ArticleJournal of the Pediatric Orthopaedic Society of North America2025
Unpacking Social Disadvantage Metrics in Neuromuscular Conditions: Area Deprivation Index Versus Child Opportunity Index.
Article in Journal of the Pediatric Orthopaedic Society of North America, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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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.
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Who cites it
1 citing paper in PubMed.
- The Association of Neighborhood Disadvantage with Surgical Outcomes and Follow-Up Adherence in Patients with Cleft Lip.The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association · 2026Article
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Authors and funding
5 authors.
Funding
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Abstract
Background and objectives: Social determinants of health (SDOH) impact healthcare access and outcomes for children, including those with neuromuscular disorders (NMD). This study examines the extent to which the Area Deprivation Index (ADI) and Child Opportunity Index (COI) provide similar evaluations of SDOH in children with NMD. Methods: 463 children with NMD <18 years treated at a tertiary children's hospital met inclusion criteria. COI, calculated using ZIP codes, includes education, health and environment, and social and economic domains. ADI, based on census block, measures income, education, employment, and housing quality. Lower COI and higher ADI are thought to represent more adverse SDOH. Analyses included Pearson's correlations, t-tests, ANOVAs, and multivariable regressions. Results: ADI and COI were negatively correlated (r = -0.71, Conclusions: While ADI and COI are related, they assess SDOH differently. Using multiple SDOH indices may better capture SDOH's impacts on healthcare access and outcomes. Key Concepts: (1)The health of children with neuromuscular conditions is affected by social determinants of health.(2)Lower levels of social determinants of health have been shown to delay access to care and negatively impact children's health.(3)The Area Deprivation Index and Child Opportunity Index are two indices often used to quantify social determinants of health and have not yet been directly compared to evaluate their congruence.(4)This study identifies and explores gaps between these two measurements so that clinicians and researchers can more accurately evaluate the impacts of social determinants of health on children's health. Levels of Evidence: Level III as this is a retrospective cohort study.
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