ArticleJournal of hospital medicine2024
Association of neighborhood opportunity and pediatric hospitalization rates in the United States.
Article in Journal of hospital medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The Child Opportunity Index and Children's Health: A Meta-Analysis.Pediatrics · 2025Pooled it
- Differences in antibiotic treatment for children hospitalized with pneumonia.Journal of hospital medicine · 2026Article
- Prevalence of Health-Related Social Needs: Inpatient Versus Ambulatory Pediatric Populations.The Journal of pediatrics · 2026Article
- Association of Child Opportunity Index with Outcomes in Pediatric Supraventricular Tachycardia.Pediatric cardiology · 2026Article
- Neighborhood disadvantage and the back-to-school epidemic of viral-associated asthma exacerbations.The Journal of allergy and clinical immunology · 2025Article
- Impact of an Inpatient Social Needs Screening Program: Did Our Referral Resolve Your Need?Hospital pediatrics · 2024Article
- Child Opportunity Index Mobility, Recurrent Wheezing, and Asthma in Early Childhood: A Population-Based Prospective Cohort Study.The Journal of pediatrics · 2024Article
Corrections and comments
- Commented on by
Authors and funding
9 authors.
Funding
Abstract
We examined associations between a validated, multidimensional measure of social determinants of health and population-based hospitalization rates among children <18 years across 18 states from the 2017 Healthcare Cost and Utilization Project State Inpatient Databases and the US Census. The exposure was ZIP code-level Child Opportunity Index (COI), a composite measure of neighborhood resources and conditions that matter for children's health. The cohort included 614,823 hospitalizations among a population of 29,244,065 children (21.02 hospitalizations per 1000). Adjusted hospitalization rates decreased significantly and in a stepwise fashion as COI increased (p < .001 for each), from 26.56 per 1000 (95% confidence interval [CI] 26.41-26.71) in very low COI areas to 14.76 per 1000 (95% CI 14.66-14.87) in very high COI areas (incidence rate ratio 1.8; 95% CI 1.78-1.81). Decreasing neighborhood opportunity was associated with increasing hospitalization rates among children in 18 US states. These data underscore the importance of social context and community-engaged solutions for health systems aiming to eliminate care inequities.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.