inequity: Financial Burden of Neighborhood Disparities in Pediatric Critical Care Use.CHEST critical care · 2026Article
- Dynamic associations of neighborhood social and physical environment with ED visits for asthma: A spatial change score analysis.The journal of allergy and clinical immunology. Global · 2026Article
- The Association Between Neighborhood Factors and Early Organ Dysfunction in Children Who Are Critically Ill: A Retrospective Cohort Study.The Journal of pediatrics · 2026Article
- Socioeconomic inequalities in severe childhood asthma: results of a nationwide cohort.ERJ open research · 2026Article
- Article
- Social Determinants of Health in Pediatric Asthma and Allergic Diseases: A Systematic Review.Epidemiologia (Basel, Switzerland) · 2025Review
- Child Opportunity Index and Outcomes of Children Admitted to US PICUs for Critical Asthma.Pediatric pulmonology · 2025Article
- Analysis of social determinants of health and extreme climate events: Identifying vulnerable populations and health outcomes in Jacksonville.Environmental epidemiology (Philadelphia, Pa.) · 2025Article
- Clinical correlations with unmet social needs in critically ill children with asthma.The journal of allergy and clinical immunology. Global · 2025Article
- Trends in Neighborhood Opportunity, Hospitalizations, and Costs for Pediatric Asthma.Pediatric pulmonology · 2025Article
- Augmenting electronic health record data with social and environmental determinant of health measures to understand regional factors associated with asthma exacerbations.PLOS digital health · 2025Article
- Managing childhood asthma with an eye toward environmental, social, and behavioral features.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2025Review
- Article
- Features of children with critical asthma hospitalized in a pediatric intensive care unit: Results from the ICU-3A study.Pediatric pulmonology · 2025Article
- The Legacy of Redlining: Increasing Childhood Asthma Disparities through Neighborhood Poverty.American journal of respiratory and critical care medicine · 2024Article
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Authors and funding
4 authors.
Funding
Abstract
backgroundSocial determinants of health are associated with asthma prevalence and healthcare use in children with asthma, but are multifactorial and complex. Whether social determinants similarly influence exacerbation severity is not clear.
objectiveComposite measures of social determinants of health and readmission outcomes were evaluated in a large regional cohort of 1,403 school-age children admitted to a pediatric intensive care unit (PICU) for asthma.
methodsResidential addresses were geocoded and spatially joined to census tracts. Composite measures of social vulnerability and childhood opportunity, PICU readmission rates, and hospital length of stay were compared between neighborhood hot spots, where PICU admission rates per 1,000 children are at or above the 90th percentile, versus non-hot spots.
resultsA total of 228 children resided within a neighborhood hot spot (16%). Hot spots were associated with a higher (ie, poorer) composite Social Vulnerability Index ranking, reflecting differences in socioeconomic status, household composition and disability, and housing type and transportation. Hot spots also had a lower (ie, poorer) composite Childhood Opportunity Index percentile ranking, reflecting differences in the education, health and environment, and social and economic domains. Higher social vulnerability and lower childhood opportunity were associated with PICU readmission. Residing within a hot spot was further associated with a longer duration of hospital stay, individual inpatient bed days, and total census tract inpatient bed days.
conclusionsSocial determinants of health identified by geospatial analyses are associated with more severe asthma exacerbation outcomes in children. Outpatient strategies that address both biological and social determinants of health are needed to care for and prevent PICU admissions optimally in children with asthma.
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