ArticleThe Lancet. Public health2022
Mapping emergency department asthma visits to identify poor-quality housing in New Haven, CT, USA: a retrospective cohort study.
Article in The Lancet. Public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.
- Application of Spatial Analysis on Electronic Health Records to Characterize Patient Phenotypes: Systematic Review.JMIR medical informatics · 2024Pooled it
- Neighborhood Variation in Childhood Asthma Emergency Department Visit Rates in Austin, Texas, Is Associated with Tenant-Reported Housing Conditions.Journal of urban health : bulletin of the New York Academy of Medicine · 2026Article
- Precision risk assessment for pediatric hospitalization using address-level data in Cincinnati, Ohio.Journal of clinical and translational science · 2026Article
- Evaluating Linkage Approaches for Address-Level Socioenvironmental Exposure Assessment.AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science · 2026Article
- Article
- Integrating geospatial data with birth cohorts to explore social determinants of health and asthma.The Journal of allergy and clinical immunology · 2025Review
- The geographic identification of elevated suicide risk model: evaluating a method for examining suicide-related behaviors at the neighborhood level in Harris County, Texas.BMC public health · 2025Article
- Prevalence of Health Harming Legal Needs of Patients Seeking Care in the Emergency Department.Journal of the American College of Emergency Physicians open · 2025Article
- "I just don't know what will be better other than an apartment which I can't afford": Experiences of housing quality following homelessness in Ontario, Canada.PLOS mental health · 2025Article
- Development of a multimodal geomarker pipeline to assess the impact of social, economic, and environmental factors on pediatric health outcomes.Journal of the American Medical Informatics Association : JAMIA · 2024Article
- Immune-mediated disease caused by climate change-associated environmental hazards: mitigation and adaptation.Frontiers in science · 2024Article
- Emergency department use and geospatial variation in social determinants of health: a pilot study from South Carolina.BMC public health · 2023Article
- Place of death from asthma differs by age, race, and ethnicity.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2023Article
Corrections and comments
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Authors and funding
9 authors at 4 institutions in 1 country.
Funding
Abstract
backgroundHousing conditions are a key driver of asthma incidence and severity. Previous studies have shown increased emergency department visits for asthma among residents living in poor-quality housing. Interventions to improve housing conditions have been shown to reduce emergency department visits for asthma, but identification and remediation of poor housing conditions is often delayed or does not occur. This study evaluates whether emergency department visits for asthma can be used to identify poor-quality housing to support proactive and early intervention.
methodsWe conducted a retrospective cohort study of children and adults living in and around New Haven, CT, USA, who were seen for asthma in an urban, tertiary emergency department between March 1, 2013, and Aug 31, 2017. We geocoded and mapped patient addresses to city parcels, and calculated a composite estimate of the incidence of emergency department use for asthma for each parcel (N
findings11 429 asthma-related emergency department visits from 6366 unique patients were included in the analysis. Mean patient age was 32·4 years (SD 12·8); 3836 (60·3%) patients were female, 2530 (39·7%) were male, 3461 (57·2%) were Medicaid-insured, and 2651 (41·6%) were Black. Incidence of emergency department use for asthma was strongly correlated with lower housing inspection scores (Pearson's r=-0·55 [95% CI -0·70 to -0·35], p=3·5 × 10
interpretationEmergency department visits for asthma are an early indicator of failed housing inspections. This approach represents a novel method for the early identification of poor housing conditions and could help to reduce asthma-related morbidity and mortality.
fundingHarvard-National Institute of Environmental Health Sciences (NIEHS) Center for Environmental Health.
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